Abstract T P330: Depression Cognition Screens
Introduction/Background: Evidence suggests that approximately 1/3 of stroke survivors suffer from post stroke depression (PSD) and changes to their cognition. Delay in identifying these patients can effect rehabilitation resulting in poorer functional outcomes, reduced cognitive performance and possibly increase mortality. PSD can occur in all phases of stroke recovery with a peak incidence at 3 - 6 months. Early diagnosis is essential so to apply effective treatment or interventions that can result in enhanced recovery. As a Comprehensive Stroke Center, we at Cedar Sinai hospital are charged with the task of efficiently indentifying patients that are at risk by administrating the Patient Health Questionnaire (PHQ 2) to those who can participate.
Research Question: Does administering the PHQ 2 during the acute phase of stroke/TIA adequately identify those at risk for Depression and cognitive decline?
Methods: Plan: As per Joint Commission standard, depression cognition screens are to be conducted prior to discharge.
Do: Chose a tool that efficiently and skillfully identifies patients at risk.
Study: Analyze the results.
Act: Administer the PHQ 2 to those patients who have the capacity. For those patients that have a positive screen, notify their primary care provider for further evaluation or possible intervention.
Conclusions: We retrospectively reviewed from September 2012 to September 2013 Stroke/TIA patients that had the capacity to participate in the PHQ 2 Depression Cognition screen. We identified that of 442 patients that completed the screen, 43 or 9.7% had depression screen of 3 or greater or demonstrated cognitive decline with score of 1 or less. If not for these evaluations these patient may have not been identified so to assure follow-up and/or treatment which could improve functional outcomes for this patient population. Furthermore it demonstrates the need for continued reevaluation since the incidence of this issue has not reached its peak.
Author Disclosures: B. Robertson: None. L. Paletz: None. N. Steiner: None. N. Wolber: None. S. Guerra: None. M. Stern: None.
- © 2015 by American Heart Association, Inc.