Increased depression and readmission risk in patients with new-onset angina after the Sichuan earthquake.


INTRODUCTION:Earthquake exposure has been associated with adverse consequences for coronary heart disease. However, the natural history and prognostic significance of earthquake-related, new-onset angina have not been characterized. OBJECTIVE:The objective of this study was to evaluate the association between episodes of depressive symptoms and one-year prognosis after the first admission to the hospital among adults with new-onset angina before and after the Sichuan earthquake. METHODS:One hundred forty-one first hospitalized patients with new-onset angina before and after the Sichuan earthquake underwent psychological assessments during their first admission to the hospital following the earthquake. Patients were followed for 12 months to determine survival status. The independent relationships between baseline variables and readmission risk after the earthquake were examined. Baseline somatic and psychosocial variables were collected with the aid of standard, validated questionnaires. RESULTS:The proportion of patients with moderate/severe depression symptom in the earthquake-related group is higher than among their counterparts (23.7% vs. 8.9%, p = 0.026). Patients with new-onset angina after the Sichuan earthquake had a higher risk of readmission (22.4% vs. 8.9%, p = 0.041) and longer total hospitalization (average of 13.4 ±6.8 vs. 10.7 ±5.5 days, p = 0.015). The risks for readmission was associated with moderate/severe depression (adjusted hazard ratio, 9.18 [95% confidence interval (CI) = 3.09-27.23, p = 0.0000]) and low ejection fraction (adjusted hazard ratio, 6.66 [95%CI = 2.131-20.781, p = 0.001]). CONCLUSIONS:Among patients diagnosed with new-onset angina, those with first episode after the Sichuan earthquake generated more moderate/severe depressive symptoms and had a higher risk for readmission and longer hospital stay. Depressive symptoms upon admission and low ejection fractions were significant predictors of 12-month risk for readmission, which indicates that antidepressants should be prescribed.


Prehosp Disaster Med


Kai-sen H,Qi W,Ping L,Ding-xiu H,Shu-yin W,You-gen Z,Fang-ming Z,Ying-de K,Xiao-jian D




Has Abstract


2011-08-01 00:00:00














  • Moral experience of Canadian healthcare professionals in humanitarian work.

    abstract:INTRODUCTION:Expatriate healthcare professionals frequently participate in international relief operations that are initiated in response to disasters due to natural hazards or humanitarian emergencies in low resource settings. This practice environment is significantly different from the healthcare delivery environmen...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Hunt MR

    更新日期:2009-11-01 00:00:00

  • Profile of Chest Injuries and Oxygen Therapy in Trauma Patients with Acute Respiratory Failure after the Jiangsu Tornado in China: A Retrospective Study.

    abstract:BACKGROUND:The aim of this study was to analyze the profile of chest injuries, oxygen therapy for respiratory failure, and the outcomes of victims after the Jiangsu tornado, which occurred on June 23, 2016 in Yancheng City, Jiangsu Province, China. METHODS:The clinical records of 144 patients referred to Yancheng City...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Mu GH,Lu ZQ,Li X,Chen PF,He L,Sun YH,Hou SS,Deng YJ

    更新日期:2020-06-01 00:00:00

  • Simulation of a hospital disaster plan: a virtual, live exercise.

    abstract:INTRODUCTION:Currently, there is no widely available method to evaluate an emergency department disaster plan. Creation of a standardized patient database and the use of a virtual, live exercise may lead to a standardized and reproducible method that can be used to evaluate a disaster plan. PURPOSE:A virtual, live exe...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Franc-Law JM,Bullard M,Della Corte F

    更新日期:2008-07-01 00:00:00

  • Acquiring and maintaining competence in the application of extrication cervical collars by a group of first responders.

    abstract:INTRODUCTION:Research on skill acquisition and retention in the prehospital setting has focused primarily on resuscitation and defibrillation. Investigation into other first aid skills is required in order to validate practices and support training regimes. No studies have investigated competency using an extrication c...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Ireland CJ,Zeitz KM,Bridgewater FH

    更新日期:2008-11-01 00:00:00

  • Strategies in evaluation and management of Bam earthquake victims.

    abstract:BACKGROUND:On 26 December 2003, an earthquake measuring 6.5 on the Richter scale occurred in the city of Bam in southeastern Iran. Bam was destroyed completely, > 43,000 people were killed, and 30,000 were injured. The national and international responses were quick and considerable. Many field hospitals were created a...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Emami MJ,Tavakoli AR,Alemzadeh H,Abdinejad F,Shahcheraghi G,Erfani MA,Mozafarian K,Solooki S,Rezazadeh S,Ensafdaran A,Nouraie H,Jaberi FM,Sharifian M

