Preoperative Anxiety is Associated With Postoperative Complications in Vascular Surgery: A Cross-Sectional Study
Background Preoperative anxiety is associated with increased morbidity and/or mortality in surgical patients. This study investigated the incidence, predictors, and association of preoperative anxiety with postoperative complications in vascular surgery. Methods Consecutive patients undergoing aorti...
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| Veröffentlicht in: | World journal of surgery 2022-08, Vol.46 (8), p.1987-1996 |
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| container_end_page | 1996 |
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| container_issue | 8 |
| container_start_page | 1987 |
| container_title | World journal of surgery |
| container_volume | 46 |
| creator | Jovanovic, Ksenija Kalezic, Nevena Sipetic Grujicic, Sandra Zivaljevic, Vladan Jovanovic, Milan Kukic, Biljana Trailovic, Ranko Zlatanovic, Petar Mutavdzic, Perica Tomic, Ivan Ilic, Nikola Davidovic, Lazar |
| description | Background
Preoperative anxiety is associated with increased morbidity and/or mortality in surgical patients. This study investigated the incidence, predictors, and association of preoperative anxiety with postoperative complications in vascular surgery.
Methods
Consecutive patients undergoing aortic, carotid, and peripheral artery surgery, under general and regional anesthesia, from February until October 2019 were included in a cross-sectional study. Anesthesiologists assessed preoperative anxiety using a validated Serbian version of the Amsterdam Preoperative Anxiety and Information Scale. Patients were divided into groups with low/high anxiety, both anesthesia- and surgery-related. Statistical analysis included multivariate linear logistic regression and point-biserial correlation.
Results
Of 402 patients interviewed, 16 were excluded and one patient refused to participate (response rate 99.7%). Out of 385 patients included (age range 39–86 years), 62.3% had previous surgery. High-level anesthesia- and surgery-related anxieties were present in 31.2 and 43.4% of patients, respectively. Independent predictors of high-level anesthesia-related anxiety were having no children (OR = 0.443, 95% CI: 0.239–0.821,
p
= 0.01), personal bad experiences with anesthesia (OR = 2.294, 95% CI: 1.043–5.045,
p
= 0.039), and time since diagnosis for ≥ 4 months (OR = 1.634, 95% CI: 1.023–5.983,
p
= 0.04). The female sex independently predicted high-level surgery-related preoperative anxiety (OR = 2.387, 95% CI: 1.432–3.979,
p
= 0.001). High-level anesthesia-related anxiety correlated with postoperative mental disorders (r
pb
= 0.193,
p
= 0.001) and pulmonary complications (r
pb
= 0.104,
p
= 0.042). Postoperative nausea (r
pb
= 0.111,
p
= 0.03) and postoperative mental disorders (r
pb
= 0.160,
p
= 0.002) correlated with high-level surgery-related preoperative anxiety.
Conclusions
Since preoperative anxiety affects the postoperative course and almost every third patient experiences anxiety preoperatively, routine screening might be recommended in vascular surgery. |
| doi_str_mv | 10.1007/s00268-022-06575-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2659604438</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2680915706</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4264-4555240c779ab16caa0ba7c0512d26099995c9b02a6b2ce8446978f66f5423e23</originalsourceid><addsrcrecordid>eNqNkUtP3DAUha0KVKa0f6ALZIlNNynX74TdMCotCKlI05al5Xg8YJSJg520zb-vh_CQWKB6c23pO0fH9yD0kcBnAqCOEgCVZQGUFiCFEgW8QTPCGS0oo2wHzYBJnu-E7aF3Kd0CECVBvkV7TAhQoOQMdZfRhc5F0_vfDs_bv971I_YJz1MK1pverfCV72_wZUj9M7gIm67xNj9Cm7Bv8S-T7NCYiJdDvHZxPMZzvIghpWLp7JYyDV72w2p8j3bXpknuw8PcRz9Pv_xYfCsuvn89W8wvCstpTs2FEJSDVaoyNZHWGKiNsiAIXVEJVT7CVjVQI2tqXcm5rFS5lnItOGWOsn30afLtYrgbXOr1xifrmsa0LgxJUykqCZyzMqOHL9DbMMSceEuVUBGhQGaKTpTdfiu6te6i35g4agJ624ee-tC5D33fh4YsOniwHuqNWz1JHgvIwPEE_PGNG__DUl-dL09OIWfiWcwmccq6Nq_9Ofgrmf4BHSimOA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2680915706</pqid></control><display><type>article</type><title>Preoperative Anxiety is Associated With Postoperative Complications in Vascular Surgery: A Cross-Sectional Study</title><source>Springer Nature - Complete Springer Journals</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Jovanovic, Ksenija ; Kalezic, Nevena ; Sipetic Grujicic, Sandra ; Zivaljevic, Vladan ; Jovanovic, Milan ; Kukic, Biljana ; Trailovic, Ranko ; Zlatanovic, Petar ; Mutavdzic, Perica ; Tomic, Ivan ; Ilic, Nikola ; Davidovic, Lazar</creator><creatorcontrib>Jovanovic, Ksenija ; Kalezic, Nevena ; Sipetic Grujicic, Sandra ; Zivaljevic, Vladan ; Jovanovic, Milan ; Kukic, Biljana ; Trailovic, Ranko ; Zlatanovic, Petar ; Mutavdzic, Perica ; Tomic, Ivan ; Ilic, Nikola ; Davidovic, Lazar</creatorcontrib><description>Background
Preoperative anxiety is associated with increased morbidity and/or mortality in surgical patients. This study investigated the incidence, predictors, and association of preoperative anxiety with postoperative complications in vascular surgery.
