Conseqüências do prolongamento do tempo de espera em pacientes candidatos à cirurgia cardiáca / Consequences of the prolonged waiting Time for patients candidates for heart surgery
Arq. bras. cardiol
;
78(5): 452-465, May 2002. graf
Artigo
em Português, Inglês
| LILACS, SES-SP
| ID: lil-314550
RESUMO
OBJECTIVE - To assess mortality and the psychological repercussions of the prolonged waiting time for candidates for heart surgery. METHODS - From July 1999 to May 2000, using a standardized questionnaire, we carried out standardized interviews and semi-structured psychological interviews with 484 patients with coronary heart disease, 121 patients with valvular heart diseases, and 100 patients with congenital heart diseases. RESULTS - The coefficients of mortality (deaths per 100 patients/year) were as follows patients with coronary heart disease, 5.6; patients with valvular heart diseases, 12.8; and patients with congenital heart diseases, 3.1 (p<0.0001). The survival curve was lower in patients with valvular heart diseases than in patients with coronary heart disease and congenital heart diseases (p<0.001). The accumulated probability of not undergoing surgery was higher in patients with valvular heart diseases than in the other patients (p<0.001), and, among the patients with valvular heart diseases, this probability was higher in females than in males (p<0.01). Several patients experienced intense anxiety and attributed their adaptive problems in the scope of love, professional, and social lives, to not undergoing surgery. CONCLUSION - Mortality was high, and even higher among the patients with valvular heart diseases, with negative psychological and social repercussions
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Listas de Espera
/
Cardiopatias
/
Procedimentos Cirúrgicos Cardíacos
Tipo de estudo:
Pesquisa qualitativa
Limite:
Adolescente
/
Adulto
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
/
Português
Revista:
Arq. bras. cardiol
Ano de publicação:
2002
Tipo de documento:
Artigo
Instituição/País de afiliação:
Secretaria de Saúde do Estado de Säo Paulo/BR
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