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Patient Health Questionnaire‐9 predicts the functional outcome of stroke patients in convalescent rehabilitation ward
INTRODUCTION: Poststroke depression (PSD) negatively affects the functional outcome of stroke patients. Patient Health Questionnaire‐9 (PHQ‐9) is a validated screening tool for detecting PSD. This study investigated the relationship between PHQ‐9 score and functional outcomes in stroke patients in a...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7749590/ https://www.ncbi.nlm.nih.gov/pubmed/32951302 http://dx.doi.org/10.1002/brb3.1856 |
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author | Nakamori, Masahiro Imamura, Eiji Tachiyama, Keisuke Kamimura, Teppei Hayashi, Yuki Matsushima, Hayato Okamoto, Hiroyuki Mizoue, Tatsuya Wakabayashi, Shinichi |
author_facet | Nakamori, Masahiro Imamura, Eiji Tachiyama, Keisuke Kamimura, Teppei Hayashi, Yuki Matsushima, Hayato Okamoto, Hiroyuki Mizoue, Tatsuya Wakabayashi, Shinichi |
author_sort | Nakamori, Masahiro |
collection | PubMed |
description | INTRODUCTION: Poststroke depression (PSD) negatively affects the functional outcome of stroke patients. Patient Health Questionnaire‐9 (PHQ‐9) is a validated screening tool for detecting PSD. This study investigated the relationship between PHQ‐9 score and functional outcomes in stroke patients in a convalescent rehabilitation ward by evaluating functional independence measure (FIM) gain scores and the proportion of patients discharged. METHODS: In this retrospective study conducted from January 2017 to September 2019, consecutive stroke patients who were admitted to the convalescent rehabilitation ward and could answer PHQ‐9 were assessed. The association between PHQ‐9 scores at the time of admission to the convalescent rehabilitation ward and outcomes (FIM gain score and the proportion of patients discharged) was statistically analyzed. RESULTS: Among the 215 patients enrolled in the study, 62 (28.8%) were assessed as having depression, in whom PHQ‐9 scores were 5 or above. Multivariate analysis revealed that the PHQ‐9 score on admission to the convalescent rehabilitation ward was a significant independent factor influencing the FIM gain score (p = .009). In addition, a multivariate analysis revealed that the PHQ‐9 score at the time of admission to the convalescent rehabilitation ward was a significant independent factor influencing the inability to discharge a patient (odds ratio 1.24, 95% confidence interval 1.12–1.39, p < .001). CONCLUSIONS: The PHQ‐9 score is a useful tool for predicting patient functional outcome, admission to the facility, and screening for poststroke depression. |
format | Online Article Text |
id | pubmed-7749590 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-77495902020-12-23 Patient Health Questionnaire‐9 predicts the functional outcome of stroke patients in convalescent rehabilitation ward Nakamori, Masahiro Imamura, Eiji Tachiyama, Keisuke Kamimura, Teppei Hayashi, Yuki Matsushima, Hayato Okamoto, Hiroyuki Mizoue, Tatsuya Wakabayashi, Shinichi Brain Behav Original Research INTRODUCTION: Poststroke depression (PSD) negatively affects the functional outcome of stroke patients. Patient Health Questionnaire‐9 (PHQ‐9) is a validated screening tool for detecting PSD. This study investigated the relationship between PHQ‐9 score and functional outcomes in stroke patients in a convalescent rehabilitation ward by evaluating functional independence measure (FIM) gain scores and the proportion of patients discharged. METHODS: In this retrospective study conducted from January 2017 to September 2019, consecutive stroke patients who were admitted to the convalescent rehabilitation ward and could answer PHQ‐9 were assessed. The association between PHQ‐9 scores at the time of admission to the convalescent rehabilitation ward and outcomes (FIM gain score and the proportion of patients discharged) was statistically analyzed. RESULTS: Among the 215 patients enrolled in the study, 62 (28.8%) were assessed as having depression, in whom PHQ‐9 scores were 5 or above. Multivariate analysis revealed that the PHQ‐9 score on admission to the convalescent rehabilitation ward was a significant independent factor influencing the FIM gain score (p = .009). In addition, a multivariate analysis revealed that the PHQ‐9 score at the time of admission to the convalescent rehabilitation ward was a significant independent factor influencing the inability to discharge a patient (odds ratio 1.24, 95% confidence interval 1.12–1.39, p < .001). CONCLUSIONS: The PHQ‐9 score is a useful tool for predicting patient functional outcome, admission to the facility, and screening for poststroke depression. John Wiley and Sons Inc. 2020-09-20 /pmc/articles/PMC7749590/ /pubmed/32951302 http://dx.doi.org/10.1002/brb3.1856 Text en © 2020 The Authors. Brain and Behavior published by Wiley Periodicals LLC. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Research Nakamori, Masahiro Imamura, Eiji Tachiyama, Keisuke Kamimura, Teppei Hayashi, Yuki Matsushima, Hayato Okamoto, Hiroyuki Mizoue, Tatsuya Wakabayashi, Shinichi Patient Health Questionnaire‐9 predicts the functional outcome of stroke patients in convalescent rehabilitation ward |
title | Patient Health Questionnaire‐9 predicts the functional outcome of stroke patients in convalescent rehabilitation ward |
title_full | Patient Health Questionnaire‐9 predicts the functional outcome of stroke patients in convalescent rehabilitation ward |
title_fullStr | Patient Health Questionnaire‐9 predicts the functional outcome of stroke patients in convalescent rehabilitation ward |
title_full_unstemmed | Patient Health Questionnaire‐9 predicts the functional outcome of stroke patients in convalescent rehabilitation ward |
title_short | Patient Health Questionnaire‐9 predicts the functional outcome of stroke patients in convalescent rehabilitation ward |
title_sort | patient health questionnaire‐9 predicts the functional outcome of stroke patients in convalescent rehabilitation ward |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7749590/ https://www.ncbi.nlm.nih.gov/pubmed/32951302 http://dx.doi.org/10.1002/brb3.1856 |
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