Supervisors info:
Ελένη Κυρίτση, Ομότιμη Καθηγήτρια, Τμήμα Νοσηλευτικής, Πανεπιστήμιο Δυτικής Αττικής
Τούσουλης Δημήτριος, Ομότιμος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Τούτουζας Κωνσταντίνος, Ομότιμος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Summary:
Introduction: Patients with underlying cardiovascular disease are more vulnerable to COVID-19 and are more prone to critical illness and death. Acute pulmonary infection, particularly with viral pathogens, can destabilize cardiac disease.
Purpose: of the present study was to explore hospital anxiety and depression as well as the outcome of patients with cardiopulmonary problems and infection by the COVID-19 virus.
Material and Methods: In the present study were enrolled 203 hospitalized patients during COVID-19 clinics at the General Hospital "SOTIRIA" from 2022 to 2023. Data were collected from patients' records, clinical examination and by the Hospital Anxiety and Depression Scale (HADS ), as completed by the patients.
Results: Of the 203 participants, 55.2% were male while 41.4% were over 65 years old and 30.7% were obese. Moreover, 56.2% reported comorbidities with the highest prevalence in hypertension, dyslipidemia, arrhythmia, coronary artery disease and diabetes mellitus. Across the sample, the largest proportion, 48.8%, experienced high levels of anxiety and 47.8% experienced high levels of depression. High levels of anxiety was most frequently experienced by participants with coronary artery disease, (p=0.016), hypertension, (p<0.001), dyslipidemia, (p=0.021), arrhythmia, (p=0.002), diabetes mellitus, (p=0.003), as well as with obese individuals, (p=0.001) and those >65 years of age, (p<0.001). Similarly high levels of depression was experienced by participants with coronary artery disease, (p=0.003), hypertension, (p<0.001), dyslipidemia, (p=0.002), arrhythmia, (p=0.001), diabetes mellitus, (p=0.002), as well as with obese individuals, (p=0.004) and those >65 years of age, (p<0.001).
Conclusion: Patients with covid-19 infection who had underlying cardiovascular disease experienced high levels of anxiety and depression, factors affecting the clinical outcome of these patients.
Keywords:
COVID Infection, Patients, Anxiety, Depression, Cardiovascular disease