Relationships between anxiety–depression, perceived social support, and in-hospital outcomes among patients with acute myocardial infarction - Summary - MDSpire
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Relationships between anxiety–depression, perceived social support, and in-hospital outcomes among patients with acute myocardial infarction
To examine associations between early anxiety–depression symptoms, perceived social support, and in-hospital outcomes in patients with acute myocardial infarction (AMI).
Key Findings:
44.0% of patients exhibited clinically significant anxiety–depression symptoms (HADS ≥11).
27.3% of patients developed at least one complication during hospitalization.
Higher HADS scores were associated with increased risk of complications, prolonged hospital stay, and poorer sleep quality (all P < 0.05).
Higher PSSS scores were associated with reduced complication risk, shorter hospital stays, and improved sleep quality (all P < 0.05).
Psychosocial risk stratification showed a significant gradient across all outcomes (trend P < 0.05).
Interpretation:
Early anxiety–depression symptoms and perceived social support are associated with in-hospital outcomes in AMI patients.
Limitations:
Single-center study may limit generalizability.
Cross-sectional design does not allow for causal inferences.
No follow-up beyond hospitalization was performed.
Conclusion:
Routine psychosocial screening may help identify high-risk patients.