facebooktwittertwitter

Contact A Counsellor

counsellor button

KNOW MORE

teen suicide icon

 

panic anxiety icon

panic anxiety icon

#MindfulMondays with Miss SA

teen suicide icon

IN THE WORKPLACE

Research on Depression in the Workplace.

For more information please click here

business

SADAG NEWSLETTER

email subscribers list

To subscribe to SADAG's newsletter, click here

To view previous newsletters - click here

MHM JOURNAL

Mental Health Matters Journal for Psychiatrists & GP's

MHM Volume 8 Issue1

Click here for more info

JOURNALISTS

journalists crew making newspaper

If you are a journalist writing a story contact Kayla on 011 234 4837  media@anxiety.org.za

MYSCHOOL

MySchool Facebook banner Nov

It’s the small things that make a BIG difference. Sign up for the “My School | My Village | My Planet” Card and start making a difference to Mental Health in South Africa today.

Click Here

SPEAKING BOOKS

cope with cancer book

Literacy is a luxury that many of us take for granted. That is why SADAG created SPEAKING BOOKS and revolutionized the way healthcare information is delivered to low literacy communities.

The customizable 16-page book, read by local celebrity audio recordings, ensures that vital health and social messages can be seen, heard, read and understood by everyone across the world.

We started with books on Teen Suicide prevention , HIV, AIDS and Depression, Understanding Mental Health and have developed over 100+ titles, such as TB, Malaria, Polio, Vaccines for over 45 countries.

suicide speaking book

By Michelle Rizzo

NEW YORK (Reuters Health) Jul 30 - Patients with schizophrenia or depression may be more prone to postoperative complications than patients without mental illness, according to a review of the literature -- such as it is.

"The knowledge base on clinical outcomes of surgery for patients with comorbid serious mental illness is extremely small, although we know the mentally ill carry a heavy burden in terms of comorbid medical disease," Dr. Laurel A. Copeland told Reuters Health.

Dr. Copeland, of the University of Texas Health Science Center, San Antonio, and colleagues conducted a systematic literature search of Medline for studies on the topic. Eligible studies included those with at least 10 patients diagnosed with serious mental illnesses, including schizophrenia, bipolar disorder, major depressive disorder, and post-traumatic stress disorder. The studies reported perioperative medical, surgical, or psychiatric complications.

As reported in the July issue of the Annals of Surgery, 1367 potentially relevant publications were identified but only 12 met eligibility criteria.

Based on the pooled data, the investigators found that compared to patients without mental illness, those with schizophrenia may have higher pain thresholds and higher rates of death and postoperative complications. In addition, schizophrenic patients may experience higher rates of complications from certain anesthetic techniques.

Patients with major depressive disorder had higher rates of postoperative delirium and postoperative confusion.

When psychiatric medications were discontinued preoperatively, patients with schizophrenia and depression experienced more postoperative confusion or delirium.

No studies of perioperative outcomes in patients with bipolar disorder or post-traumatic stress disorder were identified.

"Surgeons may not have sufficient information on how patients with serious mental illness differ from other patients in terms of stage of illness at presentation, medication needs during and after surgery, and post-operative care needs," Dr. Copeland pointed out.

However, "We have received grant funding from the Department of Veterans Affairs for a nationwide study of surgery types, surgery rates, and post-operative complications in the VA, comparing patients with and without serious mental illness," Dr. Copeland continued.

"Using the types of surgeries tracked by the National Surgical Quality Improvement Program (NSQIP), we are currently analyzing data from the VA's electronic medical records system on nearly half a million mentally ill patients, including patients with schizophrenia, bipolar disorder, post-traumatic stress disorder, or other psychosis," she explained.

"This topic cannot be studied using NSQIP data, which do not include psychiatric comorbidity measures," Dr. Copeland noted. "Our database, however, is rich with detail regarding pre-operative conditions and post-operative complications."

 

Our Sponsors

Our Partners