Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic

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.

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From hospital to post-acute care organizations: the relationship between patient experience and health recovery

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzaa095 ◽

2020 ◽

Vol 32 (9) ◽

pp. 585-590

Author(s):

Generosa Do Nascimento ◽

Francisco Guilherme Nunes ◽

Janet E Anderson

Keyword(s):

Mental Health ◽

Health Status ◽

Acute Care ◽

Patient Experience ◽

Short Form ◽

Mental Health Status ◽

Patient Questionnaire ◽

Discharge Process ◽

Physical And Mental Health ◽

Post Acute Care

Abstract Objective To determine to what extent patient health status and recovery in post-acute care organizations (PACO) is related to patient experience of the discharge process from hospital and to patient experience while staying in these facilities. Design Longitudinal study of patients discharged from hospitals to PACO. Setting 12 hospitals and 14 PACO Portuguese organizations. Participants 181 patients participated in the both stages of data gathering. Main Outcome Measures Patients’ physical and mental health status was measured through the 36-item short form health survey scale. The experience of transition from hospital to PACO was measured with the Care Transition Measure. The Picker Adult In-Patient Questionnaire was used to measure patients’ experience in these organizations. Results Patients reporting better physical condition in PACO had a better experience on discharge [b = 0.21, 95% confidence interval, CI (0.10, 0.31)] and perceive fewer problems inside facilities [b = − 0.19, 95% CI (−0.31, 0.08)]. The experience in PACO is significantly related to patients’ mental health status [b = − 0.47, 95% CI (−0.59, − 0.36)]. Patients showing higher levels of physical recovery had a better experience on discharge [b = − 0.18, 95% CI (0.08, 0.28)], while those registering better mental recovery experienced fewer problems during their stay [b = − 0.41, 95% CI (−0.52, − 0.30)]. Conclusions PACO play a key role in maintaining and promoting patients’ health, and this goal is influenced by their experience both in the transition from hospitals to PACO and while staying in these facilities.

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1.65 Use of Post-Acute Care Following Acute Care Hospitalization for Mental Health Conditions in Children and Adolescents

Journal of the American Academy of Child & Adolescent Psychiatry ◽

10.1016/j.jaac.2017.09.079 ◽

2017 ◽

Vol 56 (10) ◽

pp. S175

Author(s):

James Gay ◽

Bonnie T. Zima ◽

Stephanie Doupnik ◽

Tumaini R. Coker ◽

Matt Hall ◽

...

Keyword(s):

Mental Health ◽

Children And Adolescents ◽

Acute Care ◽

Health Conditions ◽

Mental Health Conditions ◽

Post Acute Care

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Physical Rehabilitation and Mental Health Care after Burn Injury: A Multi-Nation Study

Journal of Burn Care & Research ◽

10.1093/jbcr/irab214 ◽

2021 ◽

Author(s):

Lewis E Kazis ◽

Alan Sager ◽

Hannah M Bailey ◽

Ananya Vasudevan ◽

Brigid Garrity ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Acute Care ◽

Acute Hospital ◽

Physical Rehabilitation ◽

Burn Care ◽

Burn Survivors ◽

Post Acute Care

Abstract While remarkable improvements have been made to acute hospital burn care in recent decades, it is not matched by improvements in post-acute care, including physical rehabilitation and mental health. Progress in acute hospital treatment of burn survivors now highlights the next important step—addressing care once a patient leaves intensive treatment and is discharged to the community. Long-term physical rehabilitation and mental health services are vital to improving quality of life for burn survivors. Using qualitative methods, we apply the adapted Reeve framework to assess and compare post-acute physical rehabilitation and mental health care across thirteen countries on six continents. Twenty semi-structured interviews were conducted with burn surgeons and rehabilitation specialists. One major theme that emerged was the importance of training and resources to the quality of post-acute care. This exploratory study suggests the value of investing scarce resources in a range of low-cost interventions to improve follow-up burn care. One intervention identified here is short-term training in post-acute rehabilitation and mental health to upgrade and standardize best clinical practices to address as-yet unmet post-discharge needs of burn survivors.

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Functional outcomes of severe COVID-19 patients after a post-acute care hospitalization

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2021.09.007 ◽

2021 ◽

Author(s):

Joao Gabriel Rosa Ramos ◽

Larrie Rabelo Laporte ◽

Flaviane Ribeiro de Souza ◽

Lucas Freire de Andrade

Keyword(s):

Acute Care ◽

Functional Outcomes ◽

Post Acute Care

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The congressional mandate: standardised post-acute care quality measures

International Journal of Therapy and Rehabilitation ◽

10.12968/ijtr.2019.0028 ◽

2019 ◽

Vol 26 (8) ◽

pp. 1-10

Author(s):

Christine Kroll ◽

Thomas Fisher

Keyword(s):

