Acil servise göğüs ağrısı ile başvuran hastaların anksiyete ve depresyon düzeylerinin karşılaştırılması
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Tarih
2023
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Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş ve Amaç: Göğüs ağrısı en sık acil servis başvuru nedenlerinden biridir. Göğüs ağrısının kardiyak nedenleri olabileceği gibi pulmoner, plevral, kas iskelet sistemi, gastro-intestinal, dermatolojik ve psikiyatrik sebepleri olabilmektedir. Göğüs ağrısının hayatı tehdit edici nedenleri dışlandıktan sonra diğer sebeplerin araştırması yapılmaktadır. Çalışmamızda göğüs ağrısı ile acil servise başvuran hastaların Hastane Anksiyete ve Depresyon Ölçeği (HADS) kullanılarak anksiyete ve depresyon düzeylerinin belirlenmesi amaçlanmıştır.
Gereç ve Yöntem: Çalışmamız tek merkezli prospektif bir çalışma olup, Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi 16.09.2022 tarihli İlaç ve Tıbbi Cihaz Dışı Araştırmalar Etik Kurulu onayı alındıktan sonra acil servise göğüs ağrısı ile başvuran 250 hasta dahil edilerek yapılmıştır. Hastaların demografik verileri hastanın hekimi tarafından kayıt altına alınmış olup hastalara 14 sorudan oluşan HAD ölçeği uygulanmıştır. Veriler SPSS versiyon 21.0 (Chicago, ABD) paket programı kullanılarak analiz edilmiştir.
Bulgular: Acil servise göğüs ağrısı ile başvuran 250 hasta çalışmaya dahil edildi. Çalışmaya dahil edilen hastaların yaş ortalaması 51,0 ± 17,0 idi. Olguların %57,2’si erkek, %42,8’i kadındı. En sık izlenen komorbid hastalıklar koroner arter hastalığı (KAH), hipertansiyon (HT) ve diyabetes mellitus (DM) idi. HEART skoruna göre olguların kardiyak risk sınıflaması gerçekleştirildi. Buna göre kardiyak risk %56,4’ünde düşük, %36,8’inde orta, %6,8’inde ise yüksekti. HEART skoruna göre kardiyak risk grupları arasında HADS-A (p=0,015) ve HADS-D (p=0,001) skorlarında anlamlı farklılık izlendi. Düşük risk grubunda hastaların %28,4’ü, orta risk grubunun %39,1’i, yüksek risk grubunun ise %41,2’si anksiyete bozukluğu açısından yüksek riskli idi. Benzer şekilde, düşük risk grubunda hastaların %21,3’ü, orta risk grubunun %38’i, yüksek risk grubunun ise %47,1’i depresyon için yüksek riskli olarak saptandı.
Sonuç: Acil servise göğüs ağrısı ile başvuran hastalarda hayatı tehdit eden nedenler dışlandıktan sonra özellikle mükerrer başvuruya sebep olan organik sebep bulunamayan göğüs ağrısında anksiyete bozukluğu ve depresyon gibi psikolojik nedenler de akılda tutulmalıdır.
