Background and Goal of Study: Among the unsolved issues of the postoperative period, the problem of postoperative pain becomes increasingly important[1,2].
Materials and Methods: The prospective randomized study included 78 patients. Hospital Anxiety and Depression Scale(HADS) was used to evaluate anxiety and depression, considering depression or anxiety if the score was≥10.Evaluation was performed prior to internal carotid arteries(ICA) pathological kinking(PK) surgery, on days 1 and 7. According to HADS, patients were divided into 2 groups – 1st group, considering as a control one, included 23 patients without signs of anxiety-depressive disorders and 2d group – 55 people with anxiety and depression. Pain intensity was assessed using a Visual Analogue Scale(VAS) at day 1 and 7 after surgery. The study was conducted in 2016-2017.
Results and Discussion: 2d group showed significantly higher scores on both HADS subscales’ indicators and VAS. In terms of HADS scores at the 1st day of operation the anxiety and depression level in the 1st group was 7.1±1.2 and 1.6±0.4 while in 2d group the level was 17.1±3.1 and 17.0±4.2 respectively. At the 7th day studied level for 1st group corresponded to 4.9±1.1 and 2.9±0.6 points whereas for group 2 the results were 15.2±2.3 and 13.7±1.9. VAS results in1st group were significantly lower than in 2d group. The studied criteria in 1st group was 4.1±0.9 and 2.8±0.6 points on days 1 and 7 while in group 2 the scores amounted to 6.7±1.8 and 4.9±1.1 respectively.
Conclusion(s): Anxiety and depression cause higher pain descriptors in the early postoperative period in patients operated on for ICA PK.
References:
1. Belov Yu. J Anest Reanimatol 2017;4:305-309.
2. Drakina O. ESA 2017;34(5S):189.

09 / The influence of anxiety and depression on pain severity in the early postoperative period in patients operated for internal carotid arteries pathological kinking