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The Relationship Between Poststroke Dysphagia and Poststroke Depression and Its Risk Factors.
- Source :
- American Journal of Speech-Language Pathology; Sep2024, Vol. 33 Issue 5, p2487-2499, 13p
- Publication Year :
- 2024
-
Abstract
- Purpose: A diagnosis of dysphagia and/or depression after stroke can impact the physical, psychological, and social welfare of stroke survivors. Although poststroke depression (PSD) and poststroke dysphagia are known to occur concurrently, there is a paucity of research that has specifically investigated their association. Therefore, we aimed to study the relationship between PSD and poststroke dysphagia during acute inpatient hospitalization and within 90 days after discharge. Furthermore, we aimed to evaluate the odds and hazard of being diagnosed with depression after stroke and estimate the time to depression diagnosis from the initial stroke diagnosis in patients with and without a diagnosis of dysphagia. Method: Using the acute inpatient hospital data set from our previous work, we pulled additional postdischarge administrative claims data from the 2017 Medicare 5% Limited Data Set and conducted a retrospective, cross-sectional study of patients diagnosed with poststroke dysphagia and PSD. Results: Patients diagnosed with poststroke dysphagia had 2.7 higher odds of being diagnosed with PSD and had an approximately 1.75-fold higher hazard for PSD diagnosis in the 90 days after discharge compared to patients not diagnosed with dysphagia. Risk factors for PSD included having dysphagia, being female, and having dual eligibility Conclusions: Our results demonstrated a significant association between PSD and poststroke dysphagia. Additional research should further explore the impact of PSD on poststroke dysphagia. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS of mental depression
MENTAL depression risk factors
RISK assessment
CROSS-sectional method
RESEARCH funding
T-test (Statistics)
HOSPITAL care
SEX distribution
RETROSPECTIVE studies
DESCRIPTIVE statistics
CHI-squared test
JUDGMENT sampling
ODDS ratio
MEDICAL records
ACQUISITION of data
STROKE
COMPARATIVE studies
HEALTH outcome assessment
DATA analysis software
DEGLUTITION disorders
TIME
REGRESSION analysis
PROPORTIONAL hazards models
DISEASE risk factors
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 10580360
- Volume :
- 33
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- American Journal of Speech-Language Pathology
- Publication Type :
- Academic Journal
- Accession number :
- 179722756
- Full Text :
- https://doi.org/10.1044/2024_AJSLP-23-00264