Objectives: To investigate the extent to which the mood of stroke patients is assessed and what kind of assessment methods are used in routine clinical practice, and whether prescheduled follow-ups can improve the detection of depression, particularly when this practice is blended with better education for health care professionals in assessing and detecting depression.
Design: Before-after trial with an 18-month follow-up and a review of medical records.
Setting: Acute care hospital, community.
Participants: Consecutive acute stroke patients (N=398) were screened. Patients lived in a health care district with a population of 132,000. The screening took place in the first half of 2010 and then again, after the implementation of the follow-up system, in the first half of 2012. After exclusion of patients too severely ill to be interviewed, there were n=105 patients in the 2010 sample and n=112 patients in the 2012 sample.
Intervention: Implementation of a follow-up path for all stroke patients.
Main Outcome Measures: The percentage and quality of mood assessments in the medical records; and the stroke patients' depressive symptoms and their satisfaction with their care.
Results: In the 2010 sample, 47% of the patients (n=48) had documentation of mood in their medical records. After the implementation of prescheduled follow-ups, 77% of the patients (n=86) had documented moods. The increase was highly significant (P<.001). During the early outpatient phase, the use of interviews increased from 14% (n=15) to 45% (n=50) of the patients (P<.001). The increase in the satisfaction with care did not reach statistical significance. Depressive symptoms recorded at any time were associated with depressive symptoms at 18 months (P<.001).
Conclusions: Prescheduled follow-ups for all stroke patients, including routine depression screening, can remarkably improve the compliance with depression screening and the detection of depression.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.apmr.2018.04.017 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Outcomes of integrating quitline methodology in tobacco cessation delivered through a model tobacco treatment clinic of a private sector hospital at Rajasthan, India.
Indian J Public Health
October 2021
Professor of Health Management, Department of Community Medicine, School of Public Health, PGIMER, Chandigarh, India.
India despite progress in tobacco cessation delivery in government sector has lagged in private health sector. Adopting a two-fold approach of intensive intervention-based counseling with (or without) pharmacotherapy; and prescheduled proactive follow-ups over the subsequent year, this study reports 337 tobacco patients, each followed for a period of 1 year. It observed a quit rate (QR) of 40.
View Article and Find Full Text PDFImplementation of Prescheduled Follow-Ups With Education Improve Poststroke Depression Screening Compliance in Routine Clinical Practice.
Arch Phys Med Rehabil
November 2018
Neurological Unit, South Karelia Central Hospital, South Karelia Social and Health Care District, Lappeenranta, Finland.
Objectives: To investigate the extent to which the mood of stroke patients is assessed and what kind of assessment methods are used in routine clinical practice, and whether prescheduled follow-ups can improve the detection of depression, particularly when this practice is blended with better education for health care professionals in assessing and detecting depression.
Design: Before-after trial with an 18-month follow-up and a review of medical records.
Setting: Acute care hospital, community.
Detection of recurrence in early stage endometrial cancer - the role of symptoms and routine follow-up.
Acta Oncol
February 2017
a Department of Gynaecology and Obstetrics, Faculty of Health Sciences , Odense University Hospital, Clinical Institute, University of Southern Denmark, Odense , Denmark.
Background: Considerable controversy remains as to the optimal organization of endometrial cancer follow-up.
Aim: To evaluate the relationship between the way recurrence was detected and survival after treatment for endometrial cancer. Further, to identify characteristics associated with a pre-scheduled examination in women with symptomatic recurrence.
Non-invasive programmed stimulation to identify high-risk patients with implanted cardioverter defibrillator (the NIPS-ICD study): study protocol for a randomized controlled trial.
Trials
January 2016
Invasive Cardiology Department, St. Joseph's Heart Centre, Anny Jagiellonki 17, 35-623, Rzeszów, Poland.
Background: The use of an implantable cardioverter defibrillator (ICD) is a widely used and effective therapy, which reduces the risk of cardiac death in many cardiac diseases, both implanted for secondary and primary prevention. However, recurrent arrhythmias and ICD discharges have adverse prognostic significance. Additional parameters that would identify patients who are at increased risk of arrhythmias and appropriate ICD interventions would be of clinical value.
View Article and Find Full Text PDFRegression modeling of longitudinal data with outcome-dependent observation times: extensions and comparative evaluation.
Stat Med
November 2014
Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA, U.S.A.
Conventional longitudinal data analysis methods assume that outcomes are independent of the data-collection schedule. However, the independence assumption may be violated, for example, when a specific treatment necessitates a different follow-up schedule than the control arm or when adverse events trigger additional physician visits in between prescheduled follow-ups. Dependence between outcomes and observation times may introduce bias when estimating the marginal association of covariates on outcomes using a standard longitudinal regression model.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!