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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(08): 621-625
DOI: 10.1590/0004-282X20160088
ARTICLES

Prevalence and predictors of post stroke depression among elderly stroke survivors

Prevalência e preditores de depressão pós-AVC em idosos sobreviventes de acidente vascular cerebral
Emanuella Barros dos Santos
1   Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Geral e Especializada, Ribeirão Preto SP, Brasil;
,
Rosalina Aparecida Partezani Rodrigues
1   Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Geral e Especializada, Ribeirão Preto SP, Brasil;
,
Octávio Marques Pontes-Neto
2   Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brasil.
› Author AffiliationsSupport: CNPq (Conselho Nacional de Desenvolvimento Científico e Tecnológico. 482721/2013-8; 402388/2013-5) e FAPESP (Fundação de Apoio à Pesquisa de São Paulo. 2012/51725-2).
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ABSTRACT

Objective To identify the prevalence of post stroke depression (PSD) and their socio-demographic and clinical predictors among elderly stroke survivors after hospital discharge to home.

Methods In this cross-sectional study, 90 elderly stroke survivors were evaluated 14 days after hospital discharge with the following scales: National Institutes of Health Stroke Scale, Functional Independence Measure, and Geriatric Depression Scale – 15 items (GDS-15). PSD was defined as a score > 5 on GDS-15. After univariate analyses, a multivariate logistic regression model was built to identify independent predictors of PSD.

Results Fourteen days after hospital discharge, 27.7% (95%CI 18.1 to 37.2) of elderly stroke survivors had PSD. Functional dependence was the only independent predictor of PSD (OR: 1.04 95%CI: 1.01 to 1.09; p = 0.02).

Conclusion After stroke, depressive symptoms are common among elderly survivors. The degree of functional dependency is the main predictor of PSD among elderly stroke patients in Brazil.

RESUMO

Objetivos Identificar a prevalência de depressão pós-AVC (DPAVC) e seus preditores sócio-demográficos e clínicos nos idosos sobreviventes do acidente vascular cerebral (AVC) após alta hospitalar para casa.

Métodos Nesse estudo transversal, 90 idosos sobreviventes do AVC foram avaliados 14 dias após alta hospitalar com as escalas a seguir: National Institutes of Health Stroke Scale, Medida da Independência Funcional (MIF), Escala de Depressão Geriátrica – 15 itens (EDG-15). DPAVC foi definida como escore > 5 na EDG-15. Depois da análise univariada, a regressão logística multivariada foi construída para identificar os preditores independentes da DPAVC.

Resultados Quatorze dias após a alta hospitalar, 27,7% (IC95% = 18,1–37,2) dos idosos sobreviventes do AVC tinham DPAVC. A dependência funcional foi o único preditor independente da DPAVC (OR: 1.04 95%CI: 1,01–1,09; p = 0.02).

Conclusão Após um AVC, sintomas depressivos são frequentes entre os idosos sobreviventes. O grau de dependência funcional é o principal preditor da DPAVC neste pacientes no Brasil.

stroke - depression - aged - activities of daily living
acidente vascular cerebral - depressão - idoso - atividades cotidianas

Support:

Support: CNPq (Conselho Nacional de Desenvolvimento Científico e Tecnológico. 482721/2013-8; 402388/2013-5) e FAPESP (Fundação de Apoio à Pesquisa de São Paulo. 2012/51725-2).




Publication History

Received: 16 December 2015

Accepted: 02 May 2016

Article published online:
06 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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