Delirium and Stroke

Not Applicable

• Conditions: F05.0; I63.0; Delirium not superimposed on dementia, so described; Cerebral infarction due to thrombosis of precerebral arteries

• Registration Number: DRKS00021436
• Lead Sponsor: niversitätsklinikum Schleswig-Holstein, Pflegeforschung, Campus Kiel

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2020-04-17
• Study Completion: 2021-07-27
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 572

Inclusion Criteria

All patients are included
a) = 18 years,
b) admission with suspected acute stroke on the stroke unit
c) who give their consent to the research with their data.

All employees of the medical, nursing and therapeutic staff are included in personnel surveys.

Exclusion Criteria

All patients are excluded
a) who have been treated in a hospital for >24 hours before their admission and for whom a pre-existing delirium cannot be excluded,
b) with impaired consciousness, which makes it impossible to determine the delirium
c) with a high probability of death within 24 or 48 hours,
d) which cannot be examined for delirium for other reasons (e.g. deaf, total aphasia).

In terms of personnel, all persons are excluded who a) work for education / studies, b) as temporary workers or pool employees on the stroke unit

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary outcome parameter is the severity of the delirium. During the entire stay on the stroke unit, the parameter is assessed three times a day by nurses using the Nursing Delirium Screening Checklist (range 0-10 points, =4 = delirium, higher values indicate a greater severity of delirium) and a test for attention. A positive result will be validated by a specialist. The highest value during the stay will be counted.

Secondary Outcome Measures

Name	Time	Method
Delirium incidence and duration, score on the modified Rankin Scale, length of stay on stroke unit, hospital days, mortality, sum of anticholinergics, non-pharmacological interventions, complications of a delirium for the duration of a follow-up of 28 days.<br>Additionally in<br>Center Kiel: disability after 90 days, <br>Centers Kiel & Neumünster: correlation of the EEG and Cholinesterase with delirium,<br>Centers Kiel & Flensburg: study performance<br>Centers Kiel, Flensburg, Schleswig, Neumünster: Knowledge and attitude of the staff<br>Center Berlin: Development of a prediction score for delirium<br>Center Saarbrücken: Continuity of care.