This study investigated the influence of delirium post-stroke on mobility during hospitalization.
A retrospective analysis was conducted on 291 stroke patients admitted to our institution. Functional mobility was assessed using the Activity Measure for Post-Acute Care (AMPAC) scores. Patients were categorized as delirious or non-delirious based on Confusion Assessment Method (CAM) scores during hospitalization.
Among 291 patients, 273 demonstrated functional improvements during hospitalization, while 18 experienced a decline in AMPAC scores. Of these 18 patients, 15 were positive for delirium, exhibiting an average length of stay (LOS) of 12.72 days. In contrast, only 1 patient experienced a decline in functional mobility not associated with delirium or new stroke. Notably, non-delirious patients showed an average improvement of 0.08 in AMPAC scores, whereas those with delirium did not exhibit overall improvement. Patients without deliriumhad significantly higher average AMPAC scores (19.52) compared to those with delirium (12.70). Importantly, the best total basic mobility cutoff value for discharge to home, as per current literature, is an AMPAC score of 18.5.
Delirium post-stroke poses a challenge to functional recovery, as evidenced by the lack of improvement in AMPAC scores among affected patients. Moreover, patients with deliriumwere more likely to experience missed therapy sessions, indicating potential barriers to rehabilitation.
These findings underscore the importance of early recognition and management of delirium in stroke patients to optimize functional outcomes and facilitate timely discharge.
delirium
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