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Mortality and Functional Disability of Poststroke Delirium

INTRODUCTION: Small number of studies have evaluated the mortality and the degree of functional disability of post-stroke delirium, and our aim was to determine that. PATIENTS AND METHODS: Comprehensive neuropsychological assessments were performed within the first week of stroke onset, at hospital d...

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Autores principales: Dostovic, Zikrija, Smajlovic, Dzevdet, Ibrahimagic, Omer C., Dostovic, Adnan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AVICENA, d.o.o., Sarajevo 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029905/
https://www.ncbi.nlm.nih.gov/pubmed/30061796
http://dx.doi.org/10.5455/msm.2018.30.95-97
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author Dostovic, Zikrija
Smajlovic, Dzevdet
Ibrahimagic, Omer C.
Dostovic, Adnan
author_facet Dostovic, Zikrija
Smajlovic, Dzevdet
Ibrahimagic, Omer C.
Dostovic, Adnan
author_sort Dostovic, Zikrija
collection PubMed
description INTRODUCTION: Small number of studies have evaluated the mortality and the degree of functional disability of post-stroke delirium, and our aim was to determine that. PATIENTS AND METHODS: Comprehensive neuropsychological assessments were performed within the first week of stroke onset, at hospital discharge, and followed-up for 3, 6 and 12 months after stroke. We used diagnostic tools such as Glasgow Coma Scale, Delirium Rating Scale, National Institutes of Health Stroke Scale and Mini-Mental State. RESULTS: Delirious patients had a significantly higher mortality (p = 0.0005). As opposed to the type of stroke mortality was higher after ischemic (p = 0.0005). The patients without delirium had significantly better cumulative survival during the first year after stroke (p = 0.0005). Delirious patients aged ≥65 years had a significantly lower cumulative survival during the first year after stroke (p = 0.0005). In relation to the type of stroke delirious patients with ischemic had a significantly lower cumulative survival during the first year after stroke (p = 0.0005). Delirious patients had a greater degree of functional impairment at discharge (p = 0.01), three (p = 0.01), six months (p = 0.01) and one year (p = 0.01) after stroke. CONCLUSION: Delirious patients have a significantly higher mortality, lower cumulative survival and a greater degree of functional disability in the first year after stroke.
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spelling pubmed-60299052018-07-30 Mortality and Functional Disability of Poststroke Delirium Dostovic, Zikrija Smajlovic, Dzevdet Ibrahimagic, Omer C. Dostovic, Adnan Mater Sociomed Original Paper INTRODUCTION: Small number of studies have evaluated the mortality and the degree of functional disability of post-stroke delirium, and our aim was to determine that. PATIENTS AND METHODS: Comprehensive neuropsychological assessments were performed within the first week of stroke onset, at hospital discharge, and followed-up for 3, 6 and 12 months after stroke. We used diagnostic tools such as Glasgow Coma Scale, Delirium Rating Scale, National Institutes of Health Stroke Scale and Mini-Mental State. RESULTS: Delirious patients had a significantly higher mortality (p = 0.0005). As opposed to the type of stroke mortality was higher after ischemic (p = 0.0005). The patients without delirium had significantly better cumulative survival during the first year after stroke (p = 0.0005). Delirious patients aged ≥65 years had a significantly lower cumulative survival during the first year after stroke (p = 0.0005). In relation to the type of stroke delirious patients with ischemic had a significantly lower cumulative survival during the first year after stroke (p = 0.0005). Delirious patients had a greater degree of functional impairment at discharge (p = 0.01), three (p = 0.01), six months (p = 0.01) and one year (p = 0.01) after stroke. CONCLUSION: Delirious patients have a significantly higher mortality, lower cumulative survival and a greater degree of functional disability in the first year after stroke. AVICENA, d.o.o., Sarajevo 2018-06 /pmc/articles/PMC6029905/ /pubmed/30061796 http://dx.doi.org/10.5455/msm.2018.30.95-97 Text en © 2018 Zikrija Dostovic, Dzevdet Smajlovic, Omer C. Ibrahimagic, Adnan Dostovic http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Dostovic, Zikrija
Smajlovic, Dzevdet
Ibrahimagic, Omer C.
Dostovic, Adnan
Mortality and Functional Disability of Poststroke Delirium
title Mortality and Functional Disability of Poststroke Delirium
title_full Mortality and Functional Disability of Poststroke Delirium
title_fullStr Mortality and Functional Disability of Poststroke Delirium
title_full_unstemmed Mortality and Functional Disability of Poststroke Delirium
title_short Mortality and Functional Disability of Poststroke Delirium
title_sort mortality and functional disability of poststroke delirium
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029905/
https://www.ncbi.nlm.nih.gov/pubmed/30061796
http://dx.doi.org/10.5455/msm.2018.30.95-97
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