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The Association Between Admission Anemia and Poststroke Depression
Jian-Hua Cheng1, Qiong-Zhang Wang, Xiao-Qian Luan
1Department of Neurology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
The Journal of Nervous and Mental Disease
|March 4, 2021
Summary
Anemia upon hospital admission is linked to a higher likelihood of developing poststroke depression (PSD) one month later. This finding suggests anemia may serve as a potential predictor for PSD in stroke patients.
Area of Science:
- Neurology
- Psychiatry
- Hematology
Background:
- Poststroke depression (PSD) is a common and significant neuropsychiatric complication following stroke.
- Anemia is frequently observed in patients admitted with acute stroke.
- The relationship between admission anemia and the development of PSD requires further investigation.
Purpose of the Study:
- To investigate the association between anemia at hospital admission and the occurrence of poststroke depression (PSD).
Main Methods:
- A cohort of 284 acute stroke patients was assessed.
- PSD was diagnosed at 1 month post-stroke using DSM-4 criteria and a HAMD-17 score ≥8.
- Anemia status was determined at hospital admission.
Main Results:
- Anemia was present in 27.3% of PSD patients versus 12.8% of non-PSD patients.
- A negative correlation was observed between hemoglobin levels and HAMD-17 scores across all patients.
- Anemia independently predicted PSD after adjusting for clinical and demographic factors.
Conclusions:
- Anemia identified at hospital admission is significantly associated with the development of PSD one month after stroke.
- Anemia may serve as a valuable predictive marker for poststroke depression.
- Early detection and management of anemia could potentially mitigate the risk of PSD.
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