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<p>Post-stroke delirium (PSD) is a common yet frequently under-recognized complication in clinical practice. This review provides a comprehensive mapping of the rapidly evolving landscape of PSD risk-predicting and screening tools. The distinctive strengths and limitations of each tool were synthesized, highlighting what they effectively capture and what they may overlook. A key trade-off emerges: highly sensitive instruments often lack feasibility in busy stroke units, whereas shorter tools may suffer from cultural and contextual biases. Emerging context-adaptive and language-agnostic tools show particular promise in transforming delirium from an overlooked barrier to recovery into a manageable and treatable target after stroke.</p>

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Risk-predicting and screening tools of post-stroke delirium: a narrative review

  • 期刊论文

  • 发表日期：

    2026年2月13日

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  • Xiaoyan Cai,
  • Yuxuan Zhao,
  • Li-e Lin,
  • Chunli Huang,
  • Fengxia Yan,
  • Haiqun Huang

摘要

Post-stroke delirium (PSD) is a common yet frequently under-recognized complication in clinical practice. This review provides a comprehensive mapping of the rapidly evolving landscape of PSD risk-predicting and screening tools. The distinctive strengths and limitations of each tool were synthesized, highlighting what they effectively capture and what they may overlook. A key trade-off emerges: highly sensitive instruments often lack feasibility in busy stroke units, whereas shorter tools may suffer from cultural and contextual biases. Emerging context-adaptive and language-agnostic tools show particular promise in transforming delirium from an overlooked barrier to recovery into a manageable and treatable target after stroke.