Abstract T P129: Depression Differs by Race among Stroke Survivors Receiving Inpatient Rehabilitation

Autor: Tami Guerrier, Vu Q.C. Nguyen, Gabrielle M Harris, Terrence Pugh, J. George Thomas, Janet Prvu Bettger, Deanna Hamm, Mark A. Hirsch, Carol Pereira
Rok vydání: 2015
Předmět:
Zdroj: Stroke. 46
ISSN: 1524-4628
0039-2499
DOI: 10.1161/str.46.suppl_1.tp129
Popis: Background: Depression is associated with increased mortality and morbidity post-stroke and can adversely impact functional recovery. To-date, studies of depression among stroke survivors receiving inpatient rehabilitation have not examined whether the prevalence differs by race. Methods: This retrospective cohort study included patients who received inpatient rehabilitation care after an acute stroke in 2009-2011 at one of three facilities that are part of a comprehensive health system. Presence of depressive symptomology either pre- or post-stroke was identified in the neuropsychological assessment or discharge summary. Absence of documentation of depression, depression symptomology or challenges with adjustment was coded for analyses as “no depression.” Descriptive analyses compared presence of depression by race (White, African American, or Other Race/Ethnicity including American Indian, Alaska Native, Asian, Hispanic/Latino, Native Hawaiian/Other Pacific Islander). Patient characteristics were examined to describe depressed patients of each race. Results: Among 1491 stroke survivors (61.2% White, 34.0% African American, 4.8% other race/ethnicity), 29.7% had documentation of depression. Difference by race was significant (p Conclusion: Depression was documented in almost a third of stroke survivors who received inpatient rehabilitation, and highest among Whites compared with African Americans and patients of other race/ethnicity. Outcomes research by race is needed and exploration of how rehabilitation care can be modified to minimize any negative impact of depression.
Databáze: OpenAIRE
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