Methods
Consecutive patients undergoing aortic, carotid, and peripheral artery surgery, under general and regional anesthesia, from February until October 2019 were included in a cross-sectional study. Anesthesiologists assessed preoperative anxiety using a validated Serbian version of the Amsterdam Preoperative Anxiety and Information Scale. Patients were divided into groups with low/high anxiety, both anesthesia- and surgery-related. Statistical analysis included multivariate linear logistic regression and point-biserial correlation.
Results
Of 402 patients interviewed, 16 were excluded and one patient refused to participate (response rate 99.7%). Out of 385 patients included (age range 39–86 years), 62.3% had previous surgery. High-level anesthesia- and surgery-related anxieties were present in 31.2 and 43.4% of patients, respectively. Independent predictors of high-level anesthesia-related anxiety were having no children (OR = 0.443, 95% CI: 0.239–0.821,
p
= 0.01), personal bad experiences with anesthesia (OR = 2.294, 95% CI: 1.043–5.045,
p
= 0.039), and time since diagnosis for ≥ 4 months (OR = 1.634, 95% CI: 1.023–5.983,
p
= 0.04). The female sex independently predicted high-level surgery-related preoperative anxiety (OR = 2.387, 95% CI: 1.432–3.979,
p
= 0.001). High-level anesthesia-related anxiety correlated with postoperative mental disorders (r
pb
= 0.193,
p
= 0.001) and pulmonary complications (r
pb
= 0.104,
p
= 0.042). Postoperative nausea (r
pb
= 0.111,
p
= 0.03) and postoperative mental disorders (r
pb
= 0.160,
p
= 0.002) correlated with high-level surgery-related preoperative anxiety.
Conclusions
Since preoperative anxiety affects the postoperative course and almost every third patient experiences anxiety preoperatively, routine screening might be recommended in vascular surgery.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-022-06575-0</identifier><identifier>PMID: 35507076</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Anesthesia ; Anxiety ; Aorta ; Cardiac Surgery ; Complications ; Cross-sectional studies ; General Surgery ; Medicine ; Medicine & Public Health ; Mental disorders ; Morbidity ; Nausea ; Original Scientific Report ; Patients ; Postoperative ; Postoperative period ; Statistical analysis ; Surgery ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>World journal of surgery, 2022-08, Vol.46 (8), p.1987-1996</ispartof><rights>The Author(s) under exclusive licence to Société Internationale de Chirurgie 2022</rights><rights>2022 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>2022. The Author(s) under exclusive licence to Société Internationale de Chirurgie.</rights><rights>The Author(s) under exclusive licence to Société Internationale de Chirurgie 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4264-4555240c779ab16caa0ba7c0512d26099995c9b02a6b2ce8446978f66f5423e23</citedby><cites>FETCH-LOGICAL-c4264-4555240c779ab16caa0ba7c0512d26099995c9b02a6b2ce8446978f66f5423e23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-022-06575-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-022-06575-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,41467,42536,45553,45554,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35507076$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jovanovic, Ksenija</creatorcontrib><creatorcontrib>Kalezic, Nevena</creatorcontrib><creatorcontrib>Sipetic Grujicic, Sandra</creatorcontrib><creatorcontrib>Zivaljevic, Vladan</creatorcontrib><creatorcontrib>Jovanovic, Milan</creatorcontrib><creatorcontrib>Kukic, Biljana</creatorcontrib><creatorcontrib>Trailovic, Ranko</creatorcontrib><creatorcontrib>Zlatanovic, Petar</creatorcontrib><creatorcontrib>Mutavdzic, Perica</creatorcontrib><creatorcontrib>Tomic, Ivan</creatorcontrib><creatorcontrib>Ilic, Nikola</creatorcontrib><creatorcontrib>Davidovic, Lazar</creatorcontrib><title>Preoperative Anxiety is Associated With Postoperative Complications in Vascular Surgery: A Cross-Sectional Study</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
Preoperative anxiety is associated with increased morbidity and/or mortality in surgical patients. This study investigated the incidence, predictors, and association of preoperative anxiety with postoperative complications in vascular surgery.
