Depression Increases Stroke Hospitalization Cost: An Analysis of 17,010 Stroke Patients in 2008 by Race and Gender

Table 3

Increased medical care costs of stroke associated with depression. Recent peer-reviewed publications.

First author and year	Country	Type of study	Participants	Results	Conclusions
Bhattarai et al., [35] 2012	UK	Population-based cohort	299,912 participants, ages 30 to 100 years	14% of male and 26% of female stroke patients with single morbidity had comorbid depression; patients with concurrent diabetes, CHD, and stroke had a very high prevalence of depression (men 23% and women 49%)	Compared to those with no morbidity, depression was associated with higher rates of healthcare utilization and increased costs at any level of morbidity.
Sicras et al., [36] 2008	Spain	Cross-sectional, retrospective	2,266 stroke patients	Females (OR 2.1), obesity (OR 1.1), and neuropathy (OR 2.2) were significantly associated with depressive disorder in stroke patients	Adjusted total costs of depressive disorder were higher in most components, euro 2, −37.55 versus euro 1,498.24 (𝑃<0.001). Medication drugs accounted for 73.4% of the total costs.
Jia et al., [29] 2006	USA	National cohort	5,825 Department of Veterans Affairs patients with stroke	41% of the sample had poststroke depression	After adjusting for patient demographic and clinical factors, patients with stroke and poststroke depression had significantly 𝑃<0.0001, more hospitalization, outpatient visits, and longer length of stays, 12 months after stroke compared with patients with stroke but no poststroke depression