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
Haddad, Nagib; Bittar, Olímpio J. N. V; Pereira, Ana A. M; Silva, Maria Barbosa da; Amato, Vivian L; Farsky, Pedro S; Ramos, Auristela I. O; Sampaio, Marcelo; Almeida, Tarcísio L. V; Armaganijan, Dikran; Sousa, José Eduardo M. R.
Arq. bras. cardiol
; 78(5): 452-465, May 2002. graf
Artículo
en Portugués, Inglés
| LILACS, SES-SP | ID: lil-314550
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
Biblioteca responsable:
BR1.1
Texto completo
Documentos relacionados