Izlaganje sa skupa
COGNITIVE FUNCTIONALITY OF PATIENTS WITH DELIRIUM AFTER STROKE
Zikrija Dostović
; Department of Neurology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
Omer Ć.Ibrahimagić
; Department of Neurology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
Dževdet Smajlović
; Department of Neurology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
Suljo Kunić
; Department of Neurology, Primary Health Center Tuzla, Tuzla, Bosnia and Herzegovina
Amer Čustović
; Department of Hygiene and Epidemiology, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
Sažetak
Background: Delirium is a syndrome that occurs in all age groups and in many clinical departments, and is most common in
intensive care units. It is an emergency, in the overlapping fields of somatic medicine, neurology and psychiatry. Delirium occurs
suddenly, dramatically, and requires a quick reaction, recognition and treatment. There are only a small number of studies that have
reported delirium after a stroke. In our study, the goal was to determine the cognitive functionality of patients with delirium after a
stroke.
Subjects and methods: This is a prospective study in which a group of 100 delirium patients in the acute phase of a stroke were
evaluated for cognitive function. The control group consisted of the same number of patients with acute stroke who were not
diagnosed with delirium. Neurological, neuropsychiatric and neuropsychological tests were performed in all patients at five different
time periods. In these time periods, all patients were evaluated: Glasgow Coma Scale; Delirium Assessment Scale; The American
National Institutes of Health Scale Assessment; Information-Memory-Concentration test; Dementia Score; Mini-Mental Test. The
findings of computed tomography of the brain and magnetic resonance imaging of the brain were interpreted by a radiologist who
was not familiar with the goals of this study.
Results: Cognitive functioning of delirious patients is statistically significantly worse after three and six months, and one year
from stroke compared to those without delirium. There is no statistically significant difference in cognitive functioning between
delirious patients in relation to gender, age, location and type of stroke and patients without delirium throughout one year from
stroke. There is no significant difference in cognitive functioning between delirious patients during one year from stroke in relation
to severity and type of delirium, and statistically significantly higher degree of cognitive dysfunction has those older than
Conclusions: Delirium significantly reduces the cognitive functioning of patients after a stroke.
Ključne riječi
Hrčak ID:
271727
URI
Datum izdavanja:
19.10.2021.
Posjeta: 244 *