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London, United Kingdom 2013 Poster Session Red Cerebrovasc Dis 2013; 35 (suppl 3)1-854 515 Fig.1: Comparison of overall cognitive performance between patients with VCI and non VCI Fig.2: Comparative results of the TMT-B test in patients with VCI and non VCI 432 Behavioral disorders and post-stroke dementia A Retrospective Study focusing on Effectiveness of the Mood Pathway in recognising Mood Disturbance in post-stroke patients following admission to Kingston Hospital Stroke Unit. I. Wilkinson1, B.G. Ahmed2, R. Haines3, I.S. Nixon4, E. Parker5, L.G.Y. Choy6 Kingston Hospital National Health Service Trust, London, UNITED KINGDOM1, Kingston Hospital National Health Service Trust, London, UNITED KINGDOM2, Kingston Hospital National Health Service Trust, London, UNITED KINGDOM3, Kingston Hospital National Health Service Trust, London, UNITED KINGDOM4, Kingston Hospital National Health Service Trust, London, UNITED KINGDOM5, Kingston Hospital National Health Service Trust, London, UNITED KING-DOM6 Mood disturbance is common post-stroke with up to 30% of patients suffering with depression, many of which may remain unrecognised and untreated. To improve detection rates both the Nation-al Institute for Health and Clinical Excellence (NICE) Stroke Quality Standards and the Royal Col-lege of Physicians National Clinical Guidelines for Stroke recommend that patients are screened for depression within 6 weeks following acute stroke to identify potential mood disturbance. This study was carried out to see how many patients on an Acute Stroke Unit were identified as hav-ing a mood disturbance using formal mood assessments tools. Method A ‘Mood Pathway’ was introduced in September 2012 with the aim that all acute stroke patients were assessed during their admission, using a validated tool (Hospital Anxiety and Depression Scale-HADS, Stroke Aphasic Depression Questionnaire-SADQ or Depression Intensity Scale Cir-cles- DISCS). Data was collected retrospectively for the September - December 2012 period (n=46) to assess the frequency with which each tool is being employed and presence of mood disturbance. Results In 57% of patients formal mood assessments was completed using one of the three validated tools. A difference was seen in the frequency of use of each the tools: HADS 44%, SADQ 33%, and DISCs 22%. Potential mood disturbances (scores being above the cut off value for each tool) were recorded in 59% (n=16) patients. The SADQ tool was more likely to identify a possible mood disturbance (88%) in comparison with the HADS (50%) or DISCS (33%). Conclusion These results show that post-stroke mood disturbance is common. In these patients a coordinated multidisciplinary approach to identify and treat those at risk of mood disturbance is needed. Not all patients were suitable for a single risk assessment tool and so a range of approaches is needed and psychology input is highly desirable to provide holistic stroke care to this high risk group.


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