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July 2020 -
Volume 18, Issue 7

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From the Editor

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Original Contribution

Physical activity guidelines awareness and counselling practice in relation to health care providers’ knowledge and behaviour in Qatar
[Abstract]
[pdf]
Mohamed Ghaith Al-Kuwari, Ahmad Muslim Al-Hamdani , Wadha Ahmad Al-Baker
DOI: 10.5742MEWFM.2020.93828

Satisfaction among patients attending the continuity of care clinic in West Bay health center in Qatar
[Abstract]
[pdf]
Mohamed Salem, Amal Al-Ali, Lolwa Al-Maslamani, Hisham El-Mahdi, Shumoos Abed, Mustafa Abugesiesa, Safa Qaissi, Sahar Omer, Eman Abuhzima
DOI: 10.5742MEWFM.2020.93829

Knowledge, Attitude and Practice of self-medication among Undergraduate Medical Students in Jeddah city, Saudi Arabia
[Abstract]
[pdf]
Reham Al-Jamea, Asseil Bossei, Hanan Al Zhrani, Faisal Bossei, Wed Faiz, Maaly Alqurashi, Hydi Ahmed
DOI: 10.5742MEWFM.2020.93830

What a low prevalence of diabetes mellitus between the most desired values of high density lipoproteins in the plasma
[Abstract]
[pdf]
Mehmet Rami Helvaci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2020.93831

Population and Community Studies

Evaluation of Postpartum Stress in Breastfeeding and Non-breastfeeding Mothers of Kathmandu, Nepal
[Abstract]
[pdf]
Kharel Sushil, Raut Binod, Mainalee Mandira
DOI: 10.5742MEWFM.2020.93832

Osteoporosis in Psoriasis and Psoriatic Arthritis Patients
[Abstract]
[pdf]
Jinan Q. Mohammed, Abdulsatar J. Mathkhor, Alaa H. Abed
DOI: 10.5742MEWFM.2020.93833

COVID-19 in Pakistan: A Grim-looking Trajectory
[Abstract]
[pdf]
Salman Tariq, Naveen Tariq, Waris Qidwai
DOI: 10.5742MEWFM.2020.93834

Review

Diabetes Management in Ramadan – A Clinical Review
[Abstract]
[pdf]
Jazeb Razaq, Shayaan Ahmed Saqib
DOI: 10.5742MEWFM.2020.93835

Parkinson’s Disease: An update on Pathophysiology, Epidemiology, Diagnosis and Management
Part 3 : Diagnosis , Symptoms, and Prognosis of Parkinson’s Disease
[Abstract]
[pdf]
Abdukrazak Abyad
DOI: 10.5742MEWFM.2020.93836

Case study

Haemoperitoneum in undiagnosed fundal placenta percreta in a third trimester pregnancy presented in labor: A case report
[Abstract]
[pdf]
Nansi Dari Alfayez, Taghreed Mohammed Aldajeh, Mohmmad Abed Al-rahaman AL-harasis, Ahmad Saad Kharabsheh, Khalil Abdel Wahhab Al-Tamimi
DOI: 10.5742MEWFM.2020.93837

Original Clinical Research

Post-stroke Delirium: Meta-analysis of Frequency
Saleha Al-Jadidi, Martin Cole, Alina Dyachenko, Antonio Ciampi
[Abstract]
[pdf]
DOI: 10.5742MEWFM.2020.93838



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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abyad@cyberia.net.lb
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July 2020 - Volume 18, Issue 7

Post-stroke Delirium: Meta-analysis of Frequency

(1) Al Masarra Hospital, Ministry of Health, Oman
(2) Oman Medical Specialty Board,
(3) McGill University, Montreal, Canada
(4) St. Mary’s Hospital, Montreal, Canada
(5) SJMC Mind & Body Clinic, Oman

Corresponding author: Saleha Al-JadidiAl Masarra Hospital, Ministry of Health, Oman
Email: drsaleha.aljadidi@moh.gov.om

Received: May 2020; Accepted: June 2020; Published: July 1, 2020. Citation: Saleha Al-Jadidi et al. Post-stroke Delirium: Meta-analysis of Frequency. World Family Medicine. 2020; 18(7): 76-84 DOI: 10.5742MEWFM.2020.93838

Abstract

Objective: To determine the frequency of post-stroke delirium by systematically reviewing original research on this topic.

Methods: MEDLINE, EMBASE, PsychINFO and the Cochrane Database of Systematic Reviews were searched for potentially relevant articles published from 1967 to March, 2014. The bibliographies of relevant articles were searched for additional references. Twelve studies met the inclusion criteria. The validity of included studies was assessed according to criteria derived from Barker et al (Barker et al, 1998). Information about diagnostic criteria for delirium,, diagnostic instruments, length and frequency of screening, population (eligible, enrolled and completed screening), age, gender, time to entering study following stroke, stroke type and location, presence of dementia and medical co morbidity, psycho-active drug use and number of patients with delirium was systematically abstracted, tabulated and synthesized according to the MOOSE guidelines for reporting of meta-analyses.

Results: There was significant heterogeneity in results of the studies of frequency of post-stroke delirium. The proportions ranged from 10% to 48%. The summary proportion was 0.24 (95% CI 0.18, 0.32). The frequency of post-stroke delirium may be related to medical co-morbidity or psycho-active drug use.

Conclusion: Post-stroke delirium may be frequent. Because of significant heterogeneity in the results of studies of frequency, the result of this review must be interpreted cautiously.

Key words: Delirium, post-stroke, incidence, prevalence, confusion

 







 


 

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