    更新日期:2005-09-01 00:00:00

  • Treatment management in disaster: a review of the Bam earthquake experience.

    abstract::In the early morning of 26 December 2003, Bam, an old city in southeastern Iran, was devastated by an earthquake measuring 6.6 on the Richter scale. Managing such situations always brings about many problems. In the case of the Bam Earthquake, two of the most serious problems were rescue operations and provision of ap...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Saghafinia M,Araghizade H,Nafissi N,Asadollahi R

    更新日期:2007-11-01 00:00:00

  • The Effect of High Storage Temperature on the Stability and Efficacy of Lyophilized Tenecteplase.

    abstract:INTRODUCTION:Tenecteplase is a thrombolytic protein drug used by paramedics, emergency responders, and critical care medical personnel for the prehospital treatment of blood clotting diseases. Minimizing the time between symptom onset and the initiation of thrombolytic treatment is important for reducing mortality and ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Henkel E,Vella R,Fenning A

    更新日期:2020-10-01 00:00:00

  • KAMEDO report no. 87: bomb attack in Finnish shopping center, 2002.

    abstract::The detonation of a bomb in a shopping center in Vantaa, Finland, took place on 11 October 2002. Seven people died as a result and > 160 people required medical attention. Because the rescue teams were inadequately trained to respond to terrorist attacks, the event was handled according to protocol. A number of proble...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Deverell E,Ortenwall P,Almgren O,Riddez L

    更新日期:2007-01-01 00:00:00

  • Out-of-hospital use of a pulse oximeter to determine systolic blood pressures.

    abstract:STUDY OBJECTIVE:Blood pressure (BP) in the out-of-hospital setting is one of the most important diagnostic tools used by emergency medical services (EMS) providers. Conventional methods of palpation and auscultation can be time consuming, and the measurements often are inaccurate because of the adverse working conditio...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: McCluskey B,Addis M,Tortella BJ,Lavery RF

    更新日期:1996-04-01 00:00:00

  • A prospective observational analysis of ambulation after motor vehicle collisions.

    abstract:OBJECTIVES:Predicting injury patterns of patients based only on mechanism of injury is difficult and is well described in the literature. Characteristics of patients on-scene immediately following injury(ies) may lead to predicting injury patterns. Although reported frequently, the significance of victim ambulation aft...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Merlin MA,Ciccosanti C,Saybolt MD,Bockoff O,Mazzei M,Shiroff A

    更新日期:2013-02-01 00:00:00

  • Trial of a survey instrument to establish the hurricane preparedness of and medical impact on a vulnerable, older population.

    abstract:INTRODUCTION:Millions of vulnerable, elderly individuals live in coastal areas susceptible to hurricanes and are at risk for adverse health outcomes. The purpose of this study was to determine the status of preparedness for and possible health consequences of a hurricane on a vulnerable, but experienced, elderly popula...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Cherniack EP,Sandals L,Brooks L,Mintzer MJ

    更新日期:2008-05-01 00:00:00

  • Safety and Efficacy of an On-Site Intensive Treatment Protocol for Mild and Moderate Sympathomimetic Toxicity at Australian Music Festivals.

    abstract:INTRODUCTION:Serotonin and sympathomimetic toxicity (SST) after ingestion of amphetamine-based drugs can lead to severe morbidity and death. There have been evaluations of the safety and efficacy of on-site treatment protocols for SST at music festivals. PROBLEM:The study aimed to examine the safety and efficacy of tr...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Douglas N,Carew J,Johnson D,Green M,Wilson N,Donovan J,Mulherin T,Holbery-Morgan L,Bourke E,Smith E

    更新日期:2020-02-01 00:00:00

  • Adenosine for the treatment of PSVT in the prehospital arena: efficacy of an initial 6 mg dosing regimen.

    abstract:OBJECTIVE:To confirm the efficacy of prehospital administration of adenosine, using a 6 milligram (mg) initial dosing regimen, for the treatment of paroxysmal supraventricular tachycardia (PSVT). METHODS:Urban, suburban, rural emergency medical services (EMS) system in Clark County, Washington with advanced life suppo...

