Depression Characterization and Race Among Stroke Survivors Receiving Inpatient Rehabilitation.

Published

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

  • 30211718

Electronic International Standard Serial Number (EISSN)

  • 1537-7385

International Standard Serial Number (ISSN)

  • 0894-9115

Digital Object Identifier (DOI)

  • 10.1097/phm.0000000000001037