Reader Response: Risk and Predictors of Depression Following Acute Ischemic Stroke in the Elderly. (2nd November 2021)

• Record Type: Journal Article
• Authors: Patel, Krupa; Trivedi, Chintan; Mansuri, Zeeshan; Jain, Shailesh
• Is Part Of: Neurology. Volume 97:Number 18(2021)
• Page Start: 879
• Page End: 880
• Publication Date: 2021-11-02
• Subjects: Neurology -- Periodicals; Neurology -- Periodicals; Neurologie -- Périodiques; 616.8
• DOI: 10.1212/WNL.0000000000012788
• Languages: English
• ISSNs: 0028-3878

Abstract

Abstract : We read with great interest the article by Mayman et al. 1 that showed a 55% greater risk of poststroke depression (PSD) than postmyocardial infarction depression. We suggest additional information that can be helpful for clinicians and researchers. First, Mayman et al. 1 provided a combined analysis of Medicare inpatient, outpatient, and subacute nursing facility data. Transient mood changes, such as adjustment disorder with depressed mood, can influence screening for clinical depression in acute settings. 2 Some variability in PSD rates may be noted based on the specific evaluation setting—for example, an inpatient hospital, a rehab center, or an outpatient clinic. 3, 4 We suggest stratified PSD analysis in different settings or adding treatment settings as a covariate in the regression analysis.