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

 Yeah, we know about post stroke depression and anxiety. WHY THE FUCK AREN'T YOU SOLVING THE PROBLEM?

Post stroke depression(33% chance).

Post stroke anxiety(20% chance). 

 

Why are you not solving the primary cause of depression? Lack of 100% recovery protocols! Solve the primary problem and you don't need to work on secondary problems. DO YOU NOT UNDERSTAND?

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

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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.

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