Abstract：
OBJECTIVE:Delirium is an independent risk factor for cognitive impairment and development of dementia in medical patients. It has never been thoroughly studied whether this association is also present in the stroke population. Our aim was to evaluate the effects of delirium in the acute phase after stroke on cognitive functioning two years later. METHODS:Two years after stroke, 50 patients (22 with and 28 without delirium in the acute phase) were assessed on two screening instruments for dementia and a neuropsychological test battery. RESULTS:Delirium was an independent predictor for development of dementia as assessed by the Clinical Dementia Rating Scale (odds ratio (OR) 4.7; 95% confidence interval (CI) 1.08 to 20.42) and by the Rotterdam-CAMCOG (OR 7.2, 95% CI 1.88 to 27.89). Cognitive domains most affected in patients with previous delirium were memory, language, visual construction and executive functioning. CONCLUSIONS:Delirium in the acute phase after stroke is an independent predictor for severe cognitive impairment two years after stroke. These findings emphasize the importance of both rapid detection and treatment of delirium after stroke. Furthermore, periodic monitoring and evaluation of cognitive functioning in these vulnerable patients in the years after stroke is strongly recommended.
journal_name
J Neurol Scijournal_title
Journal of the neurological sciencesauthors
van Rijsbergen MW,Oldenbeuving AW,Nieuwenhuis-Mark RE,Nys GM,Las SG,Roks G,de Kort PLdoi
10.1016/j.jns.2011.03.024subject
Has Abstractpub_date
2011-07-15 00:00:00pages
138-42issue
1-2eissn
0022-510Xissn
1878-5883pii
S0022-510X(11)00134-1journal_volume
306pub_type
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