In this large prospective cohort of 527 patients hospitalized with stroke, 12% of them developed delirium (based on screening with the CAM), which was associated with longer LOS, higher mortality, and worse functional outcomes. Those at highest risk had pre-existing cognitive impairment, R sided hemispheric stroke or anterior circulation involvement, brain atrophy, and higher NIH stroke scale scores. Delirium screening and early treatment should be initiated in those at highest risk (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.