PT -期刊文章盟A.W. Oldenbeuving AU - P.L.M. de Kort盟B.P.W. Jansen AU - a . Algra盟- l·j·Kappelle AU - g .后撤TI -谵妄在卒中后的急性期里- 10.1212 / WNL援助。0 b013e318210411f DP - 2011年3月15日TA -神经首页病学第六PG - 993 - 999 - 76 IP - 11 4099 - //www.ez-admanager.com/content/76/11/993.short 4100 - //www.ez-admanager.com/content/76/11/993.full所以Neurology2011 3月15日;76 AB -目标:这个前瞻性群组研究评估中风后谵妄的发生率。此外,风险因素在第一周进行评估。最后,结果与谵妄的发展进行了研究。方法:共有527名连续中风患者(平均年龄72年;范围内,29 - 96年)筛查谵妄在入院后的第一个星期。我们诊断精神错乱与混乱的评估方法。中风前认知功能评估与线人调查问卷在老年人认知衰退(IQCODE)。神经赤字与美国国立卫生研究院卒中量表评估。 Results: A total of 62 patients with stroke (11.8%) developed delirium during the first week of admission. Independent risk factors were preexisting cognitive decline (odds ratio [OR] for IQCODE above 50: 2.6, 95% confidence interval [CI] 1.2–5.7) and infection (OR 3.4, 95% CI 1.7–6.8). Furthermore, right-sided hemispheric stroke (OR 2.0, 95% CI 1.0–3.0), anterior circulation large-vessel stroke (OR 3.4, 95% CI 1.1–10.2), the highest tertile of the NIH Stroke Scale (OR for highest vs lowest tertile 15.1, 95% CI 3.3–69.0), and brain atrophy (OR for highest versus lowest tertile 2.7, 95% CI 1.1–6.8) increased the risk for delirium. Delirium was associated with a worse outcome in terms of duration of hospitalization, mortality, and functional outcome. Conclusions: Delirium occurs in almost 1 out of every 8 patients with stroke on a stroke unit and is associated with cognitive decline, infection, right-sided hemispheric stroke, anterior circulation large-vessel stroke, stroke severity, and brain atrophy. Delirium after stroke is associated with a worse outcome.

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