Präoperative Angst und postoperatives Delir hängen zusammen

Vorgestellte Studie: Aburuz ME, Maloh HIAA, Ahmed FR. Preoperative anxiety and depressive symptoms predicted higher incidence of delirium post coronary artery bypass graft surgery. Nurs Crit Care 2024. DOI: 10.1111/nicc.13204

Die vorliegende Studie untersucht 400 herzchirurgische Patienten. Dabei wird deutlich, dass ein postoperatives Delir signifikant mit Angst und depressiven Symptomen vor dem Eingriff zusammenhängt. Das ist in Hinblick auf die negativen Outcomes von großer Relevanz. Gesundheitsfachpersonen können an entscheidender Stelle aktiv werden, um ein Delir und damit zusammenhängende Komplikationen zu verhindern.

Publikationsverlauf

Artikel online veröffentlicht:
10. September 2025

• Literatur

• 1 Aburuz ME, Maloh HIAA, Ahmed FR.. Preoperative anxiety and depressive symptoms predicted higher incidence of delirium post coronary artery bypass graft surgery Nurs Crit Care 2024.
• 2 Ely EW, Shintani A, Truman B. et al Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 2004; 291: 1753-1762
• 3 Fiest KM, Soo A, Hee Lee C. et al Long-term outcomes in ICU patients with delirium: A population-based cohort study. Am J Respir Crit Care Med 2021; 204: 412-420
• 4 Hughes CG, Hayhurst CJ, Pandharipande PP. et al Association of delirium during critical illness with mortality: Multicenter prospective cohort study. Anesth Analg 2021; 133: 1152-1161
• 5 Keyal NK, Sherpa AD, Kumar R. et al Clinical profile and outcome of delirium in patients in the semi-closed intensive care unit. J Nepal Health Res Counc 2025; 22: 712-719
• 6 Pandharipande PP, Girard TD, Jackson JC. et al Long-term cognitive impairment after critical illness. N Engl J Med 2013; 369: 1306-1316
• 7 Al Aseri ZA, Suriya MO, Hassan HA. et al Reliability and validity of the hospital anxiety and depression scale in an emergency department in Saudi Arabia: A cross-sectional observational study. BMC Emerg Med 2015; 15: 28
• 8 Bjelland I, Dahl AA, Haug TT. et al The validity of the hospital anxiety and depression scale. An updated literature review. J Psychosom Res 2002; 52: 69-77
• 9 de Andrade ÉV, Haas VJ, de Faria MF. et al Effect of listening to music on anxiety, pain, and cardiorespiratory parameters in cardiac surgery: A randomized clinical trial. Intensive Crit Care Nurs 2025; 87: 103939
• 10 Shukla U, Yadav U, Kannan TK. et al Effect of music therapy on anxiety, stress and sedative requirements in patients undergoing lower limb orthopedic surgery under spinal anesthesia: A randomized controlled study. Cureus 2024; 16: e73809
• 11 Zhou B, Hu Z.. The effect of music combined with preoperative education on perioperative anxiety in patients undergoing open cardiac surgery: A randomized controlled trial. J Perianesth Nurs 2025;
• 12 Kumar S, Dutta A, Gupta M. et al Enhancing patient outcomes in ENT surgery: The impact of tailored preoperative educational interventions on anxiety reduction. Indian J Otolaryngol Head Neck Surg 2025; 77: 913-921
• 13 Mohammadi P, Bahaadinbeigy K, Sarabi RE. et al Can virtual reality technology reduce anxiety before a cesarean section in primigravida women?. Health Sci Rep 2025; 8: e70523