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Titolo:
Depression is an independent predictor of poor long-term functional outcome post-stroke
Autore:
Pohjasvaara, T; Vataja, R; Leppavuori, A; Kaste, M; Erkinjuntti, T;
Indirizzi:
Univ Helsinki, Cent Hosp, Dept Clin Neurosci, Memory Res Unit, Helsinki, Finland Univ Helsinki Helsinki Finland osci, Memory Res Unit, Helsinki, Finland Univ Helsinki, Cent Hosp, Dept Psychiat, Psychiat Consultat Unit, Helsinki, Finland Univ Helsinki Helsinki Finland ychiat Consultat Unit, Helsinki, Finland Univ Helsinki, Cent Hosp, Dept Clin Neurosci, Stroke Unit, Helsinki, Finland Univ Helsinki Helsinki Finland Neurosci, Stroke Unit, Helsinki, Finland
Titolo Testata:
EUROPEAN JOURNAL OF NEUROLOGY
fascicolo: 4, volume: 8, anno: 2001,
pagine: 315 - 319
SICI:
1351-5101(200107)8:4<315:DIAIPO>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTSTROKE DEPRESSION; SUNNYBROOK STROKE; FOLLOW-UP; DISORDERS; RECOVERY; CONSEQUENCES; FINNSTROKE; FREQUENCY; SYMPTOMS;
Keywords:
depression; functional outcome; stroke;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Erkinjuntti, T Memory Res Unit, POB 300, FIN-00029 Helsinki, Finland Memory Res Unit POB 300 Helsinki Finland FIN-00029 Finland
Citazione:
T. Pohjasvaara et al., "Depression is an independent predictor of poor long-term functional outcome post-stroke", EUR J NEUR, 8(4), 2001, pp. 315-319

Abstract

The influence of depression on the long-term outcome of stroke patients was examined among 390 of 486 consecutive patients aged 55-85 years. They completed, at 3 months after ischaemic stroke, a detailed medical, neurological, and radiological stroke evaluation, structured measures of emotion (Beck's Depression Inventory, BDI), handicap (Rankin scale, RS), and assessment of activities of daily living (Barthel Index. BI). Further RS and BI was evaluated at 15-month Follow-up from these 390 patients and BDI in 276 patients. A group of 256 patients completed, in addition to the Ii-month follow-up, a comprehensive psychiatric evaluation, including the Present State Examination 3 months after stroke. The DSM-III-R criteria were used for diagnosis of the depressive disorders. BDI identified depression (cut-off point greater than or equal to 10 for depression) in 171 (43.9%) of 390 and in 123 (44.6%) of 276 patients at 3- and 15-month follow-up. DSM-III-R major depression was diagnosed in 66 (25.8%), and minor depression in 32 (12.5%), of 256 patients 3 months after stroke. Patients with BDI greater than or equal to 10, or major, but not minor, depression more often had poor functional outcome(RS > II and BI < 17) at 15 months. Poor functional outcome at 3 months also correlated with depression at 15 months. In logistic regression analysis, depression at 3 months (Beck <greater than or equal to> 10) correlated with poor functional outcome at 15 months (RS > II) (OR 2.5, 95% CI 1.6-3.8). More careful examination and treatment of depression in stroke patients is emphasized.

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Documento generato il 25/01/20 alle ore 03:39:08