Effect of Post-stroke Depression on Functional Outcomes of Patients With Stroke in the Rehabilitation Ward: A Retrospective Cohort Study
Objective: To investigate the prevalence of post-stroke depression in a rehabilitation ward and elucidate its effect on functional improvement and outcomes. Design: Retrospective cohort study. Setting: A convalescent rehabilitation ward at a University Hospital. Participants: A total of 114 patients...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Archives of Rehabilitation Research and Clinical Translation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109523000435 |
| _version_ | 1797398955196153856 |
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| author | Yoshitaka Wada, MD, PhD Yohei Otaka, MD, PhD Taiki Yoshida, OTR, PhD Kanako Takekoshi, RN Raku Takenaka, MD Yuki Senju, MD, PhD Hirofumi Maeda, MD, PhD Seiko Shibata, MD, PhD Taro Kishi, MD, PhD Satoshi Hirano, MD, PhD |
| author_facet | Yoshitaka Wada, MD, PhD Yohei Otaka, MD, PhD Taiki Yoshida, OTR, PhD Kanako Takekoshi, RN Raku Takenaka, MD Yuki Senju, MD, PhD Hirofumi Maeda, MD, PhD Seiko Shibata, MD, PhD Taro Kishi, MD, PhD Satoshi Hirano, MD, PhD |
| author_sort | Yoshitaka Wada, MD, PhD |
| collection | DOAJ |
| description | Objective: To investigate the prevalence of post-stroke depression in a rehabilitation ward and elucidate its effect on functional improvement and outcomes. Design: Retrospective cohort study. Setting: A convalescent rehabilitation ward at a University Hospital. Participants: A total of 114 patients with stroke (mean [SD] age, 67.2 [13.5] years; men, 76) assessed at 2 weeks after admission using the Mini-International Neuropsychiatric Interview were enrolled. Main Outcome Measure: Functional independence measure (FIM) efficiency during hospitalization in the ward. Results: Eleven patients (9.6%) had depression based on the Mini-International Neuropsychiatric Interview. Total FIM efficiency and FIM efficiency in the subtotal of motor items were significantly higher in the non-depression group than in the depression group (median [interquartile range]: 0.69 [0.39-0.95] vs 0.41 [0.24-0.63], P=.027; and 0.56 [0.38-0.80] vs 0.42 [0.18-0.49], P=.023, respectively). Patients in the non-depression group had higher FIM scores at discharge (median [interquartile range]: 116.0 [104.5-123.0] vs 104.0 [82.5-112.0], P=.013, respectively), and were more likely to be discharged home (80.6% vs 36.4%, P=.003). Furthermore, patients in the depression group also stayed significantly longer in the ward (71.0 [36.1] vs 106.1 [43.3], P=.010). Conclusions: Patients with post-stroke depression showed poorer efficiency of functional recovery than those without depression. A future multicenter study with a larger sample size is needed to verify these findings. |
| first_indexed | 2024-03-09T01:34:01Z |
| format | Article |
| id | doaj.art-320cf2e675ed4a1fb91dbb03a28f7541 |
| institution | Directory Open Access Journal |
| issn | 2590-1095 |
| language | English |
| last_indexed | 2024-03-09T01:34:01Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj.art-320cf2e675ed4a1fb91dbb03a28f75412023-12-09T06:07:37ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952023-12-0154100287Effect of Post-stroke Depression on Functional Outcomes of Patients With Stroke in the Rehabilitation Ward: A Retrospective Cohort StudyYoshitaka Wada, MD, PhD0Yohei Otaka, MD, PhD1Taiki Yoshida, OTR, PhD2Kanako Takekoshi, RN3Raku Takenaka, MD4Yuki Senju, MD, PhD5Hirofumi Maeda, MD, PhD6Seiko Shibata, MD, PhD7Taro Kishi, MD, PhD8Satoshi Hirano, MD, PhD9Department of Rehabilitation Medicine Ⅰ, School of Medicine, Fujita Health University, Toyoake, JapanDepartment of Rehabilitation Medicine Ⅰ, School of Medicine, Fujita Health University, Toyoake, Japan; Corresponding author Yohei Otaka, MD, PhD, Department of Rehabilitation Medicine I School of Medicine, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi 470-1192, Japan.Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, JapanDepartment of Nursing, Fujita Health University Hospital, Toyoake, JapanDepartment of Rehabilitation Medicine Ⅰ, School of Medicine, Fujita Health University, Toyoake, JapanDepartment of Rehabilitation Medicine Ⅰ, School of Medicine, Fujita Health University, Toyoake, JapanDepartment of Rehabilitation Medicine Ⅰ, School of Medicine, Fujita Health University, Toyoake, JapanDepartment of Rehabilitation Medicine Ⅰ, School of Medicine, Fujita Health University, Toyoake, JapanDepartment of Psychiatry, School of Medicine, Fujita Health University, Toyoake, JapanDepartment of Rehabilitation Medicine Ⅰ, School of Medicine, Fujita Health University, Toyoake, JapanObjective: To investigate the prevalence of post-stroke depression in a rehabilitation ward and elucidate its effect on functional improvement and outcomes. Design: Retrospective cohort study. Setting: A convalescent rehabilitation ward at a University Hospital. Participants: A total of 114 patients with stroke (mean [SD] age, 67.2 [13.5] years; men, 76) assessed at 2 weeks after admission using the Mini-International Neuropsychiatric Interview were enrolled. Main Outcome Measure: Functional independence measure (FIM) efficiency during hospitalization in the ward. Results: Eleven patients (9.6%) had depression based on the Mini-International Neuropsychiatric Interview. Total FIM efficiency and FIM efficiency in the subtotal of motor items were significantly higher in the non-depression group than in the depression group (median [interquartile range]: 0.69 [0.39-0.95] vs 0.41 [0.24-0.63], P=.027; and 0.56 [0.38-0.80] vs 0.42 [0.18-0.49], P=.023, respectively). Patients in the non-depression group had higher FIM scores at discharge (median [interquartile range]: 116.0 [104.5-123.0] vs 104.0 [82.5-112.0], P=.013, respectively), and were more likely to be discharged home (80.6% vs 36.4%, P=.003). Furthermore, patients in the depression group also stayed significantly longer in the ward (71.0 [36.1] vs 106.1 [43.3], P=.010). Conclusions: Patients with post-stroke depression showed poorer efficiency of functional recovery than those without depression. A future multicenter study with a larger sample size is needed to verify these findings.http://www.sciencedirect.com/science/article/pii/S2590109523000435Activities of daily livingCerebrovascular disordersComorbidityDepressionRehabilitation |
| spellingShingle | Yoshitaka Wada, MD, PhD Yohei Otaka, MD, PhD Taiki Yoshida, OTR, PhD Kanako Takekoshi, RN Raku Takenaka, MD Yuki Senju, MD, PhD Hirofumi Maeda, MD, PhD Seiko Shibata, MD, PhD Taro Kishi, MD, PhD Satoshi Hirano, MD, PhD Effect of Post-stroke Depression on Functional Outcomes of Patients With Stroke in the Rehabilitation Ward: A Retrospective Cohort Study Archives of Rehabilitation Research and Clinical Translation Activities of daily living Cerebrovascular disorders Comorbidity Depression Rehabilitation |
| title | Effect of Post-stroke Depression on Functional Outcomes of Patients With Stroke in the Rehabilitation Ward: A Retrospective Cohort Study |
| title_full | Effect of Post-stroke Depression on Functional Outcomes of Patients With Stroke in the Rehabilitation Ward: A Retrospective Cohort Study |
| title_fullStr | Effect of Post-stroke Depression on Functional Outcomes of Patients With Stroke in the Rehabilitation Ward: A Retrospective Cohort Study |
| title_full_unstemmed | Effect of Post-stroke Depression on Functional Outcomes of Patients With Stroke in the Rehabilitation Ward: A Retrospective Cohort Study |
| title_short | Effect of Post-stroke Depression on Functional Outcomes of Patients With Stroke in the Rehabilitation Ward: A Retrospective Cohort Study |
| title_sort | effect of post stroke depression on functional outcomes of patients with stroke in the rehabilitation ward a retrospective cohort study |
| topic | Activities of daily living Cerebrovascular disorders Comorbidity Depression Rehabilitation |
| url | http://www.sciencedirect.com/science/article/pii/S2590109523000435 |
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