Evaluation of Multidisciplinary Collaborative Care in Patients with Acute Coronary Syndrome and Depression and/or Anxiety Disorders
作者机构：Department of CardiologyDaxing HospitalCapital University of Medical ScienceBeijing 102600China Cardiac CenterBeijing People's HospitalBeijing UniversityBeijing 100044China Daxing Community Service CenterDaxing DistrictBeijing 102600China Department of PsychiatryDaxing Psychiatric HospitalBeijing 102600China
出 版 物：《Cardiovascular Innovations and Applications》 (心血管创新与应用（英文）)
年 卷 期：2017年第2卷第B5期
页 面：373-385页
基 金：Beijing Municipal Health Bureau [2009-3-68] Capital Development Foundation of Medical Scientific Research [2009-3261]
主 题：acute coronary syndrome anxiety depression multidisciplinary collaborative care
摘 要：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 *** cardiac outcomes and the life quality were evaluated at1year ***:Overall,30.19%(96/318)patients had positive screen ***1year,Cardiac outcome measures for patients in MCC group were significantly better for composite events of cardiac death and non-fatal MI(6.12% vs23.40%,p=0.016),cardiac function(NYHA functional classifi cation III or IV,0% vs 25%,p=0.05),and angina pectoris(21.28% vs 85%,p0.0005),than patients in UPC group;the life quality were improved in patients in MCC ***: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.
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