20.Analysis of Depression and Anxiety Prior and After Coronary Artery Bypass Graft Surgery and their Association with Age
Shafqat Hussain and Muhammad Moeen
ABSTRACT
Objective: The objective of this study is to demonstrate the anxiety and depression scores pre and post-Coronary after bypass graft surgery and the effect of age in changing disorder scores.
Study Design: A Comparative Analytical Study
Place and Duration of Study: This study was conducted at the department of Cardiac Surgery in Ch.Pervaiz Elahi Institute of Cardiology Multan from June 2020 to June 2021.
Materials and Methods: A total of 50 patients participated in the study and were divided into 4 distinct age groups. The patients were required to fill HADS 2 days before and 10 days after the surgery and then anxiety and depression scores were analyzed on the basis of answers given by patients in the questionnaire. The difference between pre and post-surgery was calculated and the increased scores were evaluated. Spearman correlation between age and difference scores was calculated to assess the effect of age on depression and anxiety scores. McNemar tests and ANOVA procedure were also conducted with 'age group' as a factor.
Results: The number of patients who filled the HADS reduced after the surgery irrespective of the anxiety and depression scores before surgery. After analysis, it was discovered that 30% of patients prior while 20.5% after the surgery were anxious, while 22.7% were depressed before surgery and 13.6% after surgery. The depression score also reduced after surgery but the number of high scorers remained the same. A negative co-relation between age and anxiety was calculated (Spearman rho = -.200; p = 0.02) but not with depression (Spearman rho = -.111; p = 0.19).Younger patients showed a significant decline in anxiety after the surgery but had high anxiety scores before surgery (p<0.05), this decline was not seen in depression scores.
Conclusion: As the results reflect, the patients are more mentally stressed before surgery and this disorder must be treated. Younger patients showed reduced symptoms after the surgery and fewer symptoms change is observed in elderly patients.
Key Words: Anxiety, depression, Coronary artery bypass graft, Coronary artery disease, aging disorders.
Citation of article: Hussain S, Moeen M. Analysis of Depression and Anxiety Prior and After Coronary Artery Bypass Graft Surgery and their Association with Age. Med Forum 2021;32(8):86-90.