Impact of psychiatric comorbidity on the severity, short-term functional outcome, and psychiatric complications after acute stroke
Background and purpose: The comorbidity of psychiatric disorders and cerebrovascular disease appears to be complex with underlying bidirectional influences. Hitherto, research has focused mainly on the evaluation of stroke risk in particular psychiatric disorders; only a few studies have assessed th...
Gespeichert in:
| Hauptverfasser: | , , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2019
|
| In: |
Neuropsychiatric disease and treatment
Year: 2019, Jahrgang: 15, Pages: 1823-1831 |
| ISSN: | 1178-2021 |
| DOI: | 10.2147/NDT.S206771 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: http://dx.doi.org/10.2147/NDT.S206771
|
| Verfasserangaben: | Carolin Hoyer, Hanna Luise Schmidt, Laura Kranaster, Angelika Alonso |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1681954532 | ||
| 003 | DE-627 | ||
| 005 | 20230428191321.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 191115s2019 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.2147/NDT.S206771 |2 doi | |
| 035 | |a (DE-627)1681954532 | ||
| 035 | |a (DE-599)KXP1681954532 | ||
| 035 | |a (OCoLC)1341250817 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Hoyer, Carolin |d 1976- |e VerfasserIn |0 (DE-588)136673562 |0 (DE-627)694568090 |0 (DE-576)301202133 |4 aut | |
| 245 | 1 | 0 | |a Impact of psychiatric comorbidity on the severity, short-term functional outcome, and psychiatric complications after acute stroke |c Carolin Hoyer, Hanna Luise Schmidt, Laura Kranaster, Angelika Alonso |
| 264 | 1 | |c 2019 | |
| 300 | |a 9 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 15.11.2019 | ||
| 520 | |a Background and purpose: The comorbidity of psychiatric disorders and cerebrovascular disease appears to be complex with underlying bidirectional influences. Hitherto, research has focused mainly on the evaluation of stroke risk in particular psychiatric disorders; only a few studies have assessed their role in the acute natural history of stroke. The aim of this study was to provide a perspective on psychiatric premorbidity and its impact on stroke severity, psychiatric complications during the initial treatment phase, and the short-term functional outcome of stroke. Patients and methods: We retrospectively studied the impact of a predocumented psychiatric diagnosis (PDPD) on stroke severity, short-term functional outcome, and psychiatric complications in a sample of 798 patients consecutively admitted for acute ischemic or hemorrhagic stroke by performing a chart review. Group comparisons (PDPD vs non-PDPD) with adjustment for covariates were carried out either using multivariate analysis of variance or logistic regression analysis. Results: More severe strokes (ie, mean National Institute of Health Stroke Scale score on admission 10.1 +/- 7.9 vs 7.5 +/- 7.4; F(10,796)=18.5, p<0.0001) and higher prevalence of poor outcome (73.7 vs 54.9%; OR: 2.6, standard error: 0.5, z=4.82, p<0.0001) was found in patients with a documented psychiatric diagnosis at the time of stroke, as well as a higher rate of psychiatric complications during the initial treatment phase (46.7 vs 28.9%; OR: -0.78, z=4.59, p<0.0001). Conclusion: Our data have clinical implications in that they call for identification of psychiatric premorbidity or comorbidity through careful history-taking and particularly close monitoring for psychiatric complications with respect to their potentially negative impact on outcome after stroke. | ||
| 650 | 4 | |a alcohol-consumption | |
| 650 | 4 | |a bipolar disorder | |
| 650 | 4 | |a comorbidity | |
| 650 | 4 | |a depression | |
| 650 | 4 | |a disability | |
| 650 | 4 | |a disease | |
| 650 | 4 | |a metaanalysis | |
| 650 | 4 | |a mortality | |
| 650 | 4 | |a myocardial-infarction | |
| 650 | 4 | |a psychiatric disorder | |
| 650 | 4 | |a risk-factors | |
