原创力文档association between mental health conditions and rehospitalization, mortality, and functional outcomes in patients with stroke following inpatient rehabilitation心理健康状况之间的联系和再入院治疗,患者的死亡率,和功能结果中风住院病人康复.pdfVIP
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association between mental health conditions and rehospitalization, mortality, and functional outcomes in patients with stroke following inpatient rehabilitation心理健康状况之间的联系和再入院治疗,患者的死亡率,和功能结果中风住院病人康复
Dossa et al. BMC Health Services Research 2011, 11:311
/1472-6963/11/311
RESEARCH ARTICLE Open Access
Association between mental health conditions
and rehospitalization, mortality, and functional
outcomes in patients with stroke following
inpatient rehabilitation
Almas Dossa1,2*†, Mark E Glickman1,2† and Dan Berlowitz1,2†
Abstract
Background: Limited evidence exists regarding the association of pre-existing mental health conditions in patients
with stroke and stroke outcomes such as rehospitalization, mortality, and function. We examined the association
between mental health conditions and rehospitalization, mortality, and functional outcomes in patients with stroke
following inpatient rehabilitation.
Methods: Our observational study used the 2001 VA Integrated Stroke Outcomes database of 2162 patients with
stroke who underwent rehabilitation at a Veterans Affairs Medical Center.
Separate models were fit to our outcome measures that included 6-month rehospitalization or death, 6-month
mortality post-discharge, and functional outcomes post inpatient rehabilitation as a function of number and type
of mental health conditions. The models controlled for patient socio-demographics, length of stay, functional
status, and rehabilitation setting.
Results: Patients had an average age of 68 years. Patients with stroke and two or more mental health conditions
were more likely to be readmitted or die compared to patients with no conditions (OR: 1.44, p = 0.04). Depression
and anxiety were associated with a greater likelihood of rehospitalization or death (OR: 1.33, p = 0.04; OR:1.47, p =
0.03). Patients with anxiety were more likely to die at six months (OR: 2.49, p = 0.001).
Conclusions: Patients with stroke with pre-existing mental health conditions may need additional psychotherapy
interventions, which may potential
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