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Does the severity of depressive symptoms after stroke affect long-term survival? An 18-year follow-up

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  • Mónika Kellermann
  • Roland Berecz
  • Dániel Bereczki

Abstract

Objective: We tested whether the severity of depressive symptoms in acute stroke and 4 years later are predictors of long-time survival. Method: We evaluated the severity of stroke in 82 patients with acute stroke by the Barthel index, the Scandinavian Stroke Scale and the Orgogozo scale, and we also quantified the severity of depressive symptoms by the Beck and the Hamilton scales in the first week of stroke, in 1995. We re-evaluated the scales 4 years after stroke in 41 out of 48 survivors. We checked the survival status of the initial cohort 18 years after stroke. In the assessment Kaplan-Meier graphs were constructed and the outcomes between groups were compared with log-rank tests. Results: Clinically important depressive symptoms (≥10 on the Beck scale) was present in 16 patients (19,5%) with acute stroke one week after admission. Case fatality was 41% at 4 years and 84% at 18 years after stroke. Those patients who survived at 4 years were significantly younger (p

Suggested Citation

  • Mónika Kellermann & Roland Berecz & Dániel Bereczki, 2018. "Does the severity of depressive symptoms after stroke affect long-term survival? An 18-year follow-up," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-11, December.
    • Handle: RePEc:plo:pone00:0209157
    DOI: 10.1371/journal.pone.0209157
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