Impact of depression on stroke outcomes among stroke survivors: Systematic review and meta-analysis
Depression may negatively affect stroke outcomes and the progress of recovery. However, there is a lack of updated comprehensive evidence to inform clinical practice and directions of future studies. In this review, we report the multidimensional impact of depression on stroke outcomes. Eligibility...
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| Veröffentlicht in: | PloS one 2023-12, Vol.18 (12), p.e0294668-e0294668 |
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| creator | Shewangizaw, Seble Fekadu, Wubalem Gebregzihabhier, Yohannes Mihretu, Awoke Sackley, Catherine Alem, Atalay |
| description | Depression may negatively affect stroke outcomes and the progress of recovery. However, there is a lack of updated comprehensive evidence to inform clinical practice and directions of future studies. In this review, we report the multidimensional impact of depression on stroke outcomes. Eligibility criteria. Prospective studies which investigated the impact of depression on stroke outcomes (cognition, returning to work, quality of life, functioning, and survival) were included. Eighty prospective studies were included in the review. These studies investigated the impact of depression on the ability to return to work (n = 4), quality of life (n = 12), cognitive impairment (n = 5), functioning (n = 43), and mortality (n = 24) where a study may report on more than one outcome. Though there were inconsistencies, the evidence reported that depression had negative consequences on returning to work, functioning, quality of life, and mortality rate. However, the impact on cognition was not conclusive. In the meta-analysis, depression was associated with premature mortality (HR: 1.61 (95% CI; 1.33, 1.96)), and worse functioning (OR: 1.64 (95% CI; 1.36, 1.99)). Depression affects many aspects of stroke outcomes including survival The evidence is not conclusive on cognition and there was a lack of evidence in low-income settings. The results showed the need for early diagnosis and intervention of depression after stroke. |
| doi_str_mv | 10.1371/journal.pone.0294668 |
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However, there is a lack of updated comprehensive evidence to inform clinical practice and directions of future studies. In this review, we report the multidimensional impact of depression on stroke outcomes. Eligibility criteria. Prospective studies which investigated the impact of depression on stroke outcomes (cognition, returning to work, quality of life, functioning, and survival) were included. Eighty prospective studies were included in the review. These studies investigated the impact of depression on the ability to return to work (n = 4), quality of life (n = 12), cognitive impairment (n = 5), functioning (n = 43), and mortality (n = 24) where a study may report on more than one outcome. Though there were inconsistencies, the evidence reported that depression had negative consequences on returning to work, functioning, quality of life, and mortality rate. However, the impact on cognition was not conclusive. In the meta-analysis, depression was associated with premature mortality (HR: 1.61 (95% CI; 1.33, 1.96)), and worse functioning (OR: 1.64 (95% CI; 1.36, 1.99)). Depression affects many aspects of stroke outcomes including survival The evidence is not conclusive on cognition and there was a lack of evidence in low-income settings. The results showed the need for early diagnosis and intervention of depression after stroke.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0294668</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Analysis ; Australia ; Brazil ; Citation management software ; Cognition ; Cognition & reasoning ; Cognitive ability ; Complications and side effects ; Depression, Mental ; Employment ; Mental depression ; Meta-analysis ; Mortality ; Multidimensional methods ; Patient outcomes ; Public health ; Quality of life ; Reviews ; South Korea ; Statistical analysis ; Statistics ; Stroke ; Stroke (Disease) ; Stroke patients ; Survival ; Survivor ; Systematic review</subject><ispartof>PloS one, 2023-12, Vol.18 (12), p.e0294668-e0294668</ispartof><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Shewangizaw et al. 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However, there is a lack of updated comprehensive evidence to inform clinical practice and directions of future studies. In this review, we report the multidimensional impact of depression on stroke outcomes. Eligibility criteria. Prospective studies which investigated the impact of depression on stroke outcomes (cognition, returning to work, quality of life, functioning, and survival) were included. Eighty prospective studies were included in the review. These studies investigated the impact of depression on the ability to return to work (n = 4), quality of life (n = 12), cognitive impairment (n = 5), functioning (n = 43), and mortality (n = 24) where a study may report on more than one outcome. Though there were inconsistencies, the evidence reported that depression had negative consequences on returning to work, functioning, quality of life, and mortality rate. However, the impact on cognition was not conclusive. 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In the meta-analysis, depression was associated with premature mortality (HR: 1.61 (95% CI; 1.33, 1.96)), and worse functioning (OR: 1.64 (95% CI; 1.36, 1.99)). Depression affects many aspects of stroke outcomes including survival The evidence is not conclusive on cognition and there was a lack of evidence in low-income settings. The results showed the need for early diagnosis and intervention of depression after stroke.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><doi>10.1371/journal.pone.0294668</doi><tpages>e0294668</tpages><orcidid>https://orcid.org/0000-0003-3997-1026</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Analysis Australia Brazil Citation management software Cognition Cognition & reasoning Cognitive ability Complications and side effects Depression, Mental Employment Mental depression Meta-analysis Mortality Multidimensional methods Patient outcomes Public health Quality of life Reviews South Korea Statistical analysis Statistics Stroke Stroke (Disease) Stroke patients Survival Survivor Systematic review |
| title | Impact of depression on stroke outcomes among stroke survivors: Systematic review and meta-analysis |
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