Delirium in stroke and surgical patients

D 2008

Delirium in stroke and surgical patients

BEDNAŘÍK, Josef, Adéla HALUZOVÁ, Milena KOŠŤÁLOVÁ, Stanislav VOHÁŇKA, Ladislav MITÁŠ et. al.

Základní údaje

Originální název

Delirium in stroke and surgical patients

Název česky

Delirium u cévních mozkových příhod a chirurgických pacientů

Autoři

BEDNAŘÍK, Josef (203 Česká republika, garant), Adéla HALUZOVÁ (203 Česká republika), Milena KOŠŤÁLOVÁ (203 Česká republika), Stanislav VOHÁŇKA (203 Česká republika), Ladislav MITÁŠ (203 Česká republika) a Luděk RYBA (203 Česká republika)

Vydání

15 (Suppl.3). Oxford, European Journal of Neurology, s. 287-287, 2008

Nakladatel

Blackwell Publishing

Další údaje

Jazyk

angličtina

Typ výsledku

Stať ve sborníku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Německo

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.732

Kód RIV

RIV/00216224:14110/08:00027009

Organizační jednotka

Lékařská fakulta

ISSN

UT WoS

000258379000951

Klíčová slova anglicky

delirium; stroke; surgical patients

Štítky

delirium, Stroke, surgical patients

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 25. 6. 2009 15:24, prof. MUDr. Josef Bednařík, CSc.

Anotace

ORIG CZ

V originále

Aim: The aim of our study is to investigate the frequency, type and risk factors for delirium in the acute stage of stroke and after surgical intervention, using a specific diagnostic tool designed for the serial delirium assessment in the ICU setting: the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Methods: A cohort prospective observational study was performed in stroke patients admitted to the University Hospital within 24 hours after the stroke onset and in a group of patients who underwent planned surgery for spondylosis or pulmonary lesions. The data from the first 65 consecutive acute stroke patients (aged 72.1 + 11.1 years; 33 women and 32 men) and from 14 surgical patients (aged 62.5 + 10.7 years; 4 women and 10 men) were preliminary analysed in this pilot study. Results: An episode of delirium was observed in 31 acute stroke patients (48 %). The CAM-ICU showed a sensitivity of 98.9%. The mean duration of the delirious episode was 6.4 + 5.6, range 2-19 days, with the beginning 1-5 days after the onset of stroke. Delirium was significantly associated with pre-stroke dementia, age > 75 years, right hemisphere stroke, intracerebral haemorrhage and male gender. There was no episode of delirium observed in the surgical control group. Conclusion: Delirium is a frequent condition in acute stroke patients, if serially assessed on a daily basis with a validated diagnostic instrument. Beside various risk factors, stroke itself serve as an important risk factor for delirium compared to great surgery.

Česky

Delirium pacientů s cévní mozkovou příhodou a u chirurgických pacientů

Návaznosti

MSM0021622404, záměr

Název: Vnitřní organizace a neurobiologické mechanismy funkčních systémů CNS

Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Vnitřní organizace a neurobiologické mechanismy funkčních systémů CNS

Citovat

BEDNAŘÍK, Josef, Adéla HALUZOVÁ, Milena KOŠŤÁLOVÁ, Stanislav VOHÁŇKA, Ladislav MITÁŠ a Luděk RYBA. Delirium in stroke and surgical patients. In European Journal of Neurology. 15 (Suppl.3). Oxford: Blackwell Publishing, 2008, s. 287. ISSN 1351-5101.

@inproceedings{799612,
   author = {Bednařík, Josef and Haluzová, Adéla and Košťálová, Milena and Voháňka, Stanislav and Mitáš, Ladislav and Ryba, Luděk},
   address = {Oxford},
   booktitle = {European Journal of Neurology},
   edition = {15 (Suppl.3)},
   keywords = {delirium; stroke; surgical patients},
   language = {eng},
   location = {Oxford},
   pages = {287-287},
   publisher = {Blackwell Publishing},
   title = {Delirium in stroke and surgical patients},
   year = {2008}
}

TY  - JOUR
ID  - 799612
AU  - Bednařík, Josef - Haluzová, Adéla - Košťálová, Milena - Voháňka, Stanislav - Mitáš, Ladislav - Ryba, Luděk
PY  - 2008
TI  - Delirium in stroke and surgical patients
PB  - Blackwell Publishing
CY  - Oxford
KW  - delirium
KW  - stroke
KW  - surgical patients
N2  - Aim: The aim of our study is to investigate the frequency, type and risk factors for delirium in the acute stage of stroke and after surgical intervention, using a specific diagnostic tool designed for the serial delirium assessment in the ICU setting: the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Methods: A cohort prospective observational study was performed in stroke patients admitted to the University Hospital within 24 hours after the stroke onset and in a group of patients who underwent planned surgery for spondylosis or pulmonary lesions. The data from the first 65 consecutive acute stroke patients (aged 72.1 + 11.1 years; 33 women and 32 men) and from 14 surgical patients (aged 62.5 + 10.7 years; 4 women and 10 men) were preliminary analysed in this pilot study. Results: An episode of delirium was observed in 31 acute stroke patients (48 %). The CAM-ICU showed a sensitivity of 98.9%. The mean duration of the delirious episode was 6.4 + 5.6, range 2-19 days, with the beginning 1-5 days after the onset of stroke. Delirium was significantly associated with pre-stroke dementia, age > 75 years, right hemisphere stroke, intracerebral haemorrhage and male gender. There was no episode of delirium observed in the surgical control group. Conclusion: Delirium is a frequent condition in acute stroke patients, if serially assessed on a daily basis with a validated diagnostic instrument. Beside various risk factors, stroke itself serve as an important risk factor for delirium compared to great surgery.
ER  -

BEDNAŘÍK, Josef, Adéla HALUZOVÁ, Milena KOŠŤÁLOVÁ, Stanislav VOHÁŇKA, Ladislav MITÁŠ a Luděk RYBA. Delirium in stroke and surgical patients. In \textit{European Journal of Neurology}. 15 (Suppl.3). Oxford: Blackwell Publishing, 2008, s.~287. ISSN~1351-5101.

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