Depression and Functional Status Among African American Stroke Survivors in Inpatient Rehabilitation.

Depression and Functional Status Among African American Stroke Survivors in Inpatient Rehabilitation.
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住院康复中非裔美国中风幸存者的抑郁和功能状态。

DOI:
10.1016/j.jstrokecerebrovasdis.2016.08.039
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发表时间:
2017
期刊:
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
影响因子:
--
通讯作者:
PrvuBettger,Janet
PrvuBettger,Janet
中科院分区:
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文献类型:
--
作者:
Harris,GabrielleM;Collins-McNeil,Janice;Yang,Qing;Nguyen,VuQC;Hirsch,MarkA;Rhoads3rd,CharlesF;Guerrier,Tami;Thomas,JGeorge;Pugh,TerrenceM;Hamm,Deanna;Pereira,Carol;PrvuBettger,Janet

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PurposeTo研究中风后抑郁症(PSD)的患病率在非洲裔美国人中风幸存者和抑郁症与功能状态的关联在住院康复设施(IRF)discharge.MethodsSecondary数据分析进行了一个病人队列谁收到的护理在3 IRF在美国从2009年至2011年。功能状态通过功能独立性测量(Functional Independence Measure,简称FIA)来测量。多元线性回归模型被用来研究协会PSD和运动和认知scores.ResultsOf 458非洲裔美国人中风幸存者,48.5%是女性,84%有缺血性中风,平均年龄为60.8 ± 13.6岁。只有15.4%(n = 71)有PSD的记录。双变量分析确定抑郁症相关因素,发现卒中前因残疾退休(17.1%对11.6%)或就业(31.4%对19.6%)的抑郁症患者比例高于无抑郁症患者(P= 0.041)。吞咽困难、认知缺陷和入院运动神经功能缺损评分较低在抑郁症患者中也明显更常见。有没有显着的抑郁症和功能状态之间的关系调整后,为patient characteristics.ConclusionsIn this study,15%的非洲裔美国人中风后接受康复治疗的PSD文件,但这是不相关的功能状态在出院。
PurposeTo examine the prevalence of poststroke depression (PSD) among African American stroke survivors and the association of depression with functional status at inpatient rehabilitation facility (IRF) discharge.MethodsSecondary data analysis was conducted of a patient cohort who received care at 3 IRFs in the United States from 2009 to 2011. Functional status was measured by the Functional Independence Measure (FIM). Multiple linear regression models were used to examine associations of PSD and FIM motor and cognitive scores.ResultsOf 458 African American stroke survivors, 48.5% were female, 84% had an ischemic stroke, and the mean age was 60.8 ± 13.6 years. Only 15.4% (n = 71) had documentation of PSD. Bivariate analyses to identify factors associated with depression identified a higher percentage of patients with depression than without who were retired due to disability (17.1% versus 11.6%) or employed (31.4% versus 19.6%) prestroke (P= .041). Dysphagia, cognitive deficits, and a lower admission motor FIM score were also significantly more common among those with depression. There was no significant relationship between depression and functional status after adjusting for patient characteristics.ConclusionsIn this study, 15% of the African Americans who received rehabilitation after a stroke had documentation of PSD but this was not associated with functional status at discharge.
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发表时间: 2014-01-21
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影响因子: 37.8
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