Please use this identifier to cite or link to this item: https://doi.org/10.1007/s40268-019-00287-y
Title: Use of Selective Serotonin Reuptake Inhibitors and Outcomes in Stroke Rehabilitation: A Prospective Observational Pilot Cohort Study
Authors: Yeo, S.-H.
Kong, K.H.
Lim, D.C.-K.
Yau, W.-P. 
Issue Date: 2019
Publisher: Adis
Citation: Yeo, S.-H., Kong, K.H., Lim, D.C.-K., Yau, W.-P. (2019). Use of Selective Serotonin Reuptake Inhibitors and Outcomes in Stroke Rehabilitation: A Prospective Observational Pilot Cohort Study. Drugs in R and D 19 (4) : 367-379. ScholarBank@NUS Repository. https://doi.org/10.1007/s40268-019-00287-y
Rights: Attribution-NonCommercial 4.0 International
Abstract: Purpose: The aim of this study was to examine the association between selective serotonin reuptake inhibitor (SSRI) therapy and rehabilitation outcomes, specifically disability and quality of life (QOL), in a real-world setting of multi-ethnic Asian patients with first-ever stroke. Methods: In this prospective observational pilot cohort study, we included patients with first-ever stroke admitted to two inpatient rehabilitation centres in Singapore between January and July 2018. Outcomes were measured using Functional Independence Measure (FIM)-motor scale, modified Barthel Index (MBI) and the Stroke and Aphasia Quality of Life Scale-39 generic (SAQOL-39g) questionnaire. Linear regression was used to assess the association between SSRI therapy and outcomes. Regression coefficients and 95% confidence intervals (CIs) were reported. Results: Among 57 patients included for analyses, 38.6% received SSRIs. Although SSRI therapy was significantly associated with gains in MBI (coefficient 11.35; 95% CI 0.21–22.50) and SAQOL-39g overall score (coefficient 0.45; 95% CI 0.05–0.85) based on simple linear regression, no significant association between SSRI therapy and any of the investigated outcomes was found after adjustment for confounders. However, an increase in the mean number of physiotherapy and occupational therapy (PT/OT) sessions per day significantly improved FIM-motor (coefficient 16.86; 95% CI 2.64–31.07) and MBI (coefficient 22.79; 95% CI 2.35–43.23) scores. Conclusion: SSRI therapy did not improve disability and QOL in multi-ethnic Asian patients with first-ever stroke undergoing rehabilitation. © 2019, The Author(s).
Source Title: Drugs in R and D
URI: https://scholarbank.nus.edu.sg/handle/10635/212228
ISSN: 11745886
DOI: 10.1007/s40268-019-00287-y
Rights: Attribution-NonCommercial 4.0 International
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