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Miss Jane's Building (Edisto Library Temporary Location)
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Depression one year after hemorrhagic stroke is associated with late worsening of outcomes.
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- Author(s): Stern-Nezer, Sara; Eyngorn, Irina; Mlynash, Michael; Snider, Ryan W.; Venkatsubramanian, Chitra; Wijman, Christine A. C.; Buckwalter, Marion S.
- Source:
NeuroRehabilitation; 2017, Vol. 41 Issue 1, p179-187, 9p- Subject Terms:
DIAGNOSIS of mental depression; CEREBRAL hemorrhage; BLACK people; CHI-squared test; HAMILTON Depression Inventory; HISPANIC Americans; INFLAMMATION; MAGNETIC resonance imaging; EVALUATION of medical care; RESEARCH funding; STROKE; WHITE people; DISEASE duration; DATA analysis software; MANN Whitney U Test; DIAGNOSIS - Source:
- Additional Information
- Abstract: BACKGROUND:Poststroke depression is the most common psychiatric sequelae of stroke, and it's independently associated with increased morbidity and mortality. Few studies have examined depression after intracranial hemorrhage (ICH). OBJECTIVE: To investigate the relationship between depression, ICH and outcomes. METHODS: A substudy of the prospective Diagnostic Accuracy of MRI in Spontaneous Intracerebral Hemorrhage (DASH) study, we included 89 subjects assessed for depression 1 year after hemorrhage. A Hamilton Depression Rating Scale score >10 defined depression. Univariate, multivariable, and trend analyses evaluated relationships between depression, clinical, radiographic, and inflammatory factors and modified Rankin score (mRS) at 90 days and one year. RESULTS: Prevalence of depression at one year was 15%. Depression was not associated with hematoma volumes, presence of IVH or admission NIHSS, nor with demographic factors. Despite this, depressed patients had worse 1-year outcomes (p = 0.004) and were less likely to improve between 3 and 12 months, and more likely to worsen (p = 0.042). CONCLUSION: This is the first study to investigate depression one year after ICH. Post-ICH depression was common and associated with late worsening of disability unrelated to initial hemorrhage severity. Further research is needed to understand whether depression is caused by worsened disability, or whether the converse is true. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of NeuroRehabilitation is the property of IOS Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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