Incidence of Poststroke Depression in Patients With Poststroke Dysphagia
Poststroke dysphagia and poststroke depression (PSD) can have devastating effects on stroke survivors, including increased burden of care, higher health care costs, poor quality of life, and greater mortality; however, there is a dearth of research examining depression in patients diagnosed with dys...
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| Veröffentlicht in: | American journal of speech-language pathology 2022-07, Vol.31 (4), p.1836-1844 |
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| creator | Horn, Janet Simpson, Kit N Simpson, Annie N Bonilha, Leonardo F Bonilha, Heather S |
| description | Poststroke dysphagia and poststroke depression (PSD) can have devastating effects on stroke survivors, including increased burden of care, higher health care costs, poor quality of life, and greater mortality; however, there is a dearth of research examining depression in patients diagnosed with dysphagia after stroke. Thus, we aimed to study the incidence of PSD in patients with poststroke dysphagia to provide foundational knowledge about this patient population.
We conducted a retrospective, cross-sectional study of individuals with a primary diagnosis of acute ischemic stroke (AIS) and secondary diagnoses of dysphagia and/or depression using administrative claims data from the 2017 Medicare 5% Limited Data Set.
The proportion of depression diagnosis in patients with poststroke dysphagia was significantly higher than the proportion of depression diagnosis in those without poststroke dysphagia during acute hospitalization: 12.01% versus 9.52%, respectively (
= .003).
Our results demonstrated that persons with poststroke dysphagia were as, or slightly more, likely to have PSD compared to the general stroke population, and to our knowledge, they establish the first reported incidence of PSD in Medicare patients with dysphagia after AIS. Future research is warranted to further explore the effects of PSD on poststroke dysphagia. |
| doi_str_mv | 10.1044/2022_AJSLP-21-00346 |
| format | Article |
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We conducted a retrospective, cross-sectional study of individuals with a primary diagnosis of acute ischemic stroke (AIS) and secondary diagnoses of dysphagia and/or depression using administrative claims data from the 2017 Medicare 5% Limited Data Set.
The proportion of depression diagnosis in patients with poststroke dysphagia was significantly higher than the proportion of depression diagnosis in those without poststroke dysphagia during acute hospitalization: 12.01% versus 9.52%, respectively (
= .003).
Our results demonstrated that persons with poststroke dysphagia were as, or slightly more, likely to have PSD compared to the general stroke population, and to our knowledge, they establish the first reported incidence of PSD in Medicare patients with dysphagia after AIS. Future research is warranted to further explore the effects of PSD on poststroke dysphagia.</description><identifier>ISSN: 1058-0360</identifier><identifier>EISSN: 1558-9110</identifier><identifier>DOI: 10.1044/2022_AJSLP-21-00346</identifier><identifier>PMID: 35858266</identifier><language>eng</language><publisher>United States: American Speech-Language-Hearing Association</publisher><subject>Aged ; Attrition (Research Studies) ; Beneficiaries ; Care and treatment ; Caregivers ; Coding ; Comorbidity ; Cross-Sectional Studies ; Datasets ; Deglutition disorders ; Deglutition Disorders - diagnosis ; Deglutition Disorders - epidemiology ; Deglutition Disorders - etiology ; Depression (Psychology) ; Depression - diagnosis ; Depression - epidemiology ; Depression - etiology ; Depression, Mental ; Diagnosis related groups ; DRGs ; Dysphagia ; Health Care Costs ; Health care policy ; Health insurance ; Health Services ; Helplessness ; Hospitalization ; Hospitals ; Humans ; Incidence ; Ischemia ; Ischemic Stroke ; Length of stay ; Marital Status ; Medicaid ; Medical care ; Medical care, Cost of ; Medical research ; Medicare ; Medicine, Experimental ; Mental depression ; Mortality ; Patients ; Quality management ; Quality of Life ; Retrospective Studies ; Risk Factors ; Stroke ; Stroke (Disease) ; Stroke - diagnosis ; Stroke patients ; United States - epidemiology</subject><ispartof>American journal of speech-language pathology, 2022-07, Vol.31 (4), p.1836-1844</ispartof><rights>COPYRIGHT 2022 American Speech-Language-Hearing Association</rights><rights>Copyright American Speech-Language-Hearing Association Jul 2022</rights><rights>Copyright © 2022 American Speech-Language-Hearing Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c531t-e88702cd92a1756e7d4f7ab9fcf27d48e452a2ea598a2d6292d773cc66d6e3173</citedby><cites>FETCH-LOGICAL-c531t-e88702cd92a1756e7d4f7ab9fcf27d48e452a2ea598a2d6292d773cc66d6e3173</cites><orcidid>0000-0001-6593-8065 ; 0000-0002-3581-4202</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35858266$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Horn, Janet</creatorcontrib><creatorcontrib>Simpson, Kit N</creatorcontrib><creatorcontrib>Simpson, Annie N</creatorcontrib><creatorcontrib>Bonilha, Leonardo F</creatorcontrib><creatorcontrib>Bonilha, Heather S</creatorcontrib><title>Incidence of Poststroke Depression in Patients With Poststroke Dysphagia</title><title>American journal of speech-language pathology</title><addtitle>Am J Speech Lang Pathol</addtitle><description>Poststroke dysphagia and poststroke depression (PSD) can have devastating effects on stroke survivors, including increased burden of care, higher health care costs, poor quality of life, and greater mortality; however, there is a dearth of research examining depression in patients diagnosed with dysphagia after stroke. Thus, we aimed to study the incidence of PSD in patients with poststroke dysphagia to provide foundational knowledge about this patient population.
