Does the severity of depressive symptoms after stroke affect long-term survival? An 18-year follow-up

We tested whether the severity of depressive symptoms in acute stroke and 4 years later are predictors of long-time survival. We evaluated the severity of stroke in 82 patients with acute stroke by the Barthel index, the Scandinavian Stroke Scale and the Orgogozo scale, and we also quantified the se...

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Bibliographic Details
Published in:PloS one 2018-12, Vol.13 (12), p.e0209157-e0209157
Main Authors: Kellermann, Mónika, Berecz, Roland, Bereczki, Dániel
Format: Article
Language:English
Subjects:
Aged
Aphasia
Biology and Life Sciences
Cardiovascular disease
Complications and side effects
Computer and Information Sciences
Coronary heart disease
Depression - diagnosis
Depression - etiology
Depression - mortality
Drug therapy
Fatalities
Female
Follow-Up Studies
Humans
Kaplan-Meier Estimate
Male
Medical screening
Medicine and Health Sciences
Mental depression
Middle Aged
Mortality
Patient outcomes
Patients
Physical Sciences
Prognosis
Prospective Studies
Psychiatric Status Rating Scales
Psychiatry
Psychological aspects
Rank tests
Research and Analysis Methods
Severity of Illness Index
Sex
Stroke
Stroke - complications
Stroke - diagnosis
Stroke - mortality
Stroke - psychology
Subgroups
Survival
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Summary:We tested whether the severity of depressive symptoms in acute stroke and 4 years later are predictors of long-time survival. We evaluated the severity of stroke in 82 patients with acute stroke by the Barthel index, the Scandinavian Stroke Scale and the Orgogozo scale, and we also quantified the severity of depressive symptoms by the Beck and the Hamilton scales in the first week of stroke, in 1995. We re-evaluated the scales 4 years after stroke in 41 out of 48 survivors. We checked the survival status of the initial cohort 18 years after stroke. In the assessment Kaplan-Meier graphs were constructed and the outcomes between groups were compared with log-rank tests. Clinically important depressive symptoms (≥10 on the Beck scale) was present in 16 patients (19,5%) with acute stroke one week after admission. Case fatality was 41% at 4 years and 84% at 18 years after stroke. Those patients who survived at 4 years were significantly younger (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0209157