Anxiety, Depression, Elderly Patients, Non-cardiac Surgery
Conditions
Brief summary
A multicenter, prospective observational study to describe the socioeconomic characteristics and the occurrence of postoperative anxiety and depression in the Chinese old population.
Detailed description
As China's population ages, the proportion of elderly people undergoing surgery increases. Perioperative anxiety and depression, particularly in elderly patients, is common and associated with multiple medical and social adversities. Previous studies have found a 31 percent risk of anxiety and 29 percent risk of depression in older perioperative patients. However, nationally representative epidemiological data for postoperative anxiety and depression, in particular elderly patients undergoing non-cardiac surgery, are unavailable in China. Therefore, providing nationwide epidemiological data on postoperative anxiety and depression in Chinese elderly patients provides a valuable opportunity for policy makers and health care professionals to optimize the management of geriatric mental health in China.
Interventions
OTHERno intervention
no intervention
Sponsors
Chinese PLA General Hospital
Beijing Tiantan Hospital
Peking University First Hospital
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Xiangya Hospital of Central South University
Beijing Anzhen Hospital
Central South University
Peking University People's Hospital
Zhejiang University
Fudan University
Sun Yat-sen University
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
China-Japan Friendship Hospital
The Affiliated Hospital Of Guizhou Medical University
First Affiliated Hospital of Xinjiang Medical University
First Affiliated Hospital of Guangxi Medical University
Taihe Hospital
Zhejiang Provincial People's Hospital
Shanghai Zhongshan Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. elderly patients (age ≥ 65 years) 2. undergoing elective surgery with a planned overnight hospital stay following surgery 3. non-cardiac surgery, non-neurosurgical surgery
Exclusion criteria
1. patients fully refused to participate in the study 2. patients with severe dementia, language disorder, severe hearing or visual impairment, coma, and end-stage status 3. patients whose surgeries were canceled 4. history of previous severe mental illness or long-term use of psychotropic medications 5. patients admitted to ICU immediately after surgery 6. patients who died within 7 days after surgery 7. patients who did not complete the scale assessment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety | within 7 days after surgery | The GAD-7 is a seven-item questionnaire for screening on the presence of generalized anxiety disorder and assessing its severity. Items were scored on a four-point scale with total scores ranging from zero to twenty-one. Scores were defined as: ≥5 mild, ≥10 moderate, and ≥15 severe anxiety. The recommended screening cutoff was ≥10, corresponding with at least a moderate level of anxiety. Higher scores mean more anxiety. |
| Depression | within 7 days after surgery | Primary outcomes were depression Patient Health Questionnaire 9 (PHQ-9).The PHQ-9 is a nine-item questionnaire for screening on the presence of depressive symptoms and monitoring depression severity. Items were scored on a four-point scale with total scores ranging from zero to twenty-seven. Scores were defined as: ≥5 mild, ≥10 moderate, and ≥15 severe level of depression. The recommended screening cutoff was ≥10, corresponding with at least a moderate level of depression. The higher the score, the worse the situation. The total score ranges from 0 to 27, and higher scores indicate more depressive symptoms. |
Countries
China
Contacts
STUDY_CHAIRWeidong Mi, PhD
Chinese PLA General Hospital
Outcome results
None listed