Observational studyBrain and behavior2017
Prevalence for delirium in stroke patients: A prospective controlled study.
Observational study in Brain and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- The associations of post-stroke delirium with outcomes: a systematic review and meta-analysis.BMC medicine · 2024Pooled it
- Diagnostic Accuracy of CAM-ICU and ICDSC for Detection of Early Delirium in Acute Ischemic Stroke: A Cross-sectional Study.Annals of Indian Academy of Neurology · 2026Article
- A multicenter prospective study on the prevalence of Post Stroke Delirium and associated risk factors in Addis Ababa, Ethiopia.BMC neurology · 2025Observational
- Post-stroke delirium is a predictor of prolonged hospital stay and poor functional outcome at 3 months.Frontiers in stroke · 2025Article
- Development of a machine learning-based prediction model for sepsis-associated delirium in the intensive care unit.Scientific reports · 2023Article
- [Pitfalls in the diagnosis of delirium].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Review
- Delirium on stroke units: a prospective, multicentric quality-improvement project.Journal of neurology · 2022Article
- Inpatient Delirium in Guillain-Barré Syndrome: Frequency and Clinical Characteristics in a Mexican Hospital.Cureus · 2021Article
- The role of acetylcholinesterase and butyrylcholinesterase activity in the development of delirium in acute stroke.Cerebral circulation - cognition and behavior · 2021Article
- Delirium Screening in Neurocritical Care and Stroke Unit Patients: A Pilot Study on the Influence of Neurological Deficits on CAM-ICU and ICDSC Outcome.Neurocritical care · 2020Article
- [Study protocol to improve the quality of delirium management in intensive care].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Review
- Night-time confusion in an elderly woman post-stroke.BMJ case reports · 2020Article
- Quality improvement and delirium.European geriatric medicine · 2020Review
- Predisposing and precipitating factors for delirium in neurology: a prospective cohort study of 1487 patients.Journal of neurology · 2019Article
- Outcome Differences by Delirium Motor Subtype in Patients with Ischemic Stroke.Psychiatry investigation · 2019Article
- Characteristics, Risk Factors And Outcome Of Early-Onset Delirium In Elderly Patients With First Ever Acute Ischemic Stroke - A Prospective Observational Cohort Study.Clinical interventions in aging · 2019Observational
- How incremental video training did not guarantee implementation due to fluctuating population prevalence.BMJ open quality · 2019Article
- Prevalence for delirium in stroke patients: A prospective controlled study.Brain and behavior · 2017Observational
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThis study investigates the prevalence of delirium in acute stroke patients on a primary stroke unit (SU) analyzing associated risk factors and clinical outcomes.
methodProspective, 4-month observational study from 2015 to 2016 on patients aged ≥18 years with stroke at a German university hospital's SU. The presence of delirium as first outcome was rated at three times daily using the Confusion Assessment Method (CAM). Secondary outcome measures were duration of delirium, rehabilitation in SU, length of stay in SU and hospital, complications, and mortality. Significant risk factors were used to conduct a confounder-matched case-control analysis.
results309 patients were included. The overall prevalence of delirium was 10.7% (33 patients) mostly on the first and second hospital day. Duration of delirium on SU was in median 1.0 day (Interquartile range: 0.3-2 days). In 39.4% of patients delirium was present in a short time interval (≤8 hr) and in 24% of patients delirium was diagnosed during nightshifts exclusively. Significant risk factors for delirium were dementia, age ≥72 years, severe neurological disability on admission, and increased C-reactive protein on admission. The case-control analysis showed that delirious patients had more complications and a trend toward a worse rehabilitation.
conclusionsThese results underline the importance of delirium screening in stroke patients specifically during the night. Since even short delirious episodes are associated with more complications and increased disability, future studies are needed to find delirium prevention strategies.
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