| Geographic variation in poststroke depression among veterans with acute stroke. | |
| | |
MedLine Citation:
|
PMID: 19165692 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This study compared patterns of poststroke depression (PSD) detection among veterans with acute stroke in eight U.S. geographic regions. Department of Veterans Affairs (VA) medical and pharmacy data as well as Medicare data were used. International Classification of Diseases-9th Revision depression codes and antidepressant medication dispensing were applied to define patients' PSD status 12 months poststroke. Logistic regression models were fit to compare VA PSD diagnosis and overall PSD detection between the regions. The use of VA medical data alone may underestimate the rate of PSD. Geographic variation in PSD detection depended on the data used. If VA medical data alone were used, we found no significant variation. If VA medical data were used along with Medicare and VA pharmacy data, we observed a significant variation in overall PSD detection across the regions after adjusting for potential risk factors. VA clinicians and policy makers need to consider enrollees' use of services outside the system when conducting program evaluation. Future research on PSD among veteran patients should use VA medical data in combination with Medicare and VA pharmacy data to obtain a comprehensive understanding of patients' PSD. |
| | |
Authors:
|
Huanguang Jia; L Douglas Ried; Xinping Wang; Teresa M Damush; Linda J Young; Randi H Cameon; Linda S Williams |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
|
Title: Journal of rehabilitation research and development Volume: 45 ISSN: 1938-1352 ISO Abbreviation: J Rehabil Res Dev Publication Date: 2008 |
Date Detail:
|
Created Date: 2009-01-23 Completed Date: 2009-05-12 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8410047 Medline TA: J Rehabil Res Dev Country: United States |
Other Details:
|
Languages: eng Pagination: 1027-35 Citation Subset: IM |
Affiliation:
|
Department of Veterans Affairs (VA) Stroke Quality Enhancement Research Initiative (QUERI) and VA Rehabilitation Outcomes Research Center Research Enhancement Award Program, Gainesville, FL, USA. Huanguang.Jia@med.va.gov |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aged, 80 and over Cluster Analysis Cross-Sectional Studies Databases, Factual Depression / epidemiology*, etiology* Female Health Status Disparities* Humans Male Middle Aged Odds Ratio Prevalence Stroke / psychology*, rehabilitation United States / epidemiology Veterans |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Prevention of secondary stroke in VA: role of occupational therapists and physical therapists.
Next Document: Content validity of a home-based person-environment interaction assessment tool for visually impaire...