    journal_title:Prehospital and disaster medicine

    pub_type: 临床试验,杂志文章


    authors: Wittwer LK,Muhr MD

    更新日期:1997-07-01 00:00:00

  • Performance of First Aid Trained Staff using a Modified START Triage Tool at Achieving Appropriate Triage Compared to a Physiology-Based Triage Strategy at Australian Mass Gatherings.

    abstract:INTRODUCTION:Triage at mass gatherings in Australia is commonly performed by staff members with first aid training. There have been no evaluations of the performance of first aid staff with respect to diagnostic accuracy or identification of presentations requiring ambulance transport to hospital. HYPOTHESIS:It was hy...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Douglas N,Leverett J,Paul J,Gibson M,Pritchard J,Brouwer K,Edwards E,Carew J,Donovan J,Bourke E,Smith E

    更新日期:2020-04-01 00:00:00

  • Recommendations for Life-Supporting First-Aid training of the lay public for disaster preparedness.

    abstract::In catastrophic disasters such as major earthquakes in densely populated regions, effective Life-Supporting First-Aid (LSFA) and basic rescue can be administered to the injured by previously trained, uninjured survivors (co-victims). Administration of LSFA immediately after disaster strikes can add to the overall medi...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Angus DC,Pretto EA,Abrams JI,Safar P

    更新日期:1993-04-01 00:00:00

  • Terrorists Use of Ambulances for Terror Attacks: A Review.

    abstract:INTRODUCTION:Using an ambulance as an attack modality offers many advantages to a terrorist organization. Ambulances can carry more explosives than most vehicles and can often bypass security. Yet, studies examining how terrorist organizations have incorporated ambulances into their attacks are lacking. STUDY OBJECTIV...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Jasani GN,Alfalasi R,Cavaliere GA,Ciottone GR,Lawner BJ

    更新日期:2021-02-01 00:00:00

  • Mobile Versus Fixed Deployment of Automated External Defibrillators in Rural EMS.

    abstract:INTRODUCTION:There is no consensus on where automated external defibrillators (AEDs) should be placed in rural communities to maximize impact on survival from cardiac arrest. In the community of Stokes County, North Carolina (USA) the Emergency Medical Services (EMS) system promotes cardiopulmonary resuscitation (CPR) ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Nelson RD,Bozeman W,Collins G,Booe B,Baker T,Alson R

    更新日期:2015-04-01 00:00:00

  • Retrospective Analysis of Mosh-Pit-Related Injuries.

    abstract:OBJECTIVES:Moshing is a violent form of dancing found world-wide at rock concerts, festivals, and electronic dance music events. It involves crowd surfing, shoving, and moving in a circular rotation. Moshing is a source of increased morbidity and mortality. The goal of this study was to report epidemiologic information...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Milsten AM,Tennyson J,Weisberg S

    更新日期:2017-12-01 00:00:00

  • Longitudinal Emergency Medical Technician Attributes and Demographic Study (LEADS) Design and Methodology.

    abstract:OBJECTIVES:The objective of this study is to describe the Longitudinal Emergency Medical Technician (EMT) Attributes and Demographic Study (LEADS) design, instrument development, pilot testing, sampling procedures, and data collection methodology. Response rates are provided, along with results of follow-up surveys of ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Levine R

    更新日期:2016-12-01 00:00:00

  • Evacuation Preparedness in the Event of Fire in Intensive Care Units in Sweden: More is Needed.

    abstract::Introduction Hospitals, including intensive care units (ICUs), can be subject to threat from fire and require urgent evacuation. Hypothesis The hypothesis was that the current preparedness for ICU evacuation for fire in the national public hospital system in a wealthy country was very good, using Sweden as model. MET...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Löfqvist E,Oskarsson Å,Brändström H,Vuorio A,Haney M

    更新日期:2017-06-01 00:00:00

  • Methodological aspects of the medical examination of special contingents in the All-Russian Service of Disaster Medicine.

    abstract::The tasks required for the preservation of the health of rescuers can be accomplished with the creation of a system for medical examinations and rehabilitation that functions with commonly used methodological and organizational principles. Absence of such a common methodological platform often results in the disqualif...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Preobrazhenskiĭ VN,Matveev AA

    更新日期:1999-07-01 00:00:00

  • Principles of disaster management. Lesson 2: Program planning.

    abstract::Many of the problems that develop in disaster management can be avoided with good program planning. Assessment following a disaster is essential. Needs assessment is essential in the early phases of a disaster and situation assessments become more important as the disaster process continues. Both are dynamic and conti...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Cuny FC

