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Table of Contents
Vol. 1, No. 5, 1991
Issue release date: 1991
Section title: Original Paper
Cerebrovasc Dis 1991;1:257–264
(DOI:10.1159/000108852)

Acute Confusional States (Delirium) in Stroke Patients

Gustafson Y.a · Olsson T.b · Eriksson S.a · Asplund K.b · Bucht G.a
Departments of a Geriatric Medicine and b Internal Medicine, Umeå University Hospital, Umeå, Sweden

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: September 19, 1991
Issue release date: 1991

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 0

ISSN: 1015-9770 (Print)
eISSN: 1421-9786 (Online)

For additional information: http://www.karger.com/CED

Abstract

Acute confusional states (ACS) were studied in 155 consecutive representative patients (mean age 73 years) with acute cerebrovascular disorders. Testing for ACS could be done in 94% of the patients. Sixty-nine of the 145 testable patients (48%) were acutely confused on admission or developed ACS within 7 days of admission. The mean age for the patients who developed ACS was 76 years compared with 69 years for patients without ACS (p < 0.001). Fifty-six of 113 patients (50%) with cerebral infarction, 6 of 21 patients (29%) with transitory ischemic attack and 7 out of 8 patients (88%) with intracerebral hemorrhage developed ACS. ACS were more common in patients with left-sided brain lesions (38/65; 58%) than in patients with right-sided brain lesions (18/47; 38%, p < 0.05). Multivariate analysis showed that extensive extremity paresis, previous ACS, left-sided brain lesions, old age and treatment with drugs with anticholinergic effects were independent predictors for ACS. ACS were associated with poststroke complications such as myocardial infarction, pulmonary embolism, pneumonia, deep vein thrombosis, urinary retention or urinary tract infection. Extensive paresis and ACS were the main independent predictors for discharge to geriatric rehabilitation.

© 1991 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: September 19, 1991
Issue release date: 1991

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 0

ISSN: 1015-9770 (Print)
eISSN: 1421-9786 (Online)

For additional information: http://www.karger.com/CED


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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