Abstract T P129: Depression Differs by Race among Stroke Survivors Receiving Inpatient Rehabilitation
Background: Depression is associated with increased mortality and morbidity post-stroke and can adversely impact functional recovery. To-date, studies of depression among stroke survivors receiving inpatient rehabilitation have not examined whether the prevalence differs by race.
Methods: This retrospective cohort study included patients who received inpatient rehabilitation care after an acute stroke in 2009-2011 at one of three facilities that are part of a comprehensive health system. Presence of depressive symptomology either pre- or post-stroke was identified in the neuropsychological assessment or discharge summary. Absence of documentation of depression, depression symptomology or challenges with adjustment was coded for analyses as “no depression.” Descriptive analyses compared presence of depression by race (White, African American, or Other Race/Ethnicity including American Indian, Alaska Native, Asian, Hispanic/Latino, Native Hawaiian/Other Pacific Islander). Patient characteristics were examined to describe depressed patients of each race.
Results: Among 1491 stroke survivors (61.2% White, 34.0% African American, 4.8% other race/ethnicity), 29.7% had documentation of depression. Difference by race was significant (p<0.001). Prevalence of depression was highest (34.9%) among Whites (38.0% pre-morbid). Depression was documented among 22.1% of African Americans (33.0% pre-morbid). Only 16.9% of other race/ethnicity patients had depression and all were new onset post-stroke (no pre-morbid depression). Compared to those without depression pre- or post-stroke, it was more common for Whites and African Americans with depression (but not patients of other race/ethnicity) to be younger and female. Differences by stroke type, days since onset, impairment group, medical comorbidities, post-stroke complications and deficits were not statistically significant.
Conclusion: Depression was documented in almost a third of stroke survivors who received inpatient rehabilitation, and highest among Whites compared with African Americans and patients of other race/ethnicity. Outcomes research by race is needed and exploration of how rehabilitation care can be modified to minimize any negative impact of depression.
Author Disclosures: G.M. Harris: None. J. Thomas: None. V. Nguyen: None. M.A. Hirsch: None. T. Guerrier: None. D. Hamm: None. T. Pugh: None. C. Pereira: None. J.P. Bettger: None.
- © 2015 by American Heart Association, Inc.