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The Experience of Open Heart SurgeryIV. Assessment of Disorientation and Dysphoria Following Cardiac Surgery
Donald M. Quinlan, PhD;
Chase Patterson Kimball, MD;
Florence Osborne, RN
Arch Gen Psychiatry. 1974;31(2):241-244.
Abstract
Seventy-six patients undergoing major cardiac surgery were studied. An 11-item Behavior Checklist was obtained for the 58 patients observed postoperatively. Factor analysis of the checklist yielded two factors: Orientation, including Alertness, Orientation, Appropriateness, and an Absence of Confusion and Agitation and Dysphoria including Anxiety, Depression, Agitation, Complaints, and Delusions.
The orientation factor significantly correlated with: (1) preoperative absence of organic brain syndrome; (2) lower mortality; (3) earlier discharge; and (4) absence of complications (all P<.01). Age, sex, length of disability, and estimated risk did not correlate. The dysphoria factor correlated significantly with: (1) complications (P <.01); (2) was not related to preoperative depression; or (3) emotional stability.
Author Affiliations
From the departments of psychiatry, and medicine, Yale University School of Medicine, New Haven, Conn (Dr. Quinlan and F. Osborne), and the University of Chicago School of Medicine (Dr. Kimball).
Footnotes
Accepted for publication Jan 4, 1974.
Reprint requests to Yale University, Department of Psychiatry, 333 Cedar St, New Haven, CT 06510 (Dr. Quinlan).
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