Mustapha Amoadu, Susanna Aba Abraham, Abdul Karim Adams, William Akoto-Buabeng, Paul Obeng, John Elvis Hagan
Risk Factors of Malnutrition among In-School Children and Adolescents in Developing Countries: A Scoping Review
Children (Basel, Switzerland)
although poststroke delirium frequent complication acute settings significant longlasting implications patients prevalence poststroke delirium diagnosed according goldstandard criteria remains uncertain highlights importance updating current evidence review aims provide precise estimation prevalence delirium acute poststroke settings explore potential differences reported prevalence according characteristics study stroke survivors systematic review metaanalysis poststroke survivors delirium acute settings five english two chinese language databases inception june 2023 reference lists published reviews studies reporting prevalence poststroke delirium according diagnostic statistical manual mental disorders criteria description assessment method absence interventions delirium eligible two reviewers independently screened searched records extracted data eligible studies metaanalysis conducted using randomeffects model evaluate prevalence poststroke delirium predefined subgroup analyses sensitivity analyses mixedeffects metaregression conducted explore contribution heterogeneity twentynine eligible studies involving 8839 survivors included acute settings overall weighted prevalence poststroke delirium 25 95 ci 2030 i2 95 subgroup analyses revealed agedependent variations delirium prevalence rates 20 25 34 ages 6064 6574 7579 respectively delirium prevalence varied assessment duration 7 days 31 7 days 24 7 days 20 initial screening significantly reduced reported prevalence 15 compared 30 initial screening conducted delirium prevalence lower nurses involved assessments 13 vs 29 significant effects detected economic status publication year female percentage onsettoadmission time stroke type assessment frequency metaregression analysis revealed higher delirium prevalence associated increased survivors age 0051 95 ci 00002 0103 p 005 r2 1336 high prevalence poststroke delirium observed acute settings nurses required integrate coordinate prevention early detection management delirium following stroke nursing practice particularly older stroke survivors findings necessitate need incorporating specialized training within nursing education identify manage delirium effectively accurately reinforces pivotal role nurses early detection prevention delirium within acute stroke care continuum protocol registered prospero crd42022352097 evidence suggests 25 prevalence poststroke delirium acute settings higher rates older patients emphasizing need prevention early detection management nursing practice