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The aim of this study was to investigate the role of Neutrophil-to-Lymphocyte Ratio (NLR) and other derived white cell markers as early markers of delirium and outcome after acute ischemic stroke (AIS).
Delirium is an acute brain disorder, potentially reversible, commonly occurring in patients with acute ischemic stroke. The pathomechanism of delirium is related to neuroinflammatory process and oxidative stress. Search for readily available diagnostic marker that will aid clinicians in early identification of delirium is an on-going process. The aim of this study was to investigate the role of Neutrophil-to-Lymphocyte Ratio (NLR) and other derived white cell markers as early markers of delirium and outcome after acute ischemic stroke (AIS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Delirious | Patients were delirious if CAM-ICU was positive within 24 hours from admission due to acute ischemic stroke. |
| |
| Non-delirious | Patients were delirious if CAM-ICU was negative within 24 hours from admission due to acute ischemic stroke. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Delirium assessment. | Diagnostic Test | Full blood count analysis. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Early-onset-delirium. | Delirium within 24 hours from admission. | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Mortality at 30 days. | Mortality determined at follow-up on day 30 after acute ischemic stroke. | 30 days |
| Mortality at 1 year. | Mortality determined at follow-up at 1 year after acute ischemic stroke. |
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Inclusion Criteria:
Exclusion Criteria:
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Consecutive adult patients (age >18 years) with acute ischemic stroke, admitted to a neurology department of a busy district general hospital in Poland between 30.06.2015 and 31.03.2018. Patients with AIS were admitted to the neurology department within 48 hours of symptom development.
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| Name | Affiliation | Role |
|---|---|---|
| Iwona Rotter, MD, PhD | Pomeranian Medical University Szczecin | Study Chair |
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| ID | Term |
|---|---|
| D003693 | Delirium |
| D000083242 | Ischemic Stroke |
| D020521 | Stroke |
| ID | Term |
|---|---|
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| 1 year |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |