Depresión postictus: factores que afectan al estado de ánimo

Abstract

ObjectivesTo determine the incidence and prevalence of post-stroke depression, to establish the degree of functional dependence at discharge and at 3 months, and to analyse the clinical and demographic factors predictive of post-stroke depression. MethodologyA prospective descriptive study. Clinical and demographic data were collected along with functional status (Barthel Index, modified Rankin Scale) and mood (Hamilton Depression Rating Scale) during hospitalisation and after 3 months. Acute onset factors were analysed to predict post-stroke depression at 3 months. ResultsA total of 68 patients were studied, of whom 8.95 % died during the study, and 37.7 % had post-stroke depression at 3 months. No relationship was found between post-stroke depression and sex, age, the type of stroke, or the affected hemisphere. An association was found with post-stroke depression in patients with speech and language disorders, and neurological status (measured by NIH) on admission. There was an association with the Barthel Index and modified Rankin Scale at 3 months. ConclusionThe observed prevalence of post-stroke depression is similar to other studies; a novel aspect is the inclusion of TIA, haemorrhagic stroke and aphasic patients. A significant finding was the association between stroke severity (NIH) and post-stroke depression, as well as with speech and language disorders. We believe that aspects relating mood to quality of life, and how this relates to functional capacity should be studied further.