We conducted a retrospective, cross-sectional study of individuals with a primary diagnosis of acute ischemic stroke (AIS) and secondary diagnoses of dysphagia and/or depression using administrative claims data from the 2017 Medicare 5% Limited Data Set.
The proportion of depression diagnosis in patients with poststroke dysphagia was significantly higher than the proportion of depression diagnosis in those without poststroke dysphagia during acute hospitalization: 12.01% versus 9.52%, respectively (
= .003).
Our results demonstrated that persons with poststroke dysphagia were as, or slightly more, likely to have PSD compared to the general stroke population, and to our knowledge, they establish the first reported incidence of PSD in Medicare patients with dysphagia after AIS. Future research is warranted to further explore the effects of PSD on poststroke dysphagia.</description><subject>Aged</subject><subject>Attrition (Research Studies)</subject><subject>Beneficiaries</subject><subject>Care and treatment</subject><subject>Caregivers</subject><subject>Coding</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Datasets</subject><subject>Deglutition disorders</subject><subject>Deglutition Disorders - diagnosis</subject><subject>Deglutition Disorders - epidemiology</subject><subject>Deglutition Disorders - etiology</subject><subject>Depression (Psychology)</subject><subject>Depression - diagnosis</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Depression, Mental</subject><subject>Diagnosis related groups</subject><subject>DRGs</subject><subject>Dysphagia</subject><subject>Health Care Costs</subject><subject>Health care policy</subject><subject>Health insurance</subject><subject>Health Services</subject><subject>Helplessness</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Ischemia</subject><subject>Ischemic Stroke</subject><subject>Length of stay</subject><subject>Marital Status</subject><subject>Medicaid</subject><subject>Medical care</subject><subject>Medical care, Cost of</subject><subject>Medical research</subject><subject>Medicare</subject><subject>Medicine, Experimental</subject><subject>Mental depression</subject><subject>Mortality</subject><subject>Patients</subject><subject>Quality management</subject><subject>Quality of Life</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Stroke</subject><subject>Stroke (Disease)</subject><subject>Stroke - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of speech-language pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Horn, Janet</au><au>Simpson, Kit N</au><au>Simpson, Annie N</au><au>Bonilha, Leonardo F</au><au>Bonilha, Heather S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence of Poststroke Depression in Patients With Poststroke Dysphagia</atitle><jtitle>American journal of speech-language pathology</jtitle><addtitle>Am J Speech Lang Pathol</addtitle><date>2022-07-01</date><risdate>2022</risdate><volume>31</volume><issue>4</issue><spage>1836</spage><epage>1844</epage><pages>1836-1844</pages><issn>1058-0360</issn><eissn>1558-9110</eissn><abstract>Poststroke dysphagia and poststroke depression (PSD) can have devastating effects on stroke survivors, including increased burden of care, higher health care costs, poor quality of life, and greater mortality; however, there is a dearth of research examining depression in patients diagnosed with dysphagia after stroke. Thus, we aimed to study the incidence of PSD in patients with poststroke dysphagia to provide foundational knowledge about this patient population.
We conducted a retrospective, cross-sectional study of individuals with a primary diagnosis of acute ischemic stroke (AIS) and secondary diagnoses of dysphagia and/or depression using administrative claims data from the 2017 Medicare 5% Limited Data Set.
The proportion of depression diagnosis in patients with poststroke dysphagia was significantly higher than the proportion of depression diagnosis in those without poststroke dysphagia during acute hospitalization: 12.01% versus 9.52%, respectively (
= .003).
Our results demonstrated that persons with poststroke dysphagia were as, or slightly more, likely to have PSD compared to the general stroke population, and to our knowledge, they establish the first reported incidence of PSD in Medicare patients with dysphagia after AIS. Future research is warranted to further explore the effects of PSD on poststroke dysphagia.</abstract><cop>United States</cop><pub>American Speech-Language-Hearing Association</pub><pmid>35858266</pmid><doi>10.1044/2022_AJSLP-21-00346</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-6593-8065</orcidid><orcidid>https://orcid.org/0000-0002-3581-4202</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Attrition (Research Studies) Beneficiaries Care and treatment Caregivers Coding Comorbidity Cross-Sectional Studies Datasets Deglutition disorders Deglutition Disorders - diagnosis Deglutition Disorders - epidemiology Deglutition Disorders - etiology Depression (Psychology) Depression - diagnosis Depression - epidemiology Depression - etiology Depression, Mental Diagnosis related groups DRGs Dysphagia Health Care Costs Health care policy Health insurance Health Services Helplessness Hospitalization Hospitals Humans Incidence Ischemia Ischemic Stroke Length of stay Marital Status Medicaid Medical care Medical care, Cost of Medical research Medicare Medicine, Experimental Mental depression Mortality Patients Quality management Quality of Life Retrospective Studies Risk Factors Stroke Stroke (Disease) Stroke - diagnosis Stroke patients United States - epidemiology |
| title | Incidence of Poststroke Depression in Patients With Poststroke Dysphagia |
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