Doyle F, McGee H M, Conroy R M, Shelley E, De La Harpe D
Department of Psychology, Royal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin 2, Ireland.
Ir J Med Sci. 2007 Sep;176(3):205-9. doi: 10.1007/s11845-007-0078-y. Epub 2007 Aug 16.
General practitioners (GPs) are often the first to assess mental health difficulties after acute coronary syndrome (ACS).
To determine whether GPs observed an increase in mental health difficulties one-year post-hospitalisation for ACS.
Postal survey.
GPs rated patients (n = 442) as having probable (GP assessed 10%) or definite (formally assessed 7%) mental health difficulties pre-hospitalisation. Post-hospitalisation the prevalence of probable cases increased significantly to 19% (OR = 4.3, 95% CI 2.1-10.2, P < 0.001). In multivariate analysis, only smoking at index hospitalisation was associated with being assessed as a new case of probable/formal mental health difficulties (RR = 2.1, 95% CI 1.3-3.4, P = 0.003). Forty-seven percent of cases were prescribed some medication for this problem.
GPs recorded a significant increase in mental health difficulties in ACS patients 12 months after hospitalisation, with smoking used as an indicator of new cases.
全科医生（GPs）通常是急性冠状动脉综合征（ACS）后首批评估心理健康问题的人。
确定全科医生是否观察到ACS患者住院一年后心理健康问题有所增加。
邮寄调查。
全科医生将患者（n = 442）评定为住院前可能存在（全科医生评估为10%）或肯定存在（正式评估为7%）心理健康问题。住院后，可能病例的患病率显著增加至19%（比值比=4.3，95%置信区间2.1 - 10.2，P < 0.001）。在多变量分析中，仅住院时吸烟与被评估为可能/正式心理健康问题的新病例相关（风险比=2.1，95%置信区间1.3 - 3.4，P = 0.003）。47%的病例针对此问题开具了某种药物。
全科医生记录到ACS患者住院12个月后心理健康问题显著增加，吸烟被用作新病例的指标。
