Delirium Assessment in Acute Stroke: A Systematic Review and Meta-Analysis of Incidence, Assessment Tools, and Assessment Frequencies
Purpose: The purpose of this systematic literature review was to examine whether different assessment methods contribute to the variance in delirium incidence detected in populations of patients with acute stroke. Specifically, the aim was to address the influence of (1) choice of assessment tool, (...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2019-12-01
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| Series: | Journal of Central Nervous System Disease |
| Online Access: | https://doi.org/10.1177/1179573519897083 |
| _version_ | 1818520352194560000 |
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| author | Jannik Stokholm Janni Vagner Steenholt Claudio Csilag Troels Wesenberg Kjær Thomas Christensen |
| author_facet | Jannik Stokholm Janni Vagner Steenholt Claudio Csilag Troels Wesenberg Kjær Thomas Christensen |
| author_sort | Jannik Stokholm |
| collection | DOAJ |
| description | Purpose: The purpose of this systematic literature review was to examine whether different assessment methods contribute to the variance in delirium incidence detected in populations of patients with acute stroke. Specifically, the aim was to address the influence of (1) choice of assessment tool, (2) frequency of assessment, and (3) type of health professional doing the assessment. Methods: We searched MEDLINE, EMBASE, and PsycINFO and included pro- and retrospective cohort studies assessing delirium during hospitalization of adult acute stroke patients. Results: In 30 articles, 24 unique populations were identified and included in the review. Delirium incidence ranged from 1.4% to 75.6% in total and a chi-square test showed a significant heterogeneity across studies (χ 2 = 536.5, df = 23, P < .0001). No studies had an assessment for delirium before a patient entered the study. No specific patterns regarding the influence of tool, assessment frequency or health professional were discernible. Discussion: Subgroups analyses were not conducted due to the heterogeneity across studies. Studies comparing delirium assessment tools directly with each other are needed. Conclusions: Delirium is a common complication in acute stroke. No firm conclusions about a possible correlation of choice of tool, assessment frequency, and delirium incidence could be made due to the great heterogeneity of the study populations. Only 1 study compared 2 tools directly with each other. Further studies comparing delirium assessment tools directly with each other are needed. |
| first_indexed | 2024-12-11T01:36:15Z |
| format | Article |
| id | doaj.art-7b66c78ac5ff411586fd459a22eeea76 |
| institution | Directory Open Access Journal |
| issn | 1179-5735 |
| language | English |
| last_indexed | 2024-12-11T01:36:15Z |
| publishDate | 2019-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Central Nervous System Disease |
| spelling | doaj.art-7b66c78ac5ff411586fd459a22eeea762022-12-22T01:25:12ZengSAGE PublishingJournal of Central Nervous System Disease1179-57352019-12-011110.1177/1179573519897083Delirium Assessment in Acute Stroke: A Systematic Review and Meta-Analysis of Incidence, Assessment Tools, and Assessment FrequenciesJannik Stokholm0Janni Vagner Steenholt1Claudio Csilag2Troels Wesenberg Kjær3Thomas Christensen4Department of Clinical Medicine, University of Copenhagen, Copenhagen, DenmarkDepartment of Neurology, Nordsjællands Hospital, Hillerød, DenmarkPsychiatric Outpatient Clinic, Mental Health Centre North Zealand, Hillerød, DenmarkCenter for Neurophysiology, Department of Neurology, Zealand University Hospital, Roskilde, DenmarkDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, DenmarkPurpose: The purpose of this systematic literature review was to examine whether different assessment methods contribute to the variance in delirium incidence detected in populations of patients with acute stroke. Specifically, the aim was to address the influence of (1) choice of assessment tool, (2) frequency of assessment, and (3) type of health professional doing the assessment. Methods: We searched MEDLINE, EMBASE, and PsycINFO and included pro- and retrospective cohort studies assessing delirium during hospitalization of adult acute stroke patients. Results: In 30 articles, 24 unique populations were identified and included in the review. Delirium incidence ranged from 1.4% to 75.6% in total and a chi-square test showed a significant heterogeneity across studies (χ 2 = 536.5, df = 23, P < .0001). No studies had an assessment for delirium before a patient entered the study. No specific patterns regarding the influence of tool, assessment frequency or health professional were discernible. Discussion: Subgroups analyses were not conducted due to the heterogeneity across studies. Studies comparing delirium assessment tools directly with each other are needed. Conclusions: Delirium is a common complication in acute stroke. No firm conclusions about a possible correlation of choice of tool, assessment frequency, and delirium incidence could be made due to the great heterogeneity of the study populations. Only 1 study compared 2 tools directly with each other. Further studies comparing delirium assessment tools directly with each other are needed.https://doi.org/10.1177/1179573519897083 |
| spellingShingle | Jannik Stokholm Janni Vagner Steenholt Claudio Csilag Troels Wesenberg Kjær Thomas Christensen Delirium Assessment in Acute Stroke: A Systematic Review and Meta-Analysis of Incidence, Assessment Tools, and Assessment Frequencies Journal of Central Nervous System Disease |
| title | Delirium Assessment in Acute Stroke: A Systematic Review and Meta-Analysis of Incidence, Assessment Tools, and Assessment Frequencies |
| title_full | Delirium Assessment in Acute Stroke: A Systematic Review and Meta-Analysis of Incidence, Assessment Tools, and Assessment Frequencies |
| title_fullStr | Delirium Assessment in Acute Stroke: A Systematic Review and Meta-Analysis of Incidence, Assessment Tools, and Assessment Frequencies |
| title_full_unstemmed | Delirium Assessment in Acute Stroke: A Systematic Review and Meta-Analysis of Incidence, Assessment Tools, and Assessment Frequencies |
| title_short | Delirium Assessment in Acute Stroke: A Systematic Review and Meta-Analysis of Incidence, Assessment Tools, and Assessment Frequencies |
| title_sort | delirium assessment in acute stroke a systematic review and meta analysis of incidence assessment tools and assessment frequencies |
| url | https://doi.org/10.1177/1179573519897083 |
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