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Delirium post-stroke: short- to long-term effect on anxiety and depression compared to effect on cognition
- Source :
- Topics in stroke rehabilitation. 24(8)
- Publication Year :
- 2017
-
Abstract
- Background Delirium is common after stroke and has significant negative impact on mortality, morbidity, cognitive function, and institutionalization. Despite these known effects, any impact of delirium on the emotional well-being of stroke survivors is unclear. Methods A post hoc analysis was performed on our prospective cohort study of 156 stroke patients. Hospital Anxiety and Depression (HAD) scale scores were compared between patients with delirium and patients without delirium at 1-month, 6-month, and 12-month post-stroke. Results Contrary to the negative impact of delirium on cognition and functional status, we did not discern any influence on HAD scale scores in the short to long term. The median scores of the HAD anxiety scale were 4 (interquartile range IQR 3) at 1 month, 5.5 (IQR 8.75) at 6 months, and 6 (IQR 5) at 12 months in the delirium group compared to 5 (IQR 7) at 1 month (p = 0.6), 4 (IQR 7) at 6 months (p = 0.4), and 6 (IQR 5.75) at 12 months (p = 0.9) in the non-delirium group, respectively. Similarly, the median scores of the HAD depression scale were 5 (IQR 4) at 1 month, 4 (IQR 6.5) at 6 months, and 3 (IQR 6) at 12 months in the delirium group compared to 6 (IQR 5.75) at 1 month (p = 0.9), 5 (IQR 7) at 6 months (p = 0.9), and 6 (IQR 5) at 12 months (p = 0.5) in the non-delirium group. Conclusion Delirium may not have a significant effect on the development of anxiety or depression after stroke which differs in its effect on cognitive function and functional status.
- Subjects :
- medicine.medical_specialty
Anxiety
03 medical and health sciences
0302 clinical medicine
Cognition
Interquartile range
Risk Factors
Internal medicine
mental disorders
Post-hoc analysis
medicine
Humans
030212 general & internal medicine
Prospective Studies
Survivors
Psychiatry
Prospective cohort study
Stroke
Depression (differential diagnoses)
Aged
Community and Home Care
Depression
Rehabilitation
Delirium
medicine.disease
Neurology (clinical)
medicine.symptom
Psychology
030217 neurology & neurosurgery
Follow-Up Studies
Subjects
Details
- ISSN :
- 19455119
- Volume :
- 24
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- Topics in stroke rehabilitation
- Accession number :
- edsair.doi.dedup.....601fe9aa1fafb119c5701f0089c12d15