Abstract
The aim of this prospective cohort study was to assess the incidence and risk factors of delirium following acute ischemic stroke, as well as its effects on functional outcome. Two hundred and sixty-one patients with acute ischemic stroke were screened for delirium during the first week after admission. Delirium was diagnosed according to the Confusion Assessment Method. If delirium was present, delirium rating scale-revised-98 was used to assess its severity. Neurologic deficits were assessed with the National Institutes of Health Stroke Scale (NIHSS). Brain magnetic resonance imaging assessment quantified the infarction, white matter lesions, and medial temporal lobe atrophy. Functional outcome assessment included the modified Rankin Scale and Lawton Instrumental Activities of Daily Living scale at 3 and 6 months after the index stroke. Thirty-eight (14.6%) patients with acute ischemic stroke developed delirium during the first week of admission. Patients with poststroke delirium (PSD) were older, had higher NIHSS scores on admission, and were more likely to have a previous stroke, an infection, and a left cortical infarct. Furthermore, left cortical infarction, older age, severer neurological deficit and having a previous st...Continue Reading
Citations
May 21, 2019·Acta neurochirurgica·Carl Moritz ZipserSönke Böttger
Oct 28, 2019·Psychiatry Investigation·Hee Won YangJeong Lan Kim
Apr 29, 2020·Age and Ageing·Brianna K RosgenKirsten M Fiest
Jul 22, 2019·Journal of Neurology·Paulina PasińskaAleksandra Klimkowicz-Mrowiec
Sep 5, 2019·Journal of Geriatric Psychiatry and Neurology·Jian-Feng QuZhi-Hao Lu
Apr 17, 2020·European Geriatric Medicine·Emma R L C Vardy, Rebecca E Thompson
May 4, 2020·Journal of Anesthesia·Sumi OtomoTatsuo Yamamoto
Jul 25, 2019·Journal of Clinical Medicine·Katarzyna KotfisIwona Rotter
Oct 6, 2020·Annals of Internal Medicine·Melissa L P Mattison
Jan 9, 2021·Journal of Neural Transmission·Mateusz CzyzyckiTomasz Dziedzic
Jan 1, 2021·Stroke; a Journal of Cerebral Circulation·Robert FleischmannBettina von Sarnowski
Jan 16, 2021·BMC Geriatrics·Aline MendesMax Scheffler
Feb 5, 2021·The Lancet. Psychiatry·Una ClancyJoanna M Wardlaw
Mar 16, 2021·Stroke; a Journal of Cerebral Circulation·Ivã Taiuan Fialho SilvaPedro Antonio Pereira de Jesus
Mar 4, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Annerose MengelMaria-Ioanna Stefanou
Apr 15, 2021·Seminars in Neurology·Hannah BreitLauren Koffman
Jul 5, 2021·Age and Ageing·Kaat GuldolfSylvie De Raedt
Sep 30, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Eleonora RolloGiacomo Della Marca