Delirium in acute stroke

被引:42
作者
Ferro, JM [1 ]
Caeiro, L [1 ]
Verdelho, A [1 ]
机构
[1] Hosp Santa Maria, Ctr Estudos Egas Moniz, Dept Neurol, Stroke Unit, P-1649035 Lisbon, Portugal
关键词
D O I
10.1097/00019052-200202000-00009
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Delirium is the presenting feature in a few stroke patients, but can complicate the clinical course of acute stroke in up to 48% of cases. Old age, extensive motor impairment, previous cognitive decline, metabolic and infectious complications, and sleep apnoea are all predisposing conditions for delirium. Patients with delirium have longer hospitalizations and a poorer prognosis, and are at increased risk of developing dementia. The identification of the patients at risk and non-pharmacological preventative interventions are the key measures in the management of delirium. Curr Opin Neurol 15:51-55. (C) 2002 Lippincott Williams Wilkins.
引用
收藏
页码:51 / 55
页数:5
相关论文
共 40 条
[1]  
[Anonymous], 1999, Am J Psychiatry, V156, P1
[2]   Etiologic and outcome profiles in hypoactive and hyperactive subtypes of delirium [J].
Camus, MV ;
Gonthier, R ;
Dubos, G ;
Schwed, P ;
Simeone, I .
JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY, 2000, 13 (01) :38-42
[3]   Delirium: Effectiveness of systematic interventions [J].
Cole, MG .
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 1999, 10 (05) :406-411
[4]  
Conn DK, 2001, CAN FAM PHYSICIAN, V47, P101
[5]   Successful treatment of nonanticholinergic delirium with a cholinesterase inhibitor [J].
Fischer, P .
JOURNAL OF CLINICAL PSYCHOPHARMACOLOGY, 2001, 21 (01) :118-118
[6]   Neural mechanisms of delirium: Current hypotheses and evolving concepts [J].
Flacker, JM ;
Lipsitz, LA .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 1999, 54 (06) :B239-B246
[7]  
Ghika-Schmid F, 2000, ANN NEUROL, V48, P220, DOI 10.1002/1531-8249(200008)48:2<220::AID-ANA12>3.0.CO
[8]  
2-M
[9]   ACUTE CONFUSIONAL STATE (DELIRIUM) SOON AFTER STROKE IS ASSOCIATED WITH HYPERCORTISOLISM [J].
GUSTAFSON, Y ;
OLSSON, T ;
ASPLUND, K ;
HAGG, E .
CEREBROVASCULAR DISEASES, 1993, 3 (01) :33-38
[10]   ACUTE CONFUSIONAL STATES (DELIRIUM) IN STROKE PATIENTS [J].
GUSTAFSON, Y ;
OLSSON, T ;
ERIKSSON, S ;
ASPLUND, K ;
BUCHT, G .
CEREBROVASCULAR DISEASES, 1991, 1 (05) :257-264