| 650 | 4 | |a smoking | |
| 650 | 4 | |a stroke | |
| 700 | 1 | |a Schmidt, Hanna |d 1993- |e VerfasserIn |0 (DE-588)1199640670 |0 (DE-627)1681955873 |4 aut | |
| 700 | 1 | |a Kranaster, Laura |d 1978- |e VerfasserIn |0 (DE-588)130370851 |0 (DE-627)500426503 |0 (DE-576)298155052 |4 aut | |
| 700 | 1 | |a Alonso, Angelika |d 1977- |e VerfasserIn |0 (DE-588)1025166795 |0 (DE-627)721355315 |0 (DE-576)370025865 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Neuropsychiatric disease and treatment |d Albany, Auckland : Dove Medical Press, 2005 |g 15(2019), Seite 1823-1831 |h Online-Ressource |w (DE-627)481905693 |w (DE-600)2180554-4 |w (DE-576)328188360 |x 1178-2021 |7 nnas |a Impact of psychiatric comorbidity on the severity, short-term functional outcome, and psychiatric complications after acute stroke |
| 773 | 1 | 8 | |g volume:15 |g year:2019 |g pages:1823-1831 |g extent:9 |a Impact of psychiatric comorbidity on the severity, short-term functional outcome, and psychiatric complications after acute stroke |
| 856 | 4 | 0 | |u http://dx.doi.org/10.2147/NDT.S206771 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20191115 | ||
| 993 | |a Article | ||
| 994 | |a 2019 | ||
| 998 | |g 1025166795 |a Alonso, Angelika |m 1025166795:Alonso, Angelika |d 60000 |d 62700 |e 60000PA1025166795 |e 62700PA1025166795 |k 0/60000/ |k 1/60000/62700/ |p 4 |y j | ||
| 998 | |g 130370851 |a Kranaster, Laura |m 130370851:Kranaster, Laura |d 60000 |e 60000PK130370851 |k 0/60000/ |p 3 | ||
| 998 | |g 1199640670 |a Schmidt, Hanna |m 1199640670:Schmidt, Hanna |d 60000 |e 60000PS1199640670 |k 0/60000/ |p 2 | ||
| 998 | |g 136673562 |a Hoyer, Carolin |m 136673562:Hoyer, Carolin |d 60000 |d 62700 |e 60000PH136673562 |e 62700PH136673562 |k 0/60000/ |k 1/60000/62700/ |p 1 |x j | ||
| 999 | |a KXP-PPN1681954532 |e 354056781X | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"origin":[{"dateIssuedDisp":"2019","dateIssuedKey":"2019"}],"recId":"1681954532","name":{"displayForm":["Carolin Hoyer, Hanna Luise Schmidt, Laura Kranaster, Angelika Alonso"]},"note":["Gesehen am 15.11.2019"],"physDesc":[{"extent":"9 S."}],"type":{"media":"Online-Ressource","bibl":"article-journal"},"id":{"doi":["10.2147/NDT.S206771"],"eki":["1681954532"]},"title":[{"title_sort":"Impact of psychiatric comorbidity on the severity, short-term functional outcome, and psychiatric complications after acute stroke","title":"Impact of psychiatric comorbidity on the severity, short-term functional outcome, and psychiatric complications after acute stroke"}],"relHost":[{"language":["eng"],"physDesc":[{"extent":"Online-Ressource"}],"title":[{"title":"Neuropsychiatric disease and treatment","subtitle":"official journal of the International Neuropsychiatric Association (INA)","title_sort":"Neuropsychiatric disease and treatment"}],"note":["Gesehen am 28.11.12"],"disp":"Impact of psychiatric comorbidity on the severity, short-term functional outcome, and psychiatric complications after acute strokeNeuropsychiatric disease and treatment","type":{"media":"Online-Ressource","bibl":"periodical"},"id":{"eki":["481905693"],"zdb":["2180554-4"],"issn":["1178-2021"]},"part":{"volume":"15","extent":"9","year":"2019","pages":"1823-1831","text":"15(2019), Seite 1823-1831"},"pubHistory":["1.2005 -"],"recId":"481905693","titleAlt":[{"title":"Journal of neuropsychiatric disease and treatment"}],"origin":[{"dateIssuedKey":"2005","publisherPlace":"Albany, Auckland","publisher":"Dove Medical Press","dateIssuedDisp":"2005-"}]}],"person":[{"family":"Hoyer","given":"Carolin","display":"Hoyer, Carolin","role":"aut"},{"display":"Schmidt, Hanna","role":"aut","family":"Schmidt","given":"Hanna"},{"display":"Kranaster, Laura","role":"aut","family":"Kranaster","given":"Laura"},{"family":"Alonso","given":"Angelika","display":"Alonso, Angelika","role":"aut"}],"language":["eng"]} | ||
| SRT | |a HOYERCAROLIMPACTOFPS2019 | ||