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Early depression screening and short-term functional outcome in hospitalized patients for acute ischemic stroke
BACKGROUND: Patients with ischemic stroke are at high risk for post-stroke depression (PSD). There are limited data regarding the clinical impact of early PSD, assessed in hospitalized patients with acute ischemic stroke. METHODS: This hospital-based observational cohort study included consecutive p...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9389070/ https://www.ncbi.nlm.nih.gov/pubmed/35989926 http://dx.doi.org/10.3389/fneur.2022.950045 |
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author | Baik, Minyoul Lee, Hyungwoo Lee, Il Hyung Heo, JoonNyung Nam, Hyo Suk Lee, Hye Sun Kim, Young Dae |
author_facet | Baik, Minyoul Lee, Hyungwoo Lee, Il Hyung Heo, JoonNyung Nam, Hyo Suk Lee, Hye Sun Kim, Young Dae |
author_sort | Baik, Minyoul |
collection | PubMed |
description | BACKGROUND: Patients with ischemic stroke are at high risk for post-stroke depression (PSD). There are limited data regarding the clinical impact of early PSD, assessed in hospitalized patients with acute ischemic stroke. METHODS: This hospital-based observational cohort study included consecutive patients with acute ischemic stroke or transient ischemic attack between July 2019 and June 2021. In the study hospital, all admitted patients were systematically screened for depression. The depression was screened using the Patient Health Questionnaire-9 (PHQ-9), and PHQ-9 positivity indicated early PSD, which was defined as a score of >4. Logistic regression analyses were used to compare the rates of poor functional outcomes at 3 months in patients with and without PHQ-9 positivity. RESULTS: Among 1339 patients admitted during the study period, 775 were included, with a median age of 68.0 years, and 316 (40.8%) were women. A total of 111 (14.3%) patients were PHQ-9 positive. History of cancer and early neurological deterioration were independently associated with PHQ-9 positivity. Poor functional outcomes at 3 months were observed in 147 patients (18.8%). PHQ-9 positivity independently showed a 2.2-fold increased risk of poor functional outcome at 3 months (Odds ratio 2.23; 95% confidence interval 1.05–4.73, P = 0.037). CONCLUSIONS: Patients with history of cancer and early neurological deterioration were at risk for early PSD. Early PSD was independently associated with poor functional outcomes at 3 months. The identification of early depression could offer opportunities for further questioning and exploration of symptoms, as well as interventions. |
format | Online Article Text |
id | pubmed-9389070 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-93890702022-08-20 Early depression screening and short-term functional outcome in hospitalized patients for acute ischemic stroke Baik, Minyoul Lee, Hyungwoo Lee, Il Hyung Heo, JoonNyung Nam, Hyo Suk Lee, Hye Sun Kim, Young Dae Front Neurol Neurology BACKGROUND: Patients with ischemic stroke are at high risk for post-stroke depression (PSD). There are limited data regarding the clinical impact of early PSD, assessed in hospitalized patients with acute ischemic stroke. METHODS: This hospital-based observational cohort study included consecutive patients with acute ischemic stroke or transient ischemic attack between July 2019 and June 2021. In the study hospital, all admitted patients were systematically screened for depression. The depression was screened using the Patient Health Questionnaire-9 (PHQ-9), and PHQ-9 positivity indicated early PSD, which was defined as a score of >4. Logistic regression analyses were used to compare the rates of poor functional outcomes at 3 months in patients with and without PHQ-9 positivity. RESULTS: Among 1339 patients admitted during the study period, 775 were included, with a median age of 68.0 years, and 316 (40.8%) were women. A total of 111 (14.3%) patients were PHQ-9 positive. History of cancer and early neurological deterioration were independently associated with PHQ-9 positivity. Poor functional outcomes at 3 months were observed in 147 patients (18.8%). PHQ-9 positivity independently showed a 2.2-fold increased risk of poor functional outcome at 3 months (Odds ratio 2.23; 95% confidence interval 1.05–4.73, P = 0.037). CONCLUSIONS: Patients with history of cancer and early neurological deterioration were at risk for early PSD. Early PSD was independently associated with poor functional outcomes at 3 months. The identification of early depression could offer opportunities for further questioning and exploration of symptoms, as well as interventions. Frontiers Media S.A. 2022-08-05 /pmc/articles/PMC9389070/ /pubmed/35989926 http://dx.doi.org/10.3389/fneur.2022.950045 Text en Copyright © 2022 Baik, Lee, Lee, Heo, Nam, Lee and Kim. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology Baik, Minyoul Lee, Hyungwoo Lee, Il Hyung Heo, JoonNyung Nam, Hyo Suk Lee, Hye Sun Kim, Young Dae Early depression screening and short-term functional outcome in hospitalized patients for acute ischemic stroke |
title | Early depression screening and short-term functional outcome in hospitalized patients for acute ischemic stroke |
title_full | Early depression screening and short-term functional outcome in hospitalized patients for acute ischemic stroke |
title_fullStr | Early depression screening and short-term functional outcome in hospitalized patients for acute ischemic stroke |
title_full_unstemmed | Early depression screening and short-term functional outcome in hospitalized patients for acute ischemic stroke |
title_short | Early depression screening and short-term functional outcome in hospitalized patients for acute ischemic stroke |
title_sort | early depression screening and short-term functional outcome in hospitalized patients for acute ischemic stroke |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9389070/ https://www.ncbi.nlm.nih.gov/pubmed/35989926 http://dx.doi.org/10.3389/fneur.2022.950045 |
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