Navigation Links
Study finds delirium after stroke linked to poorer outcomes for patients
Date:1/19/2012

TORONTO, Ont. Jan. 19, 2012Up 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.


'/>"/>

Contact: Kate Taylor
TaylorKa@smh.ca
St. Michael's Hospital
Source:Eurekalert

Related medicine news :

1. Study finds patients receive half of recommended preventive health services at annual check-ups
2. Study Hints That Statins Might Fight Breast Cancer
3. VCU study suggests antimicrobial scrubs may reduce bacteria
4. Narrowed Artery Condition Often Goes Undiagnosed: Study
5. Some Women Can Go Longer Between Bone Checks: Study
6. Study reveals mechanism of lung-cancer drug resistance
7. Study finds potential key to immune suppression in cancer
8. The Pill Can Help Ease Period Pain, Study Finds
9. University of Maryland study: Headphone-distracted pedestrians face death, serious injury
10. Study reveals origins of esophageal cancer
11. Researchers study how chemicals in drugs and around us impact stem cells
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... 2016 , ... Finally, a bruise cream that really works. Originally designed ... into the post-surgical treatment plans of a variety of other procedures including, but not ... effective for bruising and causes a rapid resolution of bruising and inflammatory changes compared ...
(Date:6/24/2016)... ... June 24, 2016 , ... Today, InhaleLabs.com (Inhale) offilially ... their medication by matching users with high quality water pipes within an ideal price ... commitment. , Inhale was founded by two brothers, Nick and Mike Hunter, who use ...
(Date:6/23/2016)... ... June 23, 2016 , ... Terumo BCT, ... organization responsible for clinical transfusion research programs and for the blood supply in ... Evaluation and Predictive Analytical Rating Score (PREPAReS) study. , Currently in its ...
(Date:6/23/2016)... ... June 23, 2016 , ... The Mechille Wilson Agency, ... throughout Jasper County and the surrounding region, is initiating a charity drive to assist ... raise funds earmarked for a scholarship fund that will be presented to the chosen ...
(Date:6/23/2016)... , ... June 23, 2016 , ... Representatives of CHA ... the newest member of their staff, Dr. Joshua J. Berger. As of May ... of the world-renowned facility. , Dr. Berger has received recognition for his research, his ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016  Global Blood Therapeutics, Inc. (GBT) (NASDAQ: ... novel therapeutics for the treatment of grievous blood-based ... closing of its previously announced underwritten public offering ... public offering price of $18.75 per share. All ... by GBT. GBT estimates net proceeds from the ...
(Date:6/24/2016)... 24, 2016 ... the addition of the " Global Markets for ... This report focuses on ... updated review, including its applications in various applications. The ... which includes three main industries: pharmaceutical and biotechnology, food ...
(Date:6/24/2016)... , June 24, 2016 The Academy of ... recommendations that would allow biopharmaceutical companies to ... entities that make formulary and coverage decisions, a move ... of new medicines. The recommendations address restrictions ... appear on the drug label, a prohibition that hinders ...
Breaking Medicine Technology: