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 .
Long‐term outcome of patients who require renal replacement therapy after cardiac surgery
Background and objective : Acute renal failure is a serious complication of cardiac surgery . We studied the long‐term survival and quality of life of patients requiring renal replacement therapy after cardiac surgery , since they represent a heavy burden on hospital re sources and their outcome has never been adequately evaluated . Methods : Out of 7846 consecutive cardiac surgical patients , 126 ( 1.6 % ) required postoperative renal replacement therapy :  their preoperative status and hospital course was compared with patients who had no need of postoperative renal replacement therapy . A multivariate analysis identified predictors of renal replacement therapy .  Long‐term survival and quality of life was collected in patients who had renal replacement therapy  and in case‐matched controls . Results : Hospital mortality in the study group was 84/126 ( 66.7 % ) vs. 118/7720 ( 1.5 % ) in the control population ( P < 0.001 ) . Patients who underwent renal replacement therapy and were discharged from the hospital ( 42 patients ) had a reasonable long‐term outcome : at 42 ± 23 months , 30 out of 42 patients were alive , with only 3 patients complaining of limitations in daily activities . Predictors of in‐hospital renal replacement therapy were : emergency surgery , preoperative renal impairment , intra‐aortic balloon pumping , reoperation for bleeding , previous cardiac surgery , female gender , low ejection fraction , bleeding > 1000 mL , chronic obstructive pulmonary disease and age . Conclusions : This study confirms that the in‐hospital mortality of patients requiring renal replacement therapy  is high and shows a low long‐term mortality with reasonable quality of life in patients discharged from hospital alive
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 .