Depression Characterization and Race Among Stroke Survivors Receiving Inpatient Rehabilitation.
Conference Paper
Race and ethnicity play a significant role in poststroke outcomes. This brief report describes the presence of depression among stroke survivors who received inpatient rehabilitation and whether depression differs by race. Data from eRehabData and electronic medical records were analyzed for patients who received rehabilitation after an acute ischemic or hemorrhagic stroke. Of 1501 stroke patients, 61.3% were white, 33.9% were African American, and 4.8% were of other race/ethnic backgrounds. By retrospective clinical review, depression was documented for 29.7% of stroke patients. Premorbid versus new onset of poststroke depression was documented for 13.4% and 21.6% of whites, 7.5% and 11.5% of African American, and 0% and 16.7% of patients of other race/ethnic groups. Compared with whites, African American and people of other races had a lower odds of poststroke depression (African American adjusted odds ratio = 0.52, 95% confidence interval = 0.41-0.68; other races odds ratio = 0.37, 95% confidence interval = 0.19-0.71), after adjusting for all other significant risk factors identified in the bivariate analysis (sex, hyperlipidemia, cognitive deficit, neglect). Depression was documented for one in three stroke survivors who received inpatient rehabilitation and highest among whites especially for prestroke depression. Addressing depression in rehabilitation care needs to consider individual patient characteristics and prestroke health status.
Full Text
Duke Authors
Cited Authors
- Pugh, T; Hirsch, MA; Nguyen, VQC; Rhoads, CF; Harris, GM; Yang, Q; Thomas, JG; Guerrier, T; Hamm, D; Pereira, C; Yao, J; Bettger, JAP
Published Date
- April 2019
Published In
Volume / Issue
- 98 / 4
Start / End Page
- 325 - 330
PubMed ID
- 30211718
Pubmed Central ID
- PMC7306147
Electronic International Standard Serial Number (EISSN)
- 1537-7385
Digital Object Identifier (DOI)
- 10.1097/PHM.0000000000001037
Conference Location
- United States