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Published on: May 22, 2019
The Relationship Between Poststroke Dysphagia and Poststroke Depression and Its Risk Factors
Janet Horn1, Kit N Simpson2, Annie N Simpson2
1Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Charleston.
Stroke survivors with dysphagia have significantly higher odds of developing poststroke depression (PSD). This study highlights a critical link between swallowing difficulties and depression following a stroke, emphasizing the need for integrated care.
Area of Science:
- Neurology
- Psychiatry
- Public Health
Background:
- Stroke survivors face significant challenges impacting physical, psychological, and social well-being.
- Poststroke depression (PSD) and poststroke dysphagia often co-occur, yet their specific association requires further investigation.
Purpose of the Study:
- To investigate the relationship between PSD and poststroke dysphagia during acute hospitalization and up to 90 days post-discharge.
- To evaluate the odds and hazard of PSD diagnosis in patients with and without dysphagia.
- To estimate the time to PSD diagnosis from initial stroke diagnosis.
Main Methods:
- Retrospective, cross-sectional study utilizing acute inpatient hospital data and 2017 Medicare administrative claims data.
- Analysis of patients diagnosed with poststroke dysphagia and PSD.
Main Results:
- Patients with poststroke dysphagia had 2.7 times higher odds of PSD diagnosis.
- A 1.75-fold increased hazard for PSD diagnosis was observed within 90 days post-discharge for dysphagia patients.
- Risk factors for PSD included dysphagia, female sex, and dual eligibility.
Conclusions:
- A significant association exists between PSD and poststroke dysphagia.
- Further research is warranted to explore the impact of PSD on poststroke dysphagia and vice versa.
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