Two-thirds of the studies found that patients who suffered surgical complications had significantly worse postoperative psychosocial outcomes even after controlling for preoperative psychosocial outcomes , clinical and demographic factors .
Surgical complications appear to be a significant and often long-term predictor of patient postoperative psychosocial outcomes .
The results highlight the importance of attending to patients ' psychological needs in the aftermath of surgical complications
OBJECTIVE Surgical complications may affect patients psychologically due to challenges such as prolonged recovery or long-lasting disability .
Psychological distress could further delay patients ' recovery as stress delays wound healing and compromises immunity .
This review investigates whether surgical complications adversely affect patients ' postoperative well-being and the duration of this impact .
Perioperative myocardial infarction has negative impact on health-related quality of life following coronary artery bypass graft surgery.
OBJECTIVE Perioperative myocardial infa rct ion ( PMI ) is a well-described complication of coronary artery bypass grafting ( CABG ) . Data on its effect on patients ' subsequent health-related quality of life ( QOL ) and on other related consequences is deficient . The aim here was to evaluate in a prospect i ve follow-up design the risk factors for and consequences of PMI and especially its possible impact on health-related QOL . METHODS Comprehensive data , including preoperative risk profile , perioperative variables and postoperative morbidity up to discharge were collected of 501 CABG patients in the Heart Center of Tampere University Hospital and in all eighteen postoperative care hospitals . Eighty patients ( 16 % ) fulfilled ECG or cardiac enzyme criteria for PMI and they were compared to patients with no PMI . The  R AND -36 Health Survey ( R AND -36 ) was used as an indicator of QOL . The primary outcomes were change in physical component summary ( PCS ) , mental component summary ( MCS ) and the eight dimensions of health-related QOL from the R AND -36 . Symptomatic status was estimated according to New York Heart Association ( NYHA ) class . Assessment s were made preoperatively and repeated 12 months later . RESULTS Multivariate logistic regression analysis identified long cardiopulmonary bypass time ( P=0.006 ) and high age ( P=0.049 ) as independent predictors for PMI . Thirty-day mortality was adversely affected by PMI ( 6.3 vs 1.0 % , P=0.001 ) . In discharged patients , the occurrence of PMI did not affect 1-year survival adversely ( 98.7 vs 98.6 % ) . The PMI patients showed significant ( P<0.05 ) improvements in six of the eight dimensions of R AND -36 , but they presented with a negative change in their ' general health ' scores at the follow-up . All QOL scores improved significantly ( P<0.001 ) among the patients without PMI . A highly significant ( P<0.001 ) pattern of change was seen in the R AND -36 PCS and MCS scores in both groups although PMI patients showed significantly ( P=0.002 ) smaller change in their PCS scores . Both groups showed similar freedom from anginal symptoms at 1 year ( 89.6 vs 90.1 % ) but in the PMI group later readmissions due to cardiac-related causes were more common ( 23 vs 10 % , P=0.002 ) . CONCLUSIONS PMI increases 30-day mortality and affects also adversely on later health-related QOL following CABG
Two-thirds of the studies found that patients who suffered surgical complications had significantly worse postoperative psychosocial outcomes even after controlling for preoperative psychosocial outcomes , clinical and demographic factors .
Surgical complications appear to be a significant and often long-term predictor of patient postoperative psychosocial outcomes .
The results highlight the importance of attending to patients ' psychological needs in the aftermath of surgical complications
OBJECTIVE Surgical complications may affect patients psychologically due to challenges such as prolonged recovery or long-lasting disability .
Psychological distress could further delay patients ' recovery as stress delays wound healing and compromises immunity .
This review investigates whether surgical complications adversely affect patients ' postoperative well-being and the duration of this impact .