Skip to main content

Depression Characterization and Race Among Stroke Survivors Receiving Inpatient Rehabilitation.

Publication ,  Conference
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 in: Am J Phys Med Rehabil
April 2019

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.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Am J Phys Med Rehabil

DOI

EISSN

1537-7385

Publication Date

April 2019

Volume

98

Issue

4

Start / End Page

325 / 330

Location

United States

Related Subject Headings

  • Survivors
  • Stroke Rehabilitation
  • Stroke
  • Risk Factors
  • Retrospective Studies
  • Rehabilitation
  • Racial Groups
  • Odds Ratio
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Pugh, T., Hirsch, M. A., Nguyen, V. Q. C., Rhoads, C. F., Harris, G. M., Yang, Q., … Bettger, J. A. P. (2019). Depression Characterization and Race Among Stroke Survivors Receiving Inpatient Rehabilitation. In Am J Phys Med Rehabil (Vol. 98, pp. 325–330). United States. https://doi.org/10.1097/PHM.0000000000001037
Pugh, Terrence, Mark A. Hirsch, Vu Q. C. Nguyen, Charles F. Rhoads, Gabrielle M. Harris, Qing Yang, J George Thomas, et al. “Depression Characterization and Race Among Stroke Survivors Receiving Inpatient Rehabilitation.” In Am J Phys Med Rehabil, 98:325–30, 2019. https://doi.org/10.1097/PHM.0000000000001037.
Pugh T, Hirsch MA, Nguyen VQC, Rhoads CF, Harris GM, Yang Q, et al. Depression Characterization and Race Among Stroke Survivors Receiving Inpatient Rehabilitation. In: Am J Phys Med Rehabil. 2019. p. 325–30.
Pugh, Terrence, et al. “Depression Characterization and Race Among Stroke Survivors Receiving Inpatient Rehabilitation.Am J Phys Med Rehabil, vol. 98, no. 4, 2019, pp. 325–30. Pubmed, doi:10.1097/PHM.0000000000001037.
Pugh T, Hirsch MA, Nguyen VQC, Rhoads CF, Harris GM, Yang Q, Thomas JG, Guerrier T, Hamm D, Pereira C, Yao J, Bettger JAP. Depression Characterization and Race Among Stroke Survivors Receiving Inpatient Rehabilitation. Am J Phys Med Rehabil. 2019. p. 325–330.

Published In

Am J Phys Med Rehabil

DOI

EISSN

1537-7385

Publication Date

April 2019

Volume

98

Issue

4

Start / End Page

325 / 330

Location

United States

Related Subject Headings

  • Survivors
  • Stroke Rehabilitation
  • Stroke
  • Risk Factors
  • Retrospective Studies
  • Rehabilitation
  • Racial Groups
  • Odds Ratio
  • Middle Aged
  • Male