title: Early depression screening is feasible in hospitalized stroke patients.
abstract: OBJECTIVE
  Post-stroke depression (PSD) is common but is not routinely assessed for in hospitalized patients. As a Comprehensive Stroke Center, we screen all stroke inpatients for depression, though the feasibility of early screening has not been established. We assessed the hypothesis that early depression screening in stroke patients is feasible. We also explored patient level factors associated with being screened for PSD and the presence of early PSD.
  
  
  METHODS
  The medical records of all patients admitted with ischemic stroke (IS) or intracerebral hemorrhage (ICH) between 01/02/13 and 15/04/13 were reviewed. A depression screen, modified from the Patient Health Questionnaire-9, was administered (maximum score 27, higher scores indicating worse depression). Patients were eligible if they did not have a medical condition precluding screening. Feasibility was defined as screening 75% of all eligible patients.
  
  
  RESULTS
  Of 303 IS and ICH inpatients, 70% (211) were eligible for screening, and 75% (158) of all eligible patients were screened. More than one-third of all patients screened positive for depression (score > 4). Women (OR 2.06, 95% CI 1.06-4.01) and younger patients (OR 0.97, 95% CI 0.96-0.99) were more likely to screen positive. Screening positive was not associated with poor discharge/day 7 outcome (mRS > 3; OR 1.45, 95% CI 0.74-2.83).
  
  
  CONCLUSIONS
  Screening stroke inpatients for depression is feasible and early depression after stroke is common. Women and younger patients are more likely to experience early PSD. Our results provide preliminary evidence supporting continued screening for depression in hospitalized stroke patients.
authors.affiliation: Department of Neurology, Stroke Program, University of Texas-Houston Medical School, Houston, TX, United States of America.
authors.forename: Rahul R
authors.initials: RR
authors.lastname: Karamchandani
authors.affiliation: Department of Neurology, Stroke Program, University of Texas-Houston Medical School, Houston, TX, United States of America.
authors.forename: Farhaan
authors.initials: F
authors.lastname: Vahidy
authors.affiliation: Department of Neurology, Stroke Program, University of Texas-Houston Medical School, Houston, TX, United States of America.
authors.forename: Suhas
authors.initials: S
authors.lastname: Bajgur
authors.affiliation: Memorial Hermann Hospital, Texas Medical Center, Houston, TX, United States of America.
authors.forename: Kim Yen Thi
authors.initials: KY
authors.lastname: Vu
authors.affiliation: Department of Neurology, University of Texas-Houston Medical School, Houston, TX, United States of America; Department of Neurosurgery, University of Texas-Houston Medical School, Houston, TX, United States of America.
authors.forename: H Alex
authors.initials: HA
authors.lastname: Choi
authors.affiliation: Department of Neurology, Stroke Program, University of Texas-Houston Medical School, Houston, TX, United States of America.
authors.forename: Robert Kirk
authors.initials: RK
authors.lastname: Hamilton
authors.affiliation: Division of Clinical and Translational Sciences, Department of Internal Medicine, University of Texas-Houston Medical School, Houston, TX, United States of America; Division of Epidemiology, Human Genetics, and Environmental Sciences, the University of Texas School of Public Health at Houston, Houston, TX, United States of America.
authors.forename: Mohammad H
authors.initials: MH
authors.lastname: Rahbar
authors.affiliation: Department of Neurology, Stroke Program, University of Texas-Houston Medical School, Houston, TX, United States of America.
authors.forename: Sean I
authors.initials: SI
authors.lastname: Savitz
mesh_terms: D015897:Comorbidity; D003710:Demography; D003863:Depression / Q000175:diagnosis* / Q000209:etiology*; D042241:Early Diagnosis; D005240:Feasibility Studies; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D020127:Recovery of Function; D012307:Risk Factors; D020521:Stroke / Q000150:complications* / Q000503:physiopathology; D011795:Surveys and Questionnaires