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Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients
Published on: March 11, 2021
The evaluation of delirium post-stroke.
John Mc Manus1, Rohan Pathansali, Hardi Hassan
1Department of Clinical Gerontology, Clinical Age Research Unit, King's College Hospital NHS Foundation Trust, Denmark Hill, Bessemer Road, London, UK. john.mcmanus@kch.nhs.uk
International Journal of Geriatric Psychiatry
|April 24, 2009
Summary
The Confusion Assessment Method (CAM) and Delirium Rating Scale (DRS) effectively detect delirium in acute stroke patients. A low Mini-Mental State Examination (MMSE) score may help identify patients at risk.
Area of Science:
- Neurology
- Geriatrics
- Psychiatry
Background:
- Delirium is a frequent complication following acute stroke.
- Early detection and management of delirium are crucial for patient outcomes.
Purpose of the Study:
- To compare the effectiveness of the Confusion Assessment Method (CAM) and the Delirium Rating Scale (DRS) in identifying delirium in acute stroke patients.
- To assess the utility of the Mini-Mental State Examination (MMSE) in predicting delirium risk in this population.
Main Methods:
- A prospective study involving 82 acute stroke patients screened within 4 days of stroke onset.
- Utilized the CAM and DRS for delirium assessment weekly for up to 4 weeks.
- Administered the MMSE at each assessment point.
Main Results:
- High agreement was observed between the CAM and DRS in delirium detection (kappa values ranging from 0.79 to 1.0).
- Delirium developed in 28% of patients, primarily within the first week post-stroke.
- Low MMSE scores (≤10) strongly correlated with the presence of delirium.
Conclusions:
- The CAM is a reliable and equivalent alternative to the DRS for delirium screening by non-psychiatrists in acute stroke settings.
- A low MMSE score can serve as a useful indicator for identifying stroke patients at higher risk of developing delirium.
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