The impact of anxiety level on decision to seek medical care of non-COVID cardiac patients during the pandemic outbreak—single-center experience in Israel
Background: Coronavirus disease 2019 (COVID-19) has significantly the delivery of healthcare all around the world. In part, an abnormal and unexplained high non-COVID-related cardiovascular mortality rate was reported during the outbreak. We assess the correlation between anxiety level and decisi...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
IMR Press
2022-02-01
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| Series: | Reviews in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://article.imrpress.com/journal/RCM/23/2/10.31083/j.rcm2302050/2153-8174-23-2-050.pdf |
| _version_ | 1819005982999576576 |
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| author | Ofir Koren Saleem Abu Rajab Mohammad Barbour Moriah Shachar Amit Shahar Khaled Zubidat Wasim Slim Daher Igbariya Ehud Rozner Yoav Turgeman Robert Naami Vivek Patel Edmund Naami Einat Mader |
| author_facet | Ofir Koren Saleem Abu Rajab Mohammad Barbour Moriah Shachar Amit Shahar Khaled Zubidat Wasim Slim Daher Igbariya Ehud Rozner Yoav Turgeman Robert Naami Vivek Patel Edmund Naami Einat Mader |
| author_sort | Ofir Koren |
| collection | DOAJ |
| description | Background: Coronavirus disease 2019 (COVID-19) has significantly the
delivery of healthcare all around the world. In part, an abnormal and unexplained
high non-COVID-related cardiovascular mortality rate was reported during the
outbreak. We assess the correlation between anxiety level and decision to seek
medical care (DSMC) during the COVID-19 pandemic. Materials and methods:
We recruited patients with cardiovascular complaints admitted to the emergency
department in a single institute in Israel between February and September 2020.
Anxiety level was measured using available questionnaires. DSMC was assessed with
a newly designed questionnaire (DM-19). Results: Two-hundreds seventy
patients were included in the study. The mean age was 52.6 ± 14.9 (females
represent 36.2%). 23.6% of the patients had at least moderate cardiovascular
risk. High anxiety levels were (HAL) reported in nearly half of the patients
(57.1% and 49.8% for General Anxiety Disorder Assessment [GAD-7] and Beck
Anxiety Inventory [BAI], respectively). It was more prevalent in old, married,
and unemployed patients (significant p-value for all in both
questionnaires). Age was an independent factor (χ2 = 6.33, p < 0.001, odds-ratio: 4.8) and had a positive correlation on anxiety level (r =
0.81, p < 0.001 and r = 0.62, p < 0.001, for GAD-7 and BAI,
respectively). The DM-19 revealed a strong and positive correlation of seeking
medical care with anxiety level (R2 linear = 0.44, r = 0.70, p <
0.001 and R2 linear = 0.30, r = 0.58, p < 0.001 for GAD-7 and
BAI, respectively) and results in deferring medical care for several days than
patient with low anxiety level (p = 0.02). Conclusions: We
observed an abnormal prevalence of a high level of anxiety among non-COVID
patients with cardiovascular complaints, which affected the patient’s likelihood
to seek medical care and resulted in an unreasonable postponement of medical
treatment. Our results may explain cardiovascular mortality trends during the
outbreak and should be considered in health crisis management. Future studies
will involve multi-institutional efforts to address reproducibility of our
findings across geographic regions in the state of the global impact.
Additionally, it is imperative to understand the effects of the coronavirus
vaccine on patient consideration to seek medical care. |
| first_indexed | 2024-12-21T00:01:27Z |
| format | Article |
| id | doaj.art-80796a90cba548a5ba3d30bb53965c69 |
| institution | Directory Open Access Journal |
| issn | 1530-6550 |
| language | English |
| last_indexed | 2024-12-21T00:01:27Z |
| publishDate | 2022-02-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Reviews in Cardiovascular Medicine |
| spelling | doaj.art-80796a90cba548a5ba3d30bb53965c692022-12-21T19:22:35ZengIMR PressReviews in Cardiovascular Medicine1530-65502022-02-0123205010.31083/j.rcm2302050S1530-6550(22)00337-4The impact of anxiety level on decision to seek medical care of non-COVID cardiac patients during the pandemic outbreak—single-center experience in IsraelOfir Koren0Saleem Abu Rajab1Mohammad Barbour2Moriah Shachar3Amit Shahar4Khaled Zubidat5Wasim Slim6Daher Igbariya7Ehud Rozner8Yoav Turgeman9Robert Naami10Vivek Patel11Edmund Naami12Einat Mader13Heart Institute, Emek Medical Center, 1834111 Afula, IsraelInternal Medicine C, Emek Medical Center, 1834111 Afula, IsraelHeart Institute, Emek Medical Center, 1834111 Afula, IsraelThe Azrieli Faculty of Medicine, Bar-Ilan University, 1311502 Zefat, IsraelUniversity of Illinois College of Medicine, Chicago, IL 60612, USAEmergency Department, Emek Medical