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.

Basic information

Original name

Delirium in stroke and surgical patients

Name in Czech

Delirium u cévních mozkových příhod a chirurgických pacientů

Authors

BEDNAŘÍK, Josef (203 Czech Republic, guarantor), Adéla HALUZOVÁ (203 Czech Republic), Milena KOŠŤÁLOVÁ (203 Czech Republic), Stanislav VOHÁŇKA (203 Czech Republic), Ladislav MITÁŠ (203 Czech Republic) and Luděk RYBA (203 Czech Republic)

Edition

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

Publisher

Blackwell Publishing

Other information

Language

English

Type of outcome

Stať ve sborníku

Field of Study

30000 3. Medical and Health Sciences

Country of publisher

Germany

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 2.732

RIV identification code

RIV/00216224:14110/08:00027009

Organization unit

Faculty of Medicine

ISSN

UT WoS

000258379000951

Keywords in English

delirium; stroke; surgical patients

Abstract

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.

In Czech

Delirium pacientů s cévní mozkovou příhodou a u chirurgických pacientů

Links

MSM0021622404, plan (intention)

Name: Vnitřní organizace a neurobiologické mechanismy funkčních systémů CNS

Investor: Ministry of Education, Youth and Sports of the CR, The internal organisation and neurobiological mechanisms of functional CNS systems under normal and pathological conditions.

Citovat

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

Detailed Information on Publication Record