    更新日期:1998-04-01 00:00:00

  • Airway Clearance Using Suction Devices in Prehospital Combat Casualty Care: A Systematic Review.

    abstract::Airway management is at the forefront for combat medics dealing with battlefield trauma. For military service members, compromised airways are the second leading cause of potentially survivable death on the battlefield, accounting for one in ten preventable combat deaths. Effective suction is a critical component of a...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Jain P,Akhter F,Schoppe A,Hood RL,De Lorenzo RA

    更新日期:2020-12-01 00:00:00

  • Are race, age, gender, and insurance status determinants in interhospital helicopter transport time and frequency?

    abstract:OBJECTIVE:To examine the effects of age, race, gender, and insurance status on utilization and times-to-transport (TTT) for interhospital air medical transfers from rural hospitals to tertiary care centers. DESIGN:A retrospective review of interhospital transport records. The TTT was examined as a function of age, ge...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Furlong BR,Heller MB,Auble TE

    更新日期:1993-10-01 00:00:00

  • Earthquake-Related Orthopedic Injuries in Adult Population: A Systematic Review.

    abstract::Introduction Earthquake-related trauma results in crush injuries and bony- and soft-tissue trauma. There are no systematic reviews analyzing the typical injury patterns and treatments in "Mega-Mass-Casualty" earthquakes. The characterization of an injury pattern specific to disaster type, be it natural or manmade, is ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章,评审


    authors: Bortolin M,Morelli I,Voskanyan A,Joyce NR,Ciottone GR

    更新日期:2017-04-01 00:00:00

  • Role of the French rescue teams in Diquini Hospital: Port-au-Prince, January 2010.

    abstract::On January 12, 2010, Port-au-Prince, Haiti, was shattered by a violent earthquake that killed or injured thousands of its citizens. Local emergency services became overwhelmed and international assistance was required. French relief teams were deployed to assist local hospitals in caring for the victims. The medical c...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Benner P,Stephan J,Renard A,Petitjean F,Larger D,Pons D,Paklepa B,Deniel C,LeDreff P

    更新日期:2012-12-01 00:00:00

  • First Rescue Under the Rubble: The Medical Aid in the First Hours After the Earthquake in Amatrice (Italy) on August 24, 2016.

    abstract::Specific Event Identifiers a. Event Type: Earthquake measuring 6.2 (SD=0.016) on the moment magnitude; b. Event Onset: August 24, 2016 - 03:36:32 CEST (01:36 UTC); c. Location of Event: Central Italy, in the town of Amatrice; d. Geographic Coordinates: latitude (DMS): 42°37'45.77″N; longitude (DMS): 13°17'18.14″E; ele...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Blasetti AG,Petrucci E,Cofini V,Pizzi B,Scimia P,Pozone T,Necozione S,Fusco P,Marinangeli F

    更新日期:2018-02-01 00:00:00

  • Prehospital management and fluid resuscitation in hypotensive trauma patients admitted to Karolinska University Hospital in Stockholm.

    abstract:INTRODUCTION:Few previous studies have been conducted on the prehospital management of hypotensive trauma patients in Stockholm County. The aim of this study was to describe the prehospital management of hypotensive trauma patients admitted to the largest trauma center in Sweden, and to assess whether prehospital traum...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Talving P,Pålstedt J,Riddez L

    更新日期:2005-07-01 00:00:00

  • Rate of prescription of antidepressant and anxiolytic drugs after Cyclone Yasi in North Queensland.

    abstract:INTRODUCTION:The need to manage psychological symptoms after disasters can result in an increase in the prescription of psychotropic drugs, including antidepressants and anxiolytics. Therefore, an increase in the prescription of antidepressants and anxiolytics could be an indicator of general psychological distress in ...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Usher K,Brown LH,Buettner P,Glass B,Boon H,West C,Grasso J,Chamberlain-Salaun J,Woods C

    更新日期:2012-12-01 00:00:00

  • Review of accidents/injuries among emergency medical services workers in Baltimore, Maryland.

    abstract:OBJECTIVES:To characterize the types of occupational exposures and injuries reported by emergency medical service (EMS) workers. METHODS:A blinded review of accidents/exposures among EMS workers employed by a Baltimore County fire department was conducted. Medical records for 1992 were reviewed. RESULTS:Two hundred a...

    journal_title:Prehospital and disaster medicine

    pub_type: 杂志文章


    authors: Gershon RR,Vlahov D,Kelen G,Conrad B,Murphy L

    更新日期:1995-01-01 00:00:00