Center, 1834111 Afula, IsraelEmergency Department, Emek Medical Center, 1834111 Afula, IsraelEmergency Department, Emek Medical Center, 1834111 Afula, IsraelHeart Institute, Emek Medical Center, 1834111 Afula, IsraelHeart Institute, Emek Medical Center, 1834111 Afula, IsraelCedars-Sinai Medical Center, Smidt Heart Institute, Los Angeles, CA 90048, USACedars-Sinai Medical Center, Smidt Heart Institute, Los Angeles, CA 90048, USAUniversity of Illinois College of Medicine, Chicago, IL 60612, USABruce Rappaport Faculty of Medicine, Technion Israel Institute of Technology, 3525433 Haifa, IsraelBackground: Coronavirus disease 2019 (COVID-19) has significantly the delivery of healthcare all around the world. In part, an abnormal and unexplained high non-COVID-related cardiovascular mortality rate was reported during the outbreak. We assess the correlation between anxiety level and decision to seek medical care (DSMC) during the COVID-19 pandemic. Materials and methods: We recruited patients with cardiovascular complaints admitted to the emergency department in a single institute in Israel between February and September 2020. Anxiety level was measured using available questionnaires. DSMC was assessed with a newly designed questionnaire (DM-19). Results: Two-hundreds seventy patients were included in the study. The mean age was 52.6 ± 14.9 (females represent 36.2%). 23.6% of the patients had at least moderate cardiovascular risk. High anxiety levels were (HAL) reported in nearly half of the patients (57.1% and 49.8% for General Anxiety Disorder Assessment [GAD-7] and Beck Anxiety Inventory [BAI], respectively). It was more prevalent in old, married, and unemployed patients (significant p-value for all in both questionnaires). Age was an independent factor (χ2 = 6.33, p < 0.001, odds-ratio: 4.8) and had a positive correlation on anxiety level (r = 0.81, p < 0.001 and r = 0.62, p < 0.001, for GAD-7 and BAI, respectively). The DM-19 revealed a strong and positive correlation of seeking medical care with anxiety level (R2 linear = 0.44, r = 0.70, p < 0.001 and R2 linear = 0.30, r = 0.58, p < 0.001 for GAD-7 and BAI, respectively) and results in deferring medical care for several days than patient with low anxiety level (p = 0.02). Conclusions: We observed an abnormal prevalence of a high level of anxiety among non-COVID patients with cardiovascular complaints, which affected the patient’s likelihood to seek medical care and resulted in an unreasonable postponement of medical treatment. Our results may explain cardiovascular mortality trends during the outbreak and should be considered in health crisis management. Future studies will involve multi-institutional efforts to address reproducibility of our findings across geographic regions in the state of the global impact. Additionally, it is imperative to understand the effects of the coronavirus vaccine on patient consideration to seek medical care.https://article.imrpress.com/journal/RCM/23/2/10.31083/j.rcm2302050/2153-8174-23-2-050.pdfanxietychest paincovid-19decision to seek medical carecardiovascular diseasesoutbreak |
| spellingShingle | Ofir Koren Saleem Abu Rajab Mohammad Barbour Moriah Shachar Amit Shahar Khaled Zubidat Wasim Slim Daher Igbariya Ehud Rozner Yoav Turgeman Robert Naami Vivek Patel Edmund Naami Einat Mader The impact of anxiety level on decision to seek medical care of non-COVID cardiac patients during the pandemic outbreak—single-center experience in Israel Reviews in Cardiovascular Medicine anxiety chest pain covid-19 decision to seek medical care cardiovascular diseases outbreak |
| title | The impact of anxiety level on decision to seek medical care of non-COVID cardiac patients during the pandemic outbreak—single-center experience in Israel |
| title_full | The impact of anxiety level on decision to seek medical care of non-COVID cardiac patients during the pandemic outbreak—single-center experience in Israel |
| title_fullStr | The impact of anxiety level on decision to seek medical care of non-COVID cardiac patients during the pandemic outbreak—single-center experience in Israel |
| title_full_unstemmed | The impact of anxiety level on decision to seek medical care of non-COVID cardiac patients during the pandemic outbreak—single-center experience in Israel |
| title_short | The impact of anxiety level on decision to seek medical care of non-COVID cardiac patients during the pandemic outbreak—single-center experience in Israel |
| title_sort | impact of anxiety level on decision to seek medical care of non covid cardiac patients during the pandemic outbreak single center experience in israel |
| topic | anxiety chest pain covid-19 decision to seek medical care cardiovascular diseases outbreak |
| url | https://article.imrpress.com/journal/RCM/23/2/10.31083/j.rcm2302050/2153-8174-23-2-050.pdf |
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