In:
Stroke, Ovid Technologies (Wolters Kluwer Health), Vol. 52, No. Suppl_1 ( 2021-03)
Abstract:
Background: Evaluation of mental health of acute ischemic stroke (AIS) patients is crucial to reduce health care burden. Objective: Aim of this study was to evaluate the prevalence and outcomes [morbidity, disability (APRDRG loss of function) and discharge disposition] of DOA amongst AIS patients. Methods: A cross-sectional study was conducted on Nationwide Inpatient Sample from 2003-2017. Adult primary hospitalizations with AIS were extracted and concurrent DOA were identified using ICD-9/10-CM codes. Weighted analysis using Chi-square test and mixed-effect multivariable survey logistic regression was performed to evaluate prevalence and role of DOA to predict the outcomes. Definitions of outcomes were mentioned in Table 1 . Results: Out of a total 5,690,773 AIS hospitalizations, 2.65%, 3.1% and 4.37% had depression, OSA, and anxiety, respectively. In AIS patients, females had higher prevalence of depression [3.43 vs 2.25%] and anxiety [5.92 vs 3.04%] and lower prevalence of OSA [2.21 vs 4.40%] in comparison to males. (p 〈 0.0001) Caucasians had a higher prevalence of depression [3.11 vs 2.12 vs 2.84 vs 1.81 vs 2.54%], OSA [3.43 vs 3.27 vs 2.42 vs 1.60 vs 3.24%] , and anxiety [5.26 vs 2.48 vs 3.75 vs 2.13 vs 3.59%] in comparison to AA, Hispanic, Asian, and Native American, respectively. (p 〈 0.0001) Depressed patients had a higher prevalence of morbidity (9 vs 8 vs 5 vs 7%), disability [46 vs 46 vs 35 vs 37%], transfer to non-home [69 vs 58 vs 61 vs 63%] in comparison with OSA, anxiety and non-DOA patients, respectively. (p 〈 0.0001) Depression was associated with 40% higher chance of severe disability (aOR 1.4; 95%CI 1.38-41), morbidity (1.36; 1.33-1.38) and discharge to non-home (1.54; 1.52-1.56). OSA and anxiety had higher odds of non-home discharge amongst post-AIS hospitalizations. (Table 1) Conclusion: DOA is associated with poor outcomes amongst post-AIS patients. Prompt recognition by screening and timely management of DOA may mitigate the adverse outcomes.
Type of Medium:
Online Resource
ISSN:
0039-2499
,
1524-4628
DOI:
10.1161/str.52.suppl_1.P701
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2021
detail.hit.zdb_id:
80381-9
detail.hit.zdb_id:
1467823-8
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