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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 852 - 859 (8page)
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초록· 키워드
오류제보하기
Objective This study evaluated the outcomes of ischemic stroke patients according to delirium motor subtype. Methods This study included patients who were admitted to the stroke unit between August 2017 and March 2019 and met the DSM-5 diagnostic criteria for delirium. Patients were assessed twice weekly throughout their delirium episodes using the Korean version of the Delirium Motor Subtype Scale (K-DMSS) and the Korean version of the Delirium Rating Scale-Revised-98 (K-DRS-98). The clinical characteristics and short-term outcomes of the patients were also assessed. Results A total of 943 stroke patients were included; the rate of incident delirium was 10.18%. Of the 95 delirium patients, 34 were classified as the hyperactive subtype, 30 as the mixed subtype, 25 as the hypoactive and six as no subtype. Among the subtype groups, the hypoactive subtype had the highest initial scores on the National Institutes of Health Stroke Scale (NIHSS; 6.72±4.75, p=0.02) and the modified Rankin Scale (mRS; 3.96±1.24, p<0.01). Additionally, the mixed and hypoactive subtypes had longer durations (p<0.01) and more severe symptoms of delirium (p=0.03) than the other motor subtypes, and the hypoactive subtype group had a significantly longer hospital stay (36.88±27.71 days, p<0.01) than the other subtype groups. After adjusting for baseline covariates in a multiple linear regression analysis, these differences remained significant. Conclusion The present results suggest that the motor subtype of delirium is associated with different characteristics and outcomes in ischemic stroke patients.
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참고문헌 (44)
참고문헌 신청
American Psychiatric Association / 2013 / Diagnostic and Statistical Manual of Mental Disorders (DSM-5®) / American Psychiatric Pub
Witlox J / 2010 / Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia : a meta-analysis / JAMA 304:443~451
Guerini F / 2010 / Clinical instability as a predictor of negative outcomes among elderly patients admitted to a rehabilitation ward / J Am Med Dir Assoc 11:443~448
Morandi A / 2012 / Tools to detect delirium superimposed on dementia : a systematic review / J Am Geriatr Soc 60:2005~2013
Shi Q / 2012 / Delirium in acute stroke : a systematic review and meta-analysis / Stroke 43:645~649
Witlox J / 2010 / Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia : a meta-analysis / JAMA 304:443~451
Guerini F / 2010 / Clinical instability as a predictor of negative outcomes among elderly patients admitted to a rehabilitation ward / J Am Med Dir Assoc 11:443~448
Morandi A / 2012 / Tools to detect delirium superimposed on dementia : a systematic review / J Am Geriatr Soc 60:2005~2013
Shi Q / 2012 / Delirium in acute stroke : a systematic review and meta-analysis / Stroke 43:645~649
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