Increased anxiety and depression symptoms in post-acute care patients with stroke during the COVID-19 pandemic

Hsiang Yun Chou, Yu Chun Lo, Ya Wen Tsai, Chia Li Shih, Chieh Ting Yeh

Research output: Contribution to journalArticlepeer-review

Abstract

This study aimed to explore the quality and stability of post-acute care for patients with stroke, including their functional outcomes, mental health and medical care in Taiwan during the COVID-19 pandemic. In this retrospective case–control study—based on propensity score matching— we assessed 11 patients admitted during the pandemic period (in 2021) and 11 patients admitted during the non-pandemic period (in 2020). Functional outcomes, including the scores of the modified Rankin Scale, Barthel Index, EuroQoL-5 Dimension, Lawton–Brody instrumental activities of daily living, Berg Balance Scale, 5-metre walking speed and 6-min walking distance, were determined. Data on the length of acute care, length of post-acute care, destination after discharge and 14-days readmission were used to evaluate the quality of medical care. The Wilcoxon signed-rank test was used to compare functional performance before and after rehabilitation. The pandemic group showed no significant improvement in the scores of EuroQoL-5 Dimension, a self-reported health status assessment (p = 0.13), with the anxiety or depression dimension showing a negative effect (r = 0.21). Post-acute care programmes can efficiently improve the functional performance of patients with stroke during the COVID-19 pandemic in Taiwan. Mental health should therefore be simultaneously maintained while rehabilitating physical function.

Original languageEnglish
Article number162
JournalInternational journal of environmental research and public health
Volume19
Issue number1
DOIs
Publication statusPublished - Jan 1 2022

Keywords

  • Anxiety
  • COVID-19
  • Depression
  • Functional outcome
  • Mental health
  • Post-acute care
  • Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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