Symptom characteristics in patients undergoing acute type A aortic dissection surgery post-discharge phase: a prospective observational study
Abstract Objectives In recent years, most studies on symptom characteristics in patients undergoing cardiac surgery have focused on the preoperative and postoperative phases. Relatively little knowledge is available related to the post-discharge phase. In this context, this paper aimed to analyze th...
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BMC
2025-05-01
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| Series: | European Journal of Medical Research |
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| Online Access: | https://doi.org/10.1186/s40001-025-02495-6 |
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| author | Jianlong Lin Sailan Li Yanchun Peng Yaqin Chen Liangwan Chen Yanjuan Lin |
| author_facet | Jianlong Lin Sailan Li Yanchun Peng Yaqin Chen Liangwan Chen Yanjuan Lin |
| author_sort | Jianlong Lin |
| collection | DOAJ |
| description | Abstract Objectives In recent years, most studies on symptom characteristics in patients undergoing cardiac surgery have focused on the preoperative and postoperative phases. Relatively little knowledge is available related to the post-discharge phase. In this context, this paper aimed to analyze the symptoms and needs of patients with acute type A aortic dissection (AAAD) during the post-discharge phase. Methods We recruited and studied patients who underwent acute type A aortic dissection surgery at Fujian Heart Medical Center from June 2022 to August 2023. At 3 months following the surgery, these subjects were investigated using the general information questionnaire and relevant symptom assessment scales, including the Mini-Mental State Examination Scale (MMSE), Athens Insomnia Scale (AIS), Hospital Anxiety and Depression Scale (HADS), and Fatigue Severity Scale (FSS). Meanwhile, grip strength and average step per day were measured for the exercise endurance assessment. A latent class analysis (LCA) based on the symptoms was performed, and differences in demographic and disease characteristics among different subgroups of patients were identified and compared using multivariate logistic regression. Results A total of 228 patients were enrolled and categorized into three latent classes: fatigue–sleep disturbance (44.3%), anxiety–locomotion decline (16.9%), and high symptom groups (38.8%). Results showed that patients with cardiopulmonary bypass time > 200 min, higher BMI, or decreased grip strength were more likely to be classified as the high symptom group and those were unemployment status have a higher possibility of being defined as the anxiety–locomotion decline group. Conclusions The symptom characteristics in patients with AAAD during the postoperative rehabilitation phrase exhibit heterogeneity. It is suggested that Clinical healthcare personnel improve the identification of symptoms in high-risk patients, particularly patients cardiopulmonary bypass time > 200 min, overweight or obese, unemployed status or decreased grip strength, relevant nursing interventions should be carried out to prevent the occurrence of surgical stress and complications in patients with AAAD early to improve the quality of life of patients. |
| format | Article |
| id | doaj-art-d5d2a0ce192b4f76a59f1f151cc9b91f |
| institution | Kabale University |
| issn | 2047-783X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | European Journal of Medical Research |
| spelling | doaj-art-d5d2a0ce192b4f76a59f1f151cc9b91f2025-08-20T03:45:23ZengBMCEuropean Journal of Medical Research2047-783X2025-05-0130111010.1186/s40001-025-02495-6Symptom characteristics in patients undergoing acute type A aortic dissection surgery post-discharge phase: a prospective observational studyJianlong Lin0Sailan Li1Yanchun Peng2Yaqin Chen3Liangwan Chen4Yanjuan Lin5Department of Cardiovascular Surgery, Union Hospital, Fujian Medical UniversityDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical UniversityDepartment of Nursing, Union Hospital, Fujian Medical UniversityThe School of Nursing, Fujian Medical UniversityDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical UniversityDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical UniversityAbstract Objectives In recent years, most studies on symptom characteristics in patients undergoing cardiac surgery have focused on the preoperative and postoperative phases. Relatively little knowledge is available related to the post-discharge phase. In this context, this paper aimed to analyze the symptoms and needs of patients with acute type A aortic dissection (AAAD) during the post-discharge phase. Methods We recruited and studied patients who underwent acute type A aortic dissection surgery at Fujian Heart Medical Center from June 2022 to August 2023. At 3 months following the surgery, these subjects were investigated using the general information questionnaire and relevant symptom assessment scales, including the Mini-Mental State Examination Scale (MMSE), Athens Insomnia Scale (AIS), Hospital Anxiety and Depression Scale (HADS), and Fatigue Severity Scale (FSS). Meanwhile, grip strength and average step per day were measured for the exercise endurance assessment. A latent class analysis (LCA) based on the symptoms was performed, and differences in demographic and disease characteristics among different subgroups of patients were identified and compared using multivariate logistic regression. Results A total of 228 patients were enrolled and categorized into three latent classes: fatigue–sleep disturbance (44.3%), anxiety–locomotion decline (16.9%), and high symptom groups (38.8%). Results showed that patients with cardiopulmonary bypass time > 200 min, higher BMI, or decreased grip strength were more likely to be classified as the high symptom group and those were unemployment status have a higher possibility of being defined as the anxiety–locomotion decline group. Conclusions The symptom characteristics in patients with AAAD during the postoperative rehabilitation phrase exhibit heterogeneity. It is suggested that Clinical healthcare personnel improve the identification of symptoms in high-risk patients, particularly patients cardiopulmonary bypass time > 200 min, overweight or obese, unemployed status or decreased grip strength, relevant nursing interventions should be carried out to prevent the occurrence of surgical stress and complications in patients with AAAD early to improve the quality of life of patients.https://doi.org/10.1186/s40001-025-02495-6Acute type A aortic dissection (AAAD)Symptom characteristicsCardiac rehabilitationRisk factors |
| spellingShingle | Jianlong Lin Sailan Li Yanchun Peng Yaqin Chen Liangwan Chen Yanjuan Lin Symptom characteristics in patients undergoing acute type A aortic dissection surgery post-discharge phase: a prospective observational study European Journal of Medical Research Acute type A aortic dissection (AAAD) Symptom characteristics Cardiac rehabilitation Risk factors |
| title | Symptom characteristics in patients undergoing acute type A aortic dissection surgery post-discharge phase: a prospective observational study |
| title_full | Symptom characteristics in patients undergoing acute type A aortic dissection surgery post-discharge phase: a prospective observational study |
| title_fullStr | Symptom characteristics in patients undergoing acute type A aortic dissection surgery post-discharge phase: a prospective observational study |
| title_full_unstemmed | Symptom characteristics in patients undergoing acute type A aortic dissection surgery post-discharge phase: a prospective observational study |
| title_short | Symptom characteristics in patients undergoing acute type A aortic dissection surgery post-discharge phase: a prospective observational study |
| title_sort | symptom characteristics in patients undergoing acute type a aortic dissection surgery post discharge phase a prospective observational study |
| topic | Acute type A aortic dissection (AAAD) Symptom characteristics Cardiac rehabilitation Risk factors |
| url | https://doi.org/10.1186/s40001-025-02495-6 |
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