Depressed Mood after Stroke: Predictive Factors at Six Months Follow-Up
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design
2.2. Criteria for Inclusion
2.3. Variables and Instruments
2.4. Procedures
2.5. Ethics
2.6. Statistical Analysis
3. Results
Functional Status and Psychopathological Characteristics
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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HRSD ≤ 13 n = 100 (57.8%) | HRSD > 13 n = 73 (42.2%) | p-Value | |
---|---|---|---|
Mean Age (SD) | 70.6 (SD:12.8) | 69.7 (SD:11.6) | 0.619 |
Gender Female | 30.0% | 43.8% | 0.061 |
Gijon´s SFES (SD) | 7.74 (SD:1.9) | 7.62 (SD:1.8) | 0.675 |
Marital Status | 0.363 | ||
Married and living together | 63.6% | 72.6% | |
Family | 18.2% | 16.4% | |
Single, separated, or widowed | 18.2% | 11.0% | |
Education | 0.243 | ||
No studies | 8.0% | 16.4% | |
Primary | 73.0% | 65.8% | |
Secondary | 11.0% | 13.7% | |
Tertiary | 8.0% | 4.1% | |
About STROKE and sequelae | |||
NIHSS, mean (SD) | 5.31(SD: 5.6) | 8.22 (SD: 6.7) | 0.002 |
Hemiparesis at discharge | 48.0% | 63.0% | 0.05 |
rtPA IV | 11.0% | 20.5% | 0.083 |
Aphasia | 27.0% | 35.6% | 0.072 |
Stroke Subtype | 0.020 | ||
TIA | 17.0% | 17.8% | |
PAC | 24.0% | 8.2% | |
TAC | 10.0% | 28.7% | |
POC | 20.0% | 24.6% | |
LAC | 18.0% | 9.6% | |
Hemorrhage | 11.0% | 10.9% | |
Laterality | 0.04 | ||
Posterior | 47.9% | 56.7% | |
Left | 34.4% | 38.8% | |
Right | 17.7% | 4.5% | |
Functional Status | |||
Barthel Index discharge (SD) | 82.35 (SD: 25.6) | 68.29 (SD: 31.8) | 0.002 |
mRS discharge (SD) | 1.86 (SD: 1.4) | 2.67(SD: 1.6) | 0.001 |
Other variables | |||
Charlson Comorbidity Index (SD) | 1.28 (SD: 1.4) | 1.29 (SD: 1.3) | 0.971 |
Previous depression | 12.0% | 23.3% | 0.05 |
Previous stroke | 24.0% | 27.4% | 0.612 |
Stay length (days) (SD) | 6.10 (SD 3.3) | 9.32 (SD6.4) | <0.001 |
Factor | Univariate | Multivariate | ||||||
---|---|---|---|---|---|---|---|---|
OR | (IC 95%) | LR-Test; p | OR | (IC 95%) | LR-Test; p | |||
Gender Female | 0.549 | 0.29 | 1.03 | 0.061 | ||||
Previous depression | 2.226 | 0.98 | 5.01 | 0.051 | 2.087 | 1.01 | 5.23 | 0.05 |
Stroke subtype | 0.020 | |||||||
TIA | ref | ref | ref | |||||
PAC | 2.375 | 0.83 | 6.76 | |||||
TAC | 5.157 | 1.62 | 16.39 | |||||
POC | 1.221 | 0.38 | 3.94 | |||||
LAC | 1.143 | 0.35 | 3.78 | |||||
Hemorrhage | 3.167 | 0.79 | 12.75 | |||||
Laterality | 0.027 | |||||||
Right | ref | ref | ref | |||||
Left | 4.681 | 1.28 | 17.18 | |||||
Posterior | 4.465 | 1.18 | 16.89 | |||||
NIHSS, mean (SD) | 1.080 | 1.02 | 1.14 | 0.002 | ||||
rtPA IV | 2.092 | 0.89 | 4.87 | 0.085 | ||||
Hemiparesis at discharge | 0.846 | 0.99 | 3.41 | 0.049 | ||||
Barthel Index at discharge | 0.983 | 0.97 | 0.99 | 0.002 | ||||
mRS at discharge | 1.428 | 1.16 | 1.76 | 0.001 | 1.296 | 1.02 | 1.64 | 0.032 |
Stay length (days) | 1.169 | 1.08 | 1.27 | <0.001 | 1.106 | 1.01 | 1.21 | 0.012 |
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López-Espuela, F.; Roncero-Martín, R.; Canal-Macías, M.d.l.L.; Moran, J.M.; Vera, V.; Gomez-Luque, A.; Lendinez-Mesa, A.; Pedrera-Zamorano, J.D.; Casado-Naranjo, I.; Lavado-García, J. Depressed Mood after Stroke: Predictive Factors at Six Months Follow-Up. Int. J. Environ. Res. Public Health 2020, 17, 9542. https://doi.org/10.3390/ijerph17249542
López-Espuela F, Roncero-Martín R, Canal-Macías MdlL, Moran JM, Vera V, Gomez-Luque A, Lendinez-Mesa A, Pedrera-Zamorano JD, Casado-Naranjo I, Lavado-García J. Depressed Mood after Stroke: Predictive Factors at Six Months Follow-Up. International Journal of Environmental Research and Public Health. 2020; 17(24):9542. https://doi.org/10.3390/ijerph17249542
Chicago/Turabian StyleLópez-Espuela, Fidel, Raúl Roncero-Martín, Maria de la Luz Canal-Macías, Jose M. Moran, Vicente Vera, Adela Gomez-Luque, Alejandro Lendinez-Mesa, Juan Diego Pedrera-Zamorano, Ignacio Casado-Naranjo, and Jesus Lavado-García. 2020. "Depressed Mood after Stroke: Predictive Factors at Six Months Follow-Up" International Journal of Environmental Research and Public Health 17, no. 24: 9542. https://doi.org/10.3390/ijerph17249542