Length Of Stay ◽

Acute Care ◽

Functional Outcomes ◽

Care Quality ◽

Skilled Nursing Facilities ◽

Rehabilitation Services ◽

Nursing Facilities ◽

Data Set ◽

Skilled Nursing ◽

Post Acute Care

Background/Aims This study describes the relationships between rehabilitation services intensity, post-acute care measures of Functional Performance Change, and length of stay for episodes of care provided in 93 skilled nursing facilities in the US. Methods The study used a secondary analysis of existing data on Medicare beneficiaries admitted to skilled nursing facilities from acute hospitals (n=518) who subsequently returned to the community. Data were selected from Minimum Data Set Section GG items reported by therapists. Results Statistically significant correlations were identified between rehabilitation services intensity and functional outcomes (P<0.001); and between rehabilitation intensity, medical condition, and length of stay (P<0.001) for rehabilitation patients in skilled nursing facilities. Conclusions The intensity of occupational and physical rehabilitation therapy services correlate with patients achieving higher functional outcomes, specifically improvement in self-care and mobility.

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Mental health of new undergraduate students before and after COVID-19 in China

Scientific Reports ◽

10.1038/s41598-021-98140-3 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Peng Lu ◽

Lei Yang ◽

Chongjian Wang ◽

Guoxin Xia ◽

Hao Xiang ◽

...

Keyword(s):

Mental Health ◽

Longitudinal Study ◽

Health Status ◽

Sleep Quality ◽

Undergraduate Students ◽

Anxiety And Depression ◽

Rank Test ◽

Depression Symptoms ◽

Signed Rank ◽

Signed Rank Test

AbstractThe purpose of this study was to examine the changes in severity of anxiety and depression symptoms, stress and sleeping quality after three months of mass quarantine for COVID-19 among undergraduate fresh students compared to their pre-COVID-19 measures. We used participants from the Chinese Undergraduate Cohort (CUC), a national prospective longitudinal study to examine the changes in anxiety and depression symptoms severity, stress and sleep quality after being under mass quarantine for three months. Wilcoxon matched pair signed-rank test was used to compare the lifestyle indicators. Severity of anxiety, depression symptoms, stress and sleep quality were compared with Wilcoxon signed-rank test. We used generalized estimating equation (GEE) to further quantify the change in mental health indicators and sleep quality after the COVID-19 mass quarantine compared to baseline. This study found that there was no deterioration in mental health status among Chinese new undergraduate students in 2020 after COVID-19 mass quarantine compared with the baseline measures in 2019. There was an improvement in sleep quality and anxiety symptoms. After adjusting for age, sex, exercise habit, time spent on mobile gadgets, and time spent outdoors, year 2020 was significantly associated with severity of depression symptoms in males (OR:1.52. 95%CI:1.05–2.20, p-value = 0.027). Year 2020 was significantly associated with the improvement of sleeping quality in total (OR:0.45, 95%CI:0.38–0.52, p < 0.001) and in all the subgroups. This longitudinal study found no deterioration in mental health status among Chinese new undergraduate students after three months of mass quarantine for COVID-19.

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Prevalence of Self-Reported Depression Symptoms and Perceived Anxiety Among Community-Dwelling U.S. Adults Reporting Tinnitus

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-19-00178 ◽

2020 ◽

Vol 5 (4) ◽

pp. 959-970

Author(s):

Kelly M. Reavis ◽

James A. Henry ◽

Lynn M. Marshall ◽

Kathleen F. Carlson

Keyword(s):

Mental Health ◽

Fold Increase ◽

Community Dwelling ◽

Self Report ◽

Depression Symptoms ◽

Community Based Interventions ◽

Data Set ◽

Health Distress ◽

Validated Questionnaire ◽

Mental Health Distress

Purpose The aim of this study was to examine the relationship between tinnitus and self-reported mental health distress, namely, depression symptoms and perceived anxiety, in adults who participated in the National Health and Nutrition Examinations Survey between 2009 and 2012. A secondary aim was to determine if a history of serving in the military modified the associations between tinnitus and mental health distress. Method This was a cross-sectional study design of a national data set that included 5,550 U.S. community-dwelling adults ages 20 years and older, 12.7% of whom were military Veterans. Bivariable and multivariable logistic regression was used to estimate the association between tinnitus and mental health distress. All measures were based on self-report. Tinnitus and perceived anxiety were each assessed using a single question. Depression symptoms were assessed using the Patient Health Questionnaire, a validated questionnaire. Multivariable regression models were adjusted for key demographic and health factors, including self-reported hearing ability. Results Prevalence of tinnitus was 15%. Compared to adults without tinnitus, adults with tinnitus had a 1.8-fold increase in depression symptoms and a 1.5-fold increase in perceived anxiety after adjusting for potential confounders. Military Veteran status did not modify these observed associations. Conclusions Findings revealed an association between tinnitus and both depression symptoms and perceived anxiety, independent of potential confounders, among both Veterans and non-Veterans. These results suggest, on a population level, that individuals with tinnitus have a greater burden of perceived mental health distress and may benefit from interdisciplinary health care, self-help, and community-based interventions. Supplemental Material https://doi.org/10.23641/asha.12568475

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