Anxiety and depression in patients aged 80 years and older following aortic valve therapy. A six-month follow-up study

Author:

Eide Leslie S. P.ORCID,Fridlund Bengt,Hufthammer Karl Ove,Haaverstad Rune,Packer Erik J. S.,Ranhoff Anette H.,Thompson David R.,Norekvål Tone M.,

Abstract

Abstract 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. Graphical abstract

Funder

Universitetet i Bergen

Høgskulen på Vestlandet

Kavlifondet

Norsk Sykepleierforbund

Western Norway University Of Applied Sciences

Publisher

Springer Science and Business Media LLC

Subject

Geriatrics and Gerontology,Aging

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