Evaluation of Multidisciplinary Collaborative Care in Patients with Acute Coronary Syndrome and Depression and/or Anxiety Disorders

摘要

Objective:To evaluate the effect of multidisciplinary collaborative care(MCC)in patients with both acute coronary syndrome(ACS)and depression and/or anxiety disorders compared with usual physician care(UPC).Methods:Depression and/or anxiety were screened by using SDS and SAS,ACS patients with depression and/or anxiety disorders were randomized into MCC and UPC groups.The cardiac outcomes and the life quality were evaluated at1year follow-up.Results:Overall,30.19%(96/318)patients had positive screen results.At1year,Cardiac outcome measures for patients in MCC group were significantly better for composite events of cardiac death and non-fatal MI(6.12% vs23.40%,p=0.016),cardiac function(NYHA functional classifi cation III or IV,0% vs 25%,p=0.05),and angina pectoris(21.28% vs 85%,p<0.0005),than patients in UPC group;the life quality were improved in patients in MCC group.Conclusion:After ACS,30.19% of patients had depression and/or anxiety disorders,MCC had better effects on cardiac outcomes and quality of life in ACS patients with Psychiatric disorders.