Delirium Screening in Acute Stroke: A Systematic Review and Meta-Analysis of Incidence, Screening Tools and Screening Frequencies

Stokholm, Jannik

doi:10.26226/morressier.5ab8f565d462b8029238d723

Cited by 1 publication

(2 citation statements)

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“…See review protocol for the exact MEDLINE search string. 11 The searches at EMBASE and PsycINFO were built on the same search words. No date restrictions were imposed on any of the searches and all searches were finalized in August 2017.…”

Section: Methodsmentioning

confidence: 99%

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Delirium Assessment in Acute Stroke: A Systematic Review and Meta-Analysis of Incidence, Assessment Tools, and Assessment Frequencies

Stokholm

Steenholt

Csilag

et al. 2019

J Cent Nerv Syst Dis

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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 (χ2 = 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.

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Section: Methodsmentioning

confidence: 99%

“…A protocol for this review was published online at the PROSPERO register (ID CRD42017068360). 11 The protocol was based on the PRISMA-P guidelines. 12 The article has been written in accordance with the PRISMA guidelines.…”

Section: Methodsmentioning

confidence: 99%