Postoperative Anxiety and Depression Among Chinese Elderly Patients
Prevalence and Risk Factors for Postoperative Anxiety and Depression Symptoms in Non-cardiac Surgery Among Chinese Elderly Patients
1 other identifier
observational
8,590
1 country
1
Brief Summary
The goal of this observational study is to learn about the prevalence of postoperative anxiety and depression symptoms and identify the related risk factors in elderly patients aged 65 and older who undergo non-cardiac surgery in China. The main questions it aims to answer are: What is the prevalence rate of postoperative anxiety symptoms in elderly Chinese patients after non-cardiac surgery? What is the prevalence rate of postoperative depression symptoms in elderly Chinese patients after non-cardiac surgery? What are the risk and protective factors linked to postoperative anxiety and depression symptoms in this patient population? Participants will undergo routine non-cardiac surgery as part of their standard medical care, and researchers will collect relevant clinical data and assess their anxiety and depression symptoms using standardized screening scales after surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2020
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
May 30, 2022
CompletedFirst Submitted
Initial submission to the registry
April 9, 2026
CompletedFirst Posted
Study publicly available on registry
April 15, 2026
CompletedApril 15, 2026
March 1, 2026
2.4 years
April 9, 2026
April 9, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Depression
Primary outcomes were depression Patient Health Questionnaire 9 (PHQ-9).The PHQ-9 is a nine-item questionnaire for screening on the presence of depressive symptoms and monitoring depression severity. Items were scored on a four-point scale with total scores ranging from zero to twenty-seven. Scores were defined as: ≥5 mild, ≥10 moderate, and ≥15 severe level of depression. The recommended screening cutoff was ≥10, corresponding with at least a moderate level of depression. The higher the score, the worse the situation. The total score ranges from 0 to 27, and higher scores indicate more depressive symptoms.
within 7 days after surgery
Anxiety
The GAD-7 is a seven-item questionnaire for screening on the presence of generalized anxiety disorder and assessing its severity. Items were scored on a four-point scale with total scores ranging from zero to twenty-one. Scores were defined as: ≥5 mild, ≥10 moderate, and ≥15 severe anxiety. The recommended screening cutoff was ≥10, corresponding with at least a moderate level of anxiety. Higher scores mean more anxiety.
within 7 days after surgery
Eligibility Criteria
Elderly patients (aged ≥ 65 years) who completed the anxiety and depression assessment after the elective noncardiac, non-neurosurgical surgery were included in this study.
You may qualify if:
- elderly patients (age ≥ 65 years)
- undergoing elective surgery with a planned overnight hospital stay following surgery
- non-cardiac surgery, non-neurosurgical surgery
- patients who complete the scale assessment
You may not qualify if:
- patients fully refused to participate in the study
- patients with severe dementia, language disorder, severe hearing or visual impairment, coma, and end-stage status
- patients whose surgeries were canceled
- history of previous severe mental illness or long-term use of psychotropic medications
- patients admitted to ICU immediately after surgery
- patients who died within 7 days after surgery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Chinese PLA General Hospitallead
- Beijing Tiantan Hospitalcollaborator
- Peking University First Hospitalcollaborator
- The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical Schoolcollaborator
- Xiangya Hospital of Central South Universitycollaborator
- Beijing Anzhen Hospitalcollaborator
- Central South Universitycollaborator
- Peking University People's Hospitalcollaborator
- Zhejiang Universitycollaborator
- Fudan Universitycollaborator
- Sun Yat-sen Universitycollaborator
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technologycollaborator
- China-Japan Friendship Hospitalcollaborator
- The Affiliated Hospital Of Guizhou Medical Universitycollaborator
- First Affiliated Hospital of Xinjiang Medical Universitycollaborator
- First Affiliated Hospital of Guangxi Medical Universitycollaborator
- Taihe Hospitalcollaborator
- Shanghai Zhongshan Hospitalcollaborator
- Zhejiang Provincial People's Hospitalcollaborator
Study Sites (1)
First Medical center of Chinese PLA General Hospital
Beijing, Beijing Municipality, 100853, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director (Cheif expert of National key research and development program of China 2018YFC2001900)
Study Record Dates
First Submitted
April 9, 2026
First Posted
April 15, 2026
Study Start
January 1, 2020
Primary Completion
May 30, 2022
Study Completion
May 30, 2022
Last Updated
April 15, 2026
Record last verified: 2026-03