Increased anxiety and depression symptoms in post-acute care patients with stroke during the COVID-19 pandemic

Hsiang Yun Chou, Yu Chun Lo, Ya Wen Tsai, Chia Li Shih, Chieh Ting Yeh

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


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.

Original languageEnglish
Article number162
JournalInternational journal of environmental research and public health
Issue number1
Publication statusPublished - Jan 1 2022


  • Anxiety
  • COVID-19
  • Depression
  • Functional outcome
  • Mental health
  • Post-acute care
  • Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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