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Anxiety and depression in patients aged 80 years and older following aortic valve therapy. A six-month follow-up study
Western Norway Univ Appl Sci, Norway.ORCID iD: 0000-0001-7216-6470
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Haukeland Hosp, Norway. (Ctr Interprofess Cooperat Emergency Care CICE)ORCID iD: 0000-0002-5412-9497
Haukeland Hosp, Norway.
Haukeland Hosp, Norway;Univ Bergen, Norway.
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2023 (English)In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 35, no 11, p. 2463-2470Article in journal (Refereed) Published
Abstract [en]

Background Little is known about mental health following advanced cardiac procedures in the oldest patients. Aims To study changes in anxiety and depression from baseline to one- and six-month follow-up in older patients following transcatheter aortic valve implantation (TAVI) or surgical aortic valve replacement (SAVR). Methods Prospective cohort study of patients >= 80 years undergoing elective TAVI or SAVR in a tertiary university hospital. Anxiety and depression were assessed with the Hospital Anxiety and Depression Scale. Differences between TAVI/SAVR were analyzed using Welch's t test or chi-squared. Changes over time and group differences were established with longitudinal models using generalized least squares. Results In 143 patients (83.5 +/- 2.7 years), 46% (n = 65) received TAVI. Anxiety was identified in 11% of TAVI patients at baseline. One- and six-months later, percentages were 8% and 9%. In SAVR patients, 18% had baseline scores indicating anxiety. One and six-months later, percentages were 11% and 9%. Depression was identified in 15% of TAVI patients. One- and six-months later, percentages were 11% and 17%. At baseline, 11% of SAVR patients had scores indicating depression. One- and six-months after SAVR, percentages were 15% and 12%. Longitudinal analyses showed reductions (P < 0.001) in anxiety from baseline to one-month, and stable scores between one- and six-months for both treatment groups. There was no change over time for depression among treatment groups (P = 0.21). Discussion and conclusions SAVR or TAVI in patients >= 80 years was associated with anxiety reduction between baseline and follow-up. For depression, there was no evidence of change over time in either treatment group.

Place, publisher, year, edition, pages
Springer, 2023. Vol. 35, no 11, p. 2463-2470
Keywords [en]
TAVI, SAVR, Anxiety and depression, HADS, 80 and over
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-125425DOI: 10.1007/s40520-023-02541-5ISI: 001064870500001PubMedID: 37648928Scopus ID: 2-s2.0-85169165089OAI: oai:DiVA.org:lnu-125425DiVA, id: diva2:1808878
Available from: 2023-11-01 Created: 2023-11-01 Last updated: 2025-02-06Bibliographically approved

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Fridlund, Bengt

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