Ghosh Malabika, Hamer Oliver, Hill James
Lancashire Teaching Hospitals, NHS Foundation Trust, UK.
University of Central Lancashire (UCLan), Preston, UK.
Br J Neurosci Nurs. 2022 Oct 1;18(Sup5):S18-S21. doi: 10.12968/bjnn.2022.18.Sup5.S18. Epub 2022 Nov 1.
Delirium is a common presentation after acute stroke. Post-stroke delirium is related to poor recovery, higher rates of mortality, falls, and longer hospital stays. Delirium can lead to challenging behaviour such as anger, aggression, and confusion. As such, it is important to identify delirium promptly for early management and to reduce the negative impact on post-stroke recovery and outcomes. An important aspect of identifying delirium depends on the use of efficient, easy to use and validated assessment tools. A wide range of tools are available, although it is not known how accurately they can identify post-stroke delirium. This article critically appraises a systematic review which identified delirium screening tools for patients with acute stroke, and summarised their accuracy.
谵妄是急性中风后的常见表现。中风后谵妄与恢复不佳、较高的死亡率、跌倒发生率以及更长的住院时间有关。谵妄会导致诸如愤怒、攻击行为和意识混乱等具有挑战性的行为。因此，及时识别谵妄以便进行早期管理并减少对中风后恢复和预后的负面影响非常重要。识别谵妄的一个重要方面取决于使用高效、易于使用且经过验证的评估工具。虽然有各种各样的工具可供使用，但尚不清楚它们识别中风后谵妄的准确性如何。本文对一项系统评价进行了批判性评估，该评价确定了急性中风患者的谵妄筛查工具，并总结了它们的准确性。