Methods
Consecutive patients undergoing aortic, carotid, and peripheral artery surgery, under general and regional anesthesia, from February until October 2019 were included in a cross-sectional study. Anesthesiologists assessed preoperative anxiety using a validated Serbian version of the Amsterdam Preoperative Anxiety and Information Scale. Patients were divided into groups with low/high anxiety, both anesthesia- and surgery-related. Statistical analysis included multivariate linear logistic regression and point-biserial correlation.
Results
Of 402 patients interviewed, 16 were excluded and one patient refused to participate (response rate 99.7%). Out of 385 patients included (age range 39–86 years), 62.3% had previous surgery. High-level anesthesia- and surgery-related anxieties were present in 31.2 and 43.4% of patients, respectively. Independent predictors of high-level anesthesia-related anxiety were having no children (OR = 0.443, 95% CI: 0.239–0.821,
p
= 0.01), personal bad experiences with anesthesia (OR = 2.294, 95% CI: 1.043–5.045,
p
= 0.039), and time since diagnosis for ≥ 4 months (OR = 1.634, 95% CI: 1.023–5.983,
p
= 0.04). The female sex independently predicted high-level surgery-related preoperative anxiety (OR = 2.387, 95% CI: 1.432–3.979,
p
= 0.001). High-level anesthesia-related anxiety correlated with postoperative mental disorders (r
pb
= 0.193,
p
= 0.001) and pulmonary complications (r
pb
= 0.104,
p
= 0.042). Postoperative nausea (r
pb
= 0.111,
p
= 0.03) and postoperative mental disorders (r
pb
= 0.160,
p
= 0.002) correlated with high-level surgery-related preoperative anxiety.
Conclusions
Since preoperative anxiety affects the postoperative course and almost every third patient experiences anxiety preoperatively, routine screening might be recommended in vascular surgery.</description><subject>Abdominal Surgery</subject><subject>Anesthesia</subject><subject>Anxiety</subject><subject>Aorta</subject><subject>Cardiac Surgery</subject><subject>Complications</subject><subject>Cross-sectional studies</subject><subject>General Surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Morbidity</subject><subject>Nausea</subject><subject>Original Scientific Report</subject><subject>Patients</subject><subject>Postoperative</subject><subject>Postoperative period</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNqNkUtP3DAUha0KVKa0f6ALZIlNNynX74TdMCotCKlI05al5Xg8YJSJg520zb-vh_CQWKB6c23pO0fH9yD0kcBnAqCOEgCVZQGUFiCFEgW8QTPCGS0oo2wHzYBJnu-E7aF3Kd0CECVBvkV7TAhQoOQMdZfRhc5F0_vfDs_bv971I_YJz1MK1pverfCV72_wZUj9M7gIm67xNj9Cm7Bv8S-T7NCYiJdDvHZxPMZzvIghpWLp7JYyDV72w2p8j3bXpknuw8PcRz9Pv_xYfCsuvn89W8wvCstpTs2FEJSDVaoyNZHWGKiNsiAIXVEJVT7CVjVQI2tqXcm5rFS5lnItOGWOsn30afLtYrgbXOr1xifrmsa0LgxJUykqCZyzMqOHL9DbMMSceEuVUBGhQGaKTpTdfiu6te6i35g4agJ624ee-tC5D33fh4YsOniwHuqNWz1JHgvIwPEE_PGNG__DUl-dL09OIWfiWcwmccq6Nq_9Ofgrmf4BHSimOA</recordid><startdate>202208</startdate><enddate>202208</enddate><creator>Jovanovic, Ksenija</creator><creator>Kalezic, Nevena</creator><creator>Sipetic Grujicic, Sandra</creator><creator>Zivaljevic, Vladan</creator><creator>Jovanovic, Milan</creator><creator>Kukic, Biljana</creator><creator>Trailovic, Ranko</creator><creator>Zlatanovic, Petar</creator><creator>Mutavdzic, Perica</creator><creator>Tomic, Ivan</creator><creator>Ilic, Nikola</creator><creator>Davidovic, Lazar</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>202208</creationdate><title>Preoperative Anxiety is Associated With Postoperative Complications in Vascular Surgery: A Cross-Sectional Study</title><author>Jovanovic, Ksenija ; Kalezic, Nevena ; Sipetic Grujicic, Sandra ; Zivaljevic, Vladan ; Jovanovic, Milan ; Kukic, Biljana ; Trailovic, Ranko ; Zlatanovic, Petar ; Mutavdzic, Perica ; Tomic, Ivan ; Ilic, Nikola ; Davidovic, Lazar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4264-4555240c779ab16caa0ba7c0512d26099995c9b02a6b2ce8446978f66f5423e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdominal Surgery</topic><topic>Anesthesia</topic><topic>Anxiety</topic><topic>Aorta</topic><topic>Cardiac Surgery</topic><topic>Complications</topic><topic>Cross-sectional studies</topic><topic>General Surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Morbidity</topic><topic>Nausea</topic><topic>Original Scientific Report</topic><topic>Patients</topic><topic>Postoperative</topic><topic>Postoperative