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Delirium in the acute phase after stroke and the role of the apolipoprotein E gene.
Oldenbeuving, A W; de Kort, P L M; Kappelle, L J; van Duijn, C M; Roks, G.
Afiliación
  • Oldenbeuving AW; Department of Intensive Care Medicine, St Elisabeth Hospital, Tilburg, The Netherlands. Electronic address: a.oldenbeuving@elisabeth.nl.
Am J Geriatr Psychiatry ; 21(10): 935-7, 2013 Oct.
Article en En | MEDLINE | ID: mdl-23969090
OBJECTIVE: To study the association between the epsilon 4 allele of apolipoprotein E (APOEε4) and delirium in a stroke population. METHODS: 527 consecutive stroke patients were screened for delirium during the first week of admission with the confusion assessment method. In three hundred fifty-three patients genomic DNA isolation was available. RESULTS: The incidence of delirium after stroke in the 353 patients was 11.3%. There was no association between APOEε4 and delirium. Even after adjustment for IQCODE, stroke localization, stroke subtype, stroke severity, infection, and brain atrophy no association was found (odds ratio: 0.9; 95% confidence interval: 0.4-2.1). Delirium did not last longer in patients with an APOEε4 allele compared to patients without an APOEε4 allele (median: 5.6 days [range: 1-21] versus median: 4.6 days [range: 1-15], p = 0.5). CONCLUSION: There was no association between the presence of an APOEε4 allele and the occurrence of delirium in the acute phase after stroke.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Predisposición Genética a la Enfermedad / Accidente Cerebrovascular / Delirio / Apolipoproteína E4 Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Am J Geriatr Psychiatry Asunto de la revista: GERIATRIA / PSIQUIATRIA Año: 2013 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Predisposición Genética a la Enfermedad / Accidente Cerebrovascular / Delirio / Apolipoproteína E4 Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Am J Geriatr Psychiatry Asunto de la revista: GERIATRIA / PSIQUIATRIA Año: 2013 Tipo del documento: Article Pais de publicación: Reino Unido