Introduction and Purpose: Chest pain is one of the most common reasons for emergency department visits. While chest pain can have cardiac causes, it can also be caused by pulmonary, pleural, musculoskeletal, gastrointestinal, dermatological, and psychiatric reasons. Once life-threatening causes of chest pain have been ruled out, further investigation is conducted to explore other potential causes. In our study, we aimed to determine the levels of anxiety and depression in patients presenting to the emergency department with chest pain using the Hospital Anxiety and Depression Scale (HADS). Material and Method: Our study was a single-center prospective study and included 250 patients who presented to the emergency room with chest pain after receiving approval from the Necmettin Erbakan University Meram Faculty of Medicine Drug and Non-Medical Device Research Ethics Committee on September 16, 2022. The demographic data of the patients were recorded by the physician and the HAD scale consisting of 14 questions was applied to the patients. The data were analyzed using SPSS version 21.0 (Chicago, USA) software package. Results: 250 patients who presented to the emergency department with chest pain were included in the study. The mean age of the patients included in the study was 51.0 ± 17.0. Of the cases, 57.2% were male and 42.8% were female. The most commonly observed comorbid diseases were coronary artery disease (CAD), hypertension (HT), and diabetes mellitus (DM). The cardiac risk classification of the cases was performed according to the HEART score. Accordingly, the cardiac risk was low in 56.4%, moderate in 36.8%, and high in 6.8% of the cases. Significant differences were observed in HADS-A (p=0.015) and HADS-D (p=0.001) scores among cardiac risk groups according to the HEART score. In terms of anxiety disorder, 28.4% of patients in the low-risk group, 39.1% of the moderate-risk group, and 41.2% of the high-risk group were found to be at high risk. Similarly, 21.3% of patients in the low-risk group, 38% of the moderate-risk group, and 47.1% of the high-risk group were found to be at high risk for depression. v Conclusion: After life-threatening causes of chest pain are ruled out in patients who present to the emergency room with chest pain, psychological causes such as anxiety disorders and depression should also be considered, especially in cases where there is no organic cause that causes recurrent visits.
Introduction and Purpose: Chest pain is one of the most common reasons for emergency department visits. While chest pain can have cardiac causes, it can also be caused by pulmonary, pleural, musculoskeletal, gastrointestinal, dermatological, and psychiatric reasons. Once life-threatening causes of chest pain have been ruled out, further investigation is conducted to explore other potential causes. In our study, we aimed to determine the levels of anxiety and depression in patients presenting to the emergency department with chest pain using the Hospital Anxiety and Depression Scale (HADS). Material and Method: Our study was a single-center prospective study and included 250 patients who presented to the emergency room with chest pain after receiving approval from the Necmettin Erbakan University Meram Faculty of Medicine Drug and Non-Medical Device Research Ethics Committee on September 16, 2022. The demographic data of the patients were recorded by the physician and the HAD scale consisting of 14 questions was applied to the patients. The data were analyzed using SPSS version 21.0 (Chicago, USA) software package. Results: 250 patients who presented to the emergency department with chest pain were included in the study. The mean age of the patients included in the study was 51.0 ± 17.0. Of the cases, 57.2% were male and 42.8% were female. The most commonly observed comorbid diseases were coronary artery disease (CAD), hypertension (HT), and diabetes mellitus (DM). The cardiac risk classification of the cases was performed according to the HEART score. Accordingly, the cardiac risk was low in 56.4%, moderate in 36.8%, and high in 6.8% of the cases. Significant differences were observed in HADS-A (p=0.015) and HADS-D (p=0.001) scores among cardiac risk groups according to the HEART score. In terms of anxiety disorder, 28.4% of patients in the low-risk group, 39.1% of the moderate-risk group, and 41.2% of the high-risk group were found to be at high risk. Similarly, 21.3% of patients in the low-risk group, 38% of the moderate-risk group, and 47.1% of the high-risk group were found to be at high risk for depression. v Conclusion: After life-threatening causes of chest pain are ruled out in patients who present to the emergency room with chest pain, psychological causes such as anxiety disorders and depression should also be considered, especially in cases where there is no organic cause that causes recurrent visits.
Açıklama
Anahtar Kelimeler
Göğüs ağrısı, HEART skoru, Anksiyete, Depresyon, Chest pain, HEART score, Anxiety, Depression
Kaynak
WoS Q Değeri
Scopus Q Değeri
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Sayı
Künye
İşleyen, B. (2023). Acil servise göğüs ağrısı ile başvuran hastaların anksiyete ve depresyon düzeylerinin karşılaştırılması. (Yayınlanmamış tıpta uzmanlık tezi) Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi Dahili Tıp Bilimleri Bölümü Acil Tıp Anabilim Dalı, Konya.