period</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jovanovic, Ksenija</creatorcontrib><creatorcontrib>Kalezic, Nevena</creatorcontrib><creatorcontrib>Sipetic Grujicic, Sandra</creatorcontrib><creatorcontrib>Zivaljevic, Vladan</creatorcontrib><creatorcontrib>Jovanovic, Milan</creatorcontrib><creatorcontrib>Kukic, Biljana</creatorcontrib><creatorcontrib>Trailovic, Ranko</creatorcontrib><creatorcontrib>Zlatanovic, Petar</creatorcontrib><creatorcontrib>Mutavdzic, Perica</creatorcontrib><creatorcontrib>Tomic, Ivan</creatorcontrib><creatorcontrib>Ilic, Nikola</creatorcontrib><creatorcontrib>Davidovic, Lazar</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jovanovic, Ksenija</au><au>Kalezic, Nevena</au><au>Sipetic Grujicic, Sandra</au><au>Zivaljevic, Vladan</au><au>Jovanovic, Milan</au><au>Kukic, Biljana</au><au>Trailovic, Ranko</au><au>Zlatanovic, Petar</au><au>Mutavdzic, Perica</au><au>Tomic, Ivan</au><au>Ilic, Nikola</au><au>Davidovic, Lazar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative Anxiety is Associated With Postoperative Complications in Vascular Surgery: A Cross-Sectional Study</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2022-08</date><risdate>2022</risdate><volume>46</volume><issue>8</issue><spage>1987</spage><epage>1996</epage><pages>1987-1996</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Background
Preoperative anxiety is associated with increased morbidity and/or mortality in surgical patients. This study investigated the incidence, predictors, and association of preoperative anxiety with postoperative complications in vascular surgery.
Methods
Consecutive patients undergoing aortic, carotid, and peripheral artery surgery, under general and regional anesthesia, from February until October 2019 were included in a cross-sectional study. Anesthesiologists assessed preoperative anxiety using a validated Serbian version of the Amsterdam Preoperative Anxiety and Information Scale. Patients were divided into groups with low/high anxiety, both anesthesia- and surgery-related. Statistical analysis included multivariate linear logistic regression and point-biserial correlation.
Results
Of 402 patients interviewed, 16 were excluded and one patient refused to participate (response rate 99.7%). Out of 385 patients included (age range 39–86 years), 62.3% had previous surgery. High-level anesthesia- and surgery-related anxieties were present in 31.2 and 43.4% of patients, respectively. Independent predictors of high-level anesthesia-related anxiety were having no children (OR = 0.443, 95% CI: 0.239–0.821,
p
= 0.01), personal bad experiences with anesthesia (OR = 2.294, 95% CI: 1.043–5.045,
p
= 0.039), and time since diagnosis for ≥ 4 months (OR = 1.634, 95% CI: 1.023–5.983,
p
= 0.04). The female sex independently predicted high-level surgery-related preoperative anxiety (OR = 2.387, 95% CI: 1.432–3.979,
p
= 0.001). High-level anesthesia-related anxiety correlated with postoperative mental disorders (r
pb
= 0.193,
p
= 0.001) and pulmonary complications (r
pb
= 0.104,
p
= 0.042). Postoperative nausea (r
pb
= 0.111,
p
= 0.03) and postoperative mental disorders (r
pb
= 0.160,
p
= 0.002) correlated with high-level surgery-related preoperative anxiety.
Conclusions
Since preoperative anxiety affects the postoperative course and almost every third patient experiences anxiety preoperatively, routine screening might be recommended in vascular surgery.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>35507076</pmid><doi>10.1007/s00268-022-06575-0</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | World journal of surgery, 2022-08, Vol.46 (8), p.1987-1996 |
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| language | eng |
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| source | Springer Nature - Complete Springer Journals; Wiley Online Library Journals Frontfile Complete |
| subjects | Abdominal Surgery Anesthesia Anxiety Aorta Cardiac Surgery Complications Cross-sectional studies General Surgery Medicine Medicine & Public Health Mental disorders Morbidity Nausea Original Scientific Report Patients Postoperative Postoperative period Statistical analysis Surgery Thoracic Surgery Vascular Surgery |
| title | Preoperative Anxiety is Associated With Postoperative Complications in Vascular Surgery: A Cross-Sectional Study |
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