Anxiety, Depression, Elderly Patients, Non-cardiac Major Surgery
Conditions
Brief summary
A multicenter, cross-sectional study to characterize the clinical profiles of the Chinese elderly population and to determine the prevalence of preoperative anxiety and depression.
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 significant risk of anxiety and depression in older perioperative patients. However, nationally representative epidemiological data for preoperative anxiety and depression, in particular elderly patients undergoing non-cardiac major surgery, are unavailable in China. Therefore, providing nationwide epidemiological data on preoperative 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
None listed
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
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
65 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* 1\. Elderly patients (age ≥65 years) 2. Undergoing elective non-cardiac major surgery with a planned overnight hospital stay following surgery 3. Cognitive ability: Conscious, no severe cognitive impairment (MMSE score ≥24), able to cooperate with scale assessment
Exclusion criteria
* 1\. Patients who refuse to participate in the study 2. Patients with severe dementia, language disorder, severe hearing or visual impairment, or cognitive impairment preventing assessment 3. Patients whose surgeries were canceled 4. History of previous severe mental illness (schizophrenia, bipolar disorder) or long-term use of psychotropic medications 5. Patients admitted to ICU immediately after surgery 6. Patients who did not complete the scale assessment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Preoperative Anxiety | Preoperative (within 3 days before 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 ≥5, corresponding with at least a mild level of anxiety. Higher scores mean more anxiety. |
| Preoperative Depression | Preoperative (within 3 days before surgery) | Depression was assessed using the 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 ≥5, corresponding with at least a mild level of depression. The higher the score, the worse the situation. Higher scores indicate more depressive symptoms. |
Contacts
CONTACTChen Cai
Outcome results
None listed