Study finds delirium after stroke linked to poorer outcomes for patients

	Tweet

Up to 30 per cent of patients hospitalized after a stroke develop delirium, according to a new study from St. Michael’s Hospital.

Researchers found patients who experience delirium after stroke are five times more likely to die, and are more likely to be discharged to a long-term care facility, nursing home or have a longer stay in hospital.

“Early recognition and prevention of delirium are important for a quick recovery, better quality of life and timely discharge for patients who have suffered a stroke,” said Dr. Gustavo Saposnik, lead author of the paper and director of the Stroke Outcomes Research Centre at the hospital.

Saposnik and colleagues analyzed 10 studies that looked at the four common outcomes in over 2000 patients with delirium – inpatient and 12-month death rates, length of hospital stay and care arrangements after discharge. 

Unlike dementia – a chronic, progressive mental disorientation – delirium is an acute, sudden state of confusion is often marked by lack of attention, disorientation, and sometimes hallucination.

Patients can become delirious at any time after a stroke, however when it occurs seven to 10 days later it is commonly related to a complication such as a respiratory or urinary infection, instead of as part of the stroke’s effects.

Recognizing the associated risk factors such as age, severity of stroke, infections, narcotic use, lack of oxygen and cognitive impairment can help clinicians identify initial signs of delirium and use early interventions.

The paper is published in Stroke: Journal of the American Heart Association.

Saposnik said this research aims to encourage early detection and intervention to improve outcomes for patients and families, but further research is needed to understand the most effective interventions.

St. Michael’s Hospital has developed the Delirium Prevention Program (DPP) to reduce the occurrence of delirium – especially in elderly patients – and to improve patients’ experience.

The DPP is a multi-disciplinary team approach that uses simple strategies in everyday care to help keep patients oriented. Clocks have been installed in every patient’s room along with whiteboards, on which the date is written daily; Lights on the orthopedic unit and overhead paging systems are turned off at night to minimize confusion over time of day; and blinds are opened daily so patients have natural light rhythms.

###

About St. Michael’s Hospital

St. Michael’s Hospital provides compassionate care to all who enter its doors. The Hospital also provides outstanding medical education to future health care professionals in more than 23 academic disciplines. Critical care and trauma, heart disease, neurosurgery, diabetes, cancer care, and care of the homeless are among the Hospital’s recognized areas of expertise. Through the Keenan Research Centre and the Li Ka Shing Knowledge Institute, research at St. Michael’s Hospital is recognized and put into practice around the world. Founded in 1892, the Hospital is fully affiliated with the University of Toronto.

For more information or to speak to Dr. Saposnik please contact:

Kate Taylor
Public Relations Specialist
St. Michael’s Hospital
Phone: 416-864-6060 x6537

RELATED STORIES:
Severe stress can cause stroke   Weekend Strokes May Receive More Aggressive Treatment   Strokes strike younger adults as diabetes and obesity raise the risks   Choose chicken over beef to cut stroke risk: study   Study confirms link between migraines and stroke   Younger diabetes diagnoses may mean earlier strokes   How to avoid a stroke   Smoking May Counteract Benefit of Moderate Drinking on Stroke Risk   Beta-blockers and stroke—new insights into their use for older people   Pulse pressure predicts recurrent stroke in blacks   Diet soda tied to heart attack, stroke risks: study   Smoking causes stroke to occur

Comments

[ + Post Your Own ]

Now you're in the public comment zone. What follows is not Armenian Medical Network's stuff; it comes from other people and we don't vouch for it. A reminder: By using this Web site you agree to accept our Terms of Service. Click here to read the Rules of Engagement.

There are no comments for this entry yet. [ + Comment here + ]