In-Hospital Symptoms of Depression and Anxiety are Strong Risk Factors for Post-Stroke Depression 90 Days After Ischemic Stroke

Yes, we've known of post stroke depression for years. QUIT TELLING US IT EXISTS AND JUST FUCKING SOLVE IT BY PREVENTION! Will no one in stroke take responsibility for solving and preventing post stroke depression? LEADERS SOLVE PROBLEMS!

You prevent it by having 100% recovery protocols.

Your patients will be too busy counting reps and looking forward to recovery. This was totally useless, I'd have you all fired.

In-Hospital Symptoms of Depression and Anxiety are Strong Risk Factors for Post-Stroke Depression 90 Days After Ischemic Stroke

Stefany Elias, MD https://orcid.org/0000-0002-0772-3880 stefyelias@hotmail.com, Maria Luiza Benevides, MD, PhD https://orcid.org/0000-0001-8992-4418, […], and Jean Costa Nunes, MD, PhD.+3View all authors and affiliations

Volume 13, Issue 2

https://doi.org/10.1177/19418744221132675

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Abstract

Background and Purpose

Acute ischemic stroke (AIS) and depression are the major causes of disability and decreased quality of life worldwide. Psychiatric disorders are common after stroke, especially post-stroke depression (PSD), which affects one-third of survivors. Although frequent, little is known about the real complexity of the pathophysiology and the factors associated with PSD.

Methods

This research aimed to provide data about risk factors and predictors of PSD 90 days after AIS. A cohort study was conducted in a tertiary stroke center located in southern Brazil. We interviewed 148 patients with AIS who were consecutively hospitalized between January 2020 and January 2021. The Hospital Anxiety and Depression Scale (HADS) was applied during hospitalization and at follow-up 90 days after AIS. Furthermore, sociodemographic, clinical, and radiological variables were investigated. Predictive factors were assessed using univariate and multivariate linear regression. The impact of the COVID-19 pandemic on the data was also evaluated.

Results

The frequency of PSD 90 days after AIS was 33.9%. In-hospital symptoms of depression and anxiety each represented a 2-fold risk for PSD at follow-up. Furthermore, the HADS – anxiety score 90 days after AIS was strongly associated with the HADS – depression value 90 days after stroke (R: .71; B: .56; P < .01).

Conclusions

The present study highlighted a noteworthy frequency of PSD 90 days after AIS. Psychiatric variables during hospitalization and in the follow-up appeared to be the leading associated factors with PSD. These data might support the determination of which patients require more psychiatric management.(You blithering idiots! What's needed is 100% recovery protocols! GET THERE! This problem wouldn't exist if you did what survivors want, get them fully recovered!)