Objective:To investigate the current status of depression and its correlation with psychological resilience in patients with acute aortic dissection(AAD)after discharge.Methods:This study was conducted among 67 patients with AAD who were treated in Department of Cardiothoracic Surgery,Chongqing Emergency Medical Center,from June 2023 to June 2024 and received telephone follow-up and questionnaire survey,and basic data were collected from all patients,including sex,age,dissection type,educational level,length of hospital stay,discharge time,and hospital costs.Self-Rating Depression Scale(SDS)and Connor-Davidson Resilience Scale(CD-RISC)were distributed,and finally 49 valid questionnaires were included for statistical analysis.SDS and CD-RISC scores were compared between AAD patients with different basic data variables,and the Pearson correlation analysis was used to investigate the correlation of SDS score with psychological resilience and the scores of each dimension.The multiple linear regression analysis was further performed.Results:The incidence rate of depression was 36.73％among the patients with AAD.With the basic data as vari-ables,there was a significant difference in SDS score between the patients with different sexes and discharge times(P<0.05),and there was a significant difference in CD-RISC score between the patients with different sexes and educational levels(P<0.05).The Pearson correlation analysis showed that SDS score was negatively correlated CD-RISC score(r=-0.408,P=0.004),and SDS score was also nega-tively correlated with the scores of the dimensions of strength,resil-ience,and optimism in psychological resilience(r=-0.283,-0.319,-0.493,all P<0.05).There was a linear regression relationship be-tween the dimension of optimism and the SDS score of depression.Conclusion:There is a relatively high risk of depression in patients with AAD,and there is a significant negative correlation between psychological resilience and depressive state.Strengthening the construction of psychological resilience in AAD patients is important to prevent the risk of depression in AAD patients.

Objective:Healthy life expectancy (HLE), which combines life expectancy with health, is an essential comprehensive measure of life length and quality. This article aimed to systematically review the methods for defining and measuring HLE and describe application studies published, providing a reference for decision makers to select and develop methods suitable for China's conditions to measure HLE.Methods:Seven Chinese and English literature databases were searched up to May 7, 2022, and several related reviews and bibliography were manually retrieved. Systematic reviews and empirical research were included concerning HLE indicators and measurement of HLE. Information including the study area, type of the study, study population, HLE index, measurement method, data sources, and results from application studies published in the last five years were extracted. The evolution of the definition of HLE, the scope of different indicators, the measurement scale of health, and measurement methods, were all collected. Results of the empirical research related to measurement methods of indicators were summarized. The study followed the scoping review framework and was written according to the PRISMA-ScR statement.Results:A total of 84 articles were included, including 13 reviews, 17 original studies related to HLE index definition, ten original studies related to index measurement, and 44 empirical studies conducted in the past five years. There were as many as 20 indicators related to HLE, and each scale had its emphasis. A total of ten methods measuring HLE were identified, which vary in the definition of health, whether using weight, and the data type. The most commonly used indicators in the past five years were disability-free life expectancy and HLE. For the method of HLE calculation, Sullivan's method was mainly used for cross-sectional data, and the multistate life table was mainly used for longitudinal data.Conclusions:There are various definitions and measurement methods of HLE, but none are suitable for all scenarios. To summarize the HLE concept, health evaluation techniques, measurement methods, and application studies published worldwide can provide a reference for the localization of HLE measurement in China.

Objective To explore the relation of stroke and metabolic syndrome (MS), and provide theoretical evidence for prevention of stroke and MS. Methods Five hundred stroke patients accompanied with MS were enrolled, and divided into different types according to the distribution of the components of metabolic syndrome and abnormal metabolic condition. The systolic blood pressure(SBP) ,diastolic blood pressure( DBP),fasting glycemia ( FPG ), triglycerides ( TG ), total cholesterol ( TC ), low density density lipoprotern-cholesterol (LDL-C), high density density lipoprotern-cholesterol (HDL-C)of each patient were detected and recorded. Results Among these stroke patients with MS, most patients were 60 - 69 years old ( 39.60% ), and there was no significant difference between two gender( P = 0. 545 ). Among each component of MS, hypertension was most related to MS;patients complicated with hypertension + hyperlipidemia + hyperglycemia were the most major proportion of stroke patients with MS(48. 00% ). Conclusion MS and its components are all risk factors for stroke,and the more complication the patients had,the more patients suffered from stroke with MS. Targeted interventions of different type of abnormal condition has important prevention effect on MS and stroke.