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High Risk Factors and Preventive Measures of Bipolar Disorder After Ischemic Stroke
Yang Geng1, Chao Bi1, Ru Zhang1
1Department of Intensive Care Medicine, Maternal and Child Branch, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Provincial People's Hospital, Jiangsu, China.
Insights
Bipolar disorder (BD) risk is high after ischemic stroke. Key risk factors include frontal/temporal lobe lesions, sleep disorders, and reduced daily living ability, highlighting the need for targeted prevention strategies.
Area of Science:
- Neurology
- Psychiatry
- Public Health
Background:
- Bipolar disorder (BD) is a chronic, recurrent condition.
- Research on BD following ischemic stroke, particularly in Chinese populations, is limited.
- This study investigates risk factors and prevention for BD post-ischemic stroke.
Purpose of the Study:
- To determine the incidence of bipolar disorder in ischemic stroke patients.
- To identify high-risk factors associated with developing bipolar disorder after ischemic stroke.
- To propose evidence-based prevention strategies for bipolar disorder in this patient group.
Main Methods:
- Retrospective analysis of 197 ischemic stroke patients from March 2020 to March 2022.
- Collected demographic data, clinical information, Mood Disorder Questionnaire (MDQ) scores, and Activity of Daily Living (ADL) Scale scores.
- Utilized binary logistic regression to identify influencing factors for BD post-stroke.
Main Results:
- The incidence of BD in ischemic stroke patients was 45.18%.
- Significant risk factors for BD included frontal or temporal lobe lesions (OR=2.724), sleep disorders (OR=2.246), and lower daily living ability (OR=3.108).
- Higher education level was associated with a reduced risk (OR=0.485).
Conclusions:
- Bipolar disorder poses a significant risk following ischemic stroke.
- Clinical management should prioritize patient education, lesion assessment, and interventions to improve sleep and daily functioning.
- Addressing these factors can help prevent BD and improve patient outcomes after stroke.
Background:
Bipolar disorder (BD) is a recurrent chronic disease. There are few Chinese studies to explore the BD after ischemic stroke. This study aimed to analyze the high risk factors of BD after ischemic stroke and investigate prevention strategies.
Methods:
197 patients with ischemic stroke in our hospital from March 2020 to March 2022 were selected as research subjects. The demographic information, clinical data, and scores of Mood Disorder Questionnaire (MDQ) and Activity of Daily Living Scale (ADL) in patients were retrospectively analyzed to count the incidence of BD in patients. Binary logistic regression analysis was used to analyze the influencing factors for BD after ischemic stroke, and preventive measures were discussed based on study results.
Results:
The incidence of BD in patients with ischemic stroke was 45.18% (89/197), and the median and quartile in the first part of MDQ score was 6.00 (5.00,10.00) points. The subjects were divided into BD group (n = 89) and non-BD group (n = 108) based on the presence of BD in patients with ischemic stroke. Education background (OR = 0.485), lesions involving the frontal or temporal lobes (OR = 2.724), sleep disorders (OR = 2.246), and daily living ability (OR = 3.108) were influencing factors for BD after ischemic stroke (P < .05).
Conclusion:
The risk of BD after ischemic stroke is high. Based on the above research results, clinical attention should be paid to knowledge popularization, lesion examination, and the improvement of sleep quality and daily living ability, to prevent the occurrence of BD and improve the prognosis.
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