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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(03): e372-e377
DOI: 10.1055/s-0044-1786727
Artigo Original
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Estudo prospectivo da avaliação dos sintomas de ansiedade após descompressão lombar minimamente invasiva

Article in several languages: português | English
Roberto Maretti Meves 
1   Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, SP, Brasil
,
Pedro Cortat Couri 
2   Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Eliane Antonioli 
3   Pós-Graduação em Ortopedia Multiprofissional, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Albert Ofenhejm Gotfryd 
4   Treinamento de Cirurgiões de Coluna, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
› Author Affiliations Suporte Financeiro Não houve apoio financeiro de fontes públicas, comerciais ou sem fins lucrativos.
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Resumo

Objetivo Analisar associações entre ansiedade e desfecho clínico pós-cirúrgico em pacientes que realizaram a cirurgia de descompressão lombar minimamente invasiva, além de comparar sintomas de ansiedade e depressão antes e após a cirurgia.

Métodos Trata-se de um estudo de coorte prospectiva de pacientes que realizaram a cirurgia de descompressão lombar minimamente invasiva. Os desfechos clínicos foram mensurados antes e 6 meses após a cirurgia, utilizando a escala visual analógica de dor (EVA); Global Perceived Effect of Change (GPE); Hospital Anxiety and Depression Scale (HADS) e o Oswestry Disability Index (ODI). A partir do escore de ansiedade pré-cirúrgico, os pacientes foram categorizados em pacientes ansiosos e não ansiosos e os desfechos comparados.

Resultados Os pacientes de ambos os grupos obtiveram resultados similares em relação aos desfechos clínicos avaliados. Os escores HADS pré-operatório diminuíram significantemente 6 meses após a cirurgia, tanto em ansiedade (8,70 ± 3,48 vs. 5,75 ± 3,91) quanto em depressão (6,95 ± 3,54 vs. 5,50 ± 2,99). Houve redução da dor na escala EVA das costas (-2,8 ± 3,64) e das pernas (-5,5 ± 3,5).

Conclusão A cirurgia de descompressão lombar minimamente invasiva promoveu melhora clínica e funcional, não sendo afetada por sintomas pré-operatórios de ansiedade. Os indicadores de saúde mental evidenciaram redução significativa dos sintomas 6 meses após a cirurgia.

Palavras-chave

ansiedade - coluna vertebral - depressão - estenose - procedimentos cirúrgicos minimamente invasivos

Trabalho desenvolvido no Hospital Israelita Albert Einstein, São Paulo, SP, Brasil.




Publication History

Received: 01 August 2023

Accepted: 18 March 2024

Article published online:
22 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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