Feng Liang 1 , Xiuhua Ma 1 , Liuzhuang Zhao 1 , Chengwei Xing 1 , Xin Li 1 , Dongjing Zhao 1 , Da-Yi Hu 2 , Shuoqiang Hu 1 , Wenbin Wang 1 , Lantang Han 1 , Shujun Cao 1 , Huifang Liu 3 , Zhengyu Bian 4
Objective: To evaluate the effect of multidisciplinary collaborative care (MCC) in patients with both acute coronary syndrome (ACS) and depression and/or anxiety disorders compared with usual physician care (UPC).
Methods: Depression and/or anxiety were screened by using SDS and SAS, ACS patients with depression and/or anxiety disorders were randomized into MCC and UPC groups. The cardiac outcomes and the life quality were evaluated at 1 year follow-up.
Results: Overall, 30.19% (96/318) patients had positive screen results. At 1 year, Cardiac outcome measures for patients in MCC group were significantly better for composite events of cardiac death and non-fatal MI (6.12% vs 23.40%, p=0.016), cardiac function (NYHA functional classification III or IV, 0% vs 25%, p=0.05), and angina pectoris (21.28% vs 85%, p<0.0005), than patients in UPC group; the life quality were improved in patients in MCC group.
Conclusion: After ACS, 30.19% of patients had depression and/or anxiety disorders, MCC had better effects on cardiac outcomes and quality of life in ACS patients with Psychiatric disorders.
|ScienceOpen disciplines:||General medicine, Medicine, Geriatric medicine, Transplantation, Cardiovascular Medicine, Anesthesiology & Pain management|
|Keywords:||depression, multidisciplinary collaborative care, anxiety, acute coronary syndrome|