136
Informaciones
Psiquiátricas
2017 - n.º 228
estadística entre los pacientes que tomaban
tratamiento antidepresivo previo al ictus e
incidencia de DPI al ingreso. También se en-
contró significación en la utilización de la
escala de Cornell para la detección de DPI.
No se encontró relación de la DPI al ingre-
so con el resto de las variables sexo, edad,
tiempo desde el ictus al ingreso en convale-
cencia, días de ingreso, tipos de ictus, tra-
tamiento antidepresivo, antipsicótico, an-
tiepiléptico o con benzodiacepinas durante
el ingreso o con la funcionalidad(IB) tanto
previa al ingreso, al ingreso , al alta o con
la ganancia funcional. Con respecto a la va-
loración de la escala de Cornell en nuestros
pacientes, se determinó que el mejor punto
de corte para la detección de DPI fue 4.
Conclusiones:
Confirmamos en el estudio
la alta prevalencia de DPI en fase subaguda,
la utilidad de la escala de Cornell, el esta-
blecimiento de una puntuación de 4 para la
detección de DPI.
Palabras clave:
Ictus. Depresión post-ic-
tus, deterioro cognitivo, escala de Cornell,
pronostico funcional post-ictus.
Abstract
Introduction:
Post-stroke depression (PSD)
is a frequent occurrence that may be particu-
larly important in the functional recovery of
patients and affect their quality of life.
Objectives:
To know the prevalence of
PSD in subacute phase in patients with
cognitive impairment. Determine their in-
fluence on functional recovery. Identify that
other clinical variables were associated with
PSD. To evaluate the Cornell scale for the
detection of PSD in our sample.
Methodology:
Retrospective observatio-
nal study in which sociodemographic, phar-
macological and clinical data were collected,
including a cognitive assessment using the
Mini Cognitive Examination of Lobo(MEC), a
functional status assessment using the Bar-
thel Index [IB] and An affective assessment
to detect PSD. It was established according
to Clinical Criteria DSM-IV (Diagnostic and
Statistical Manual of Mental Disorders, Four-
th Edition) and using the Cornell scale. The
data were collected upon admission to the
half-stay Unit of a Sociosanitary Center, du-
ring hospitalization and discharge. The in-
clusion period was two years.
Results:
Of the 124 patients who were
admitted with a diagnosis of stroke, 52 pa-
tients were included in the study. A preva-
lence of depression of 44.2% was determi-
ned at admission. A statistical relationship
was found between patients taking antide-
pressant treatment prior to stroke and in-
cidence of PSD at admission. Significance
was also found in the use of the Cornell
scale for the detection of PSD. There was
no relationship of PSD with the rest of the
variables: gender, age, time from stroke
to adminssion at the half-stay unit, days
of admission, types of stroke, antidepres-
sant, antipsychotic, antiepileptic or ben-
zodiazepine treatment during admission or
with the functionality (IB) both admission,
during the admission and discharge of the
unit. Regarding the evaluation of the Cor-
nell scale in our patients, it was determined
that the best cut-off point for the detec-
tion of PSD was 4.
Conclusions:
We confirmed in the study
the high prevalence of IPD in subacute pha-
se, the utility of the scale Of Cornell, set-
ting a score of 4 for the detection of IPD.
Key words:
Stroke. Post-stroke depression,
cognitive impairment and function, cornell
scale, post-stroke functional prognosis.
Beatriz Martínez Luis
