Blog Viewer

The Impact of Delirium on Withdrawal of Life-Sustaining Treatment After Intracerebral Hemorrhage

By Currents Editor posted 11-24-2020 13:43


Neurology (11/17/20) Vol. 95, No. 20  doi: 10.1212/WNL.0000000000010738
Reznik, Michael E.; Moody, Scott; Murray, Kayleigh; et al.


Researchers report an association between delirium and withdrawal of life-sustaining treatment (WLST) after intracerebral hemorrhage (ICH). In a single-center cohort study of 311 patients with ICH, 50% had delirium and WLST occurred in 26%. The median time to WLST was 1 day. Patients who developed delirium were more likely to have WLST. Rates of WLST were high among both early and later delirium patients. With an area under the curve (AUC) of 0.902, an ICH score-based model was strongly predictive of WLST. The model’s accuracy increased when a delirium category was added, with an AUC of 0.936. Based on the findings, the researchers recommend additional study on the effects of delirium on clinician and surrogate decision-making.


Recommendations for Regional Stroke Destination Plans in Rural, Suburban, and Urban Communities From the Prehospital Stroke System of Care Consensus Conference: A Consensus Statement From the American Academy of Neurology, American Heart Association/American Stroke Association, American Society of Neuroradiology, ...
By Wade Smith, MD, PhD, FNCS, and Paul Nyquist, MD/MPH, FANA, FCCM, FAAN Introducing the Neurocritical Care Foundation Dear NCS Members, It was wonderful to engage with you all during World Coma Day on March 22. I am proud to lead a society that prioritizes raising awareness of coma as a treatable ...
Bindi Parikh, MD, Neurology Resident, University of Minnesota Christine Yeager, MD, Assistant Professor of Neurology, University of Minnesota     Section Editor Lauren Koffman, DO, MS One Thursday, amidst the peak of the COVID-19 pandemic, Naema had been working from home as a student ...