J Korean Acad Rehabil Med Search


Journal of the Korean Academy of Rehabilitation Medicine 2010;34(4):403-408.
Influence of Delirium on Functional Recovery in Acute Stroke.
Kim, Se Won , Kim, Bo Ram , Lim, Jeong Hoon , Koh, Seong Eun , Lee, In Sik , Kim, Jong Moon , Kim, Hahn Young , Lee, Jongmin
1Department of Rehabilitation Medicine, Konkuk University School of Medicine, Korea. leej@kuh.ac.kr
2Department of Neurology, Konkuk University School of Medicine, Korea.
급성기 뇌졸중에서 섬망이 기능 회복에 미치는 영향
김세원, 김보람, 임정훈, 고성은, 이인식, 김종문, 김한영1, 이종민
건국대학교 의학전문대학원 재활의학교실, 1신경과학교실
To investigate the risk factors for poststroke delirium and evaluate its influence on functional recovery after ischemic stroke.
Risk factors for delirium were investigated retrospectively in three hundred twenty nine acute ischemic stroke patients over 60 years of age. Among the 329 patients, sixty seven developed delirium. Data were analyzed between delirium group (n=22) and control group (n=22) according to age, sex, lesion location and clinical features. Korean modified Barthel index (K-MBI), Korean National Institutes of Health stroke scale (K-NIHSS) and Korean mini-mental state examination (KMMSE) were measured at second and sixth weeks after onset and compared for both groups.
Parameters showing statistically significant difference between two groups were age over 80, hyponatremia, sleep deprivation, cognitive impairment and cardiogenic embolism. There was no significant difference in K-MBI, K-NIHSS and K-MMSE scores at second week between the two groups. The delirium group showed significantly less improvement in K-MBI and K-NIHSS scores compared to control group (9.5±10.2 vs 18.5±11.6, p=0.011; −0.7±1.2 vs −1.8±1.3, p=0.014). There was no significant improvement in K-MMSE score.
The possible risk factors for delirium in acute ischemic stroke are age over 80, hyponatremia, sleep deprivation, cognitive impairment and cardiogenic embolism. Stroke patients with comorbid delirium showed poorer functional outcome. Delirium seems to have detrimental effect in functional recovery after stroke. (J Korean Acad Rehab Med 2010; 34: 403-408)
Key Words: Stroke, Delirium, Prognosis


Browse all articles >

Terms of Use   |   Privacy Polity
Editorial Office
Department of Rehabilitation Medicine, Seoul National University Hospital
101 Daehak-ro, Jongno-gu, Seoul, Korea
Tel: +82-10-8678-2671    Fax: +82-2-6072-5244    E-mail: edit@e-arm.org; edit.karm@gmail.com
Business Registration: 110-82-07460                

Copyright © 2024 by Korean Academy of Rehabilitation Medicine.

Developed in M2PI

Close layer