TABLE 3.
Neuro-QOL Instrument | Domain | Estimate | 95% Confidence Interval | P Value |
---|---|---|---|---|
Applied cognition executive function | Ability to manage tasks involving finances, taking medications, and so forth | 5.8 | 0.15 to 11.5 | 0.045 |
Fatigue | Difficulty starting or completing activities | 7.4 | 1.7 to 13 | 0.01 |
Fine motor | Fine motor function with the upper extremities | 0.9 | −3.7 to 5.6 | 0.7 |
Mobility | Mobility in a variety of settings | 0.8 | −4.5 to 6.2 | 0.7 |
Definition of abbreviation: QOL = quality of life.
The estimate is how much poorer T scores were for patients who were ever versus never delirious (i.e., patients who were never delirious had applied cognition–executive function scores 5.8 points worse than those ever delirious; SD for all assessments is 10 points, so 5.8 points is 0.58 SD. We analyzed Neuro-QOL data at every point of follow-up. Mixed models were constructed for each instrument individually controlling for National Institutes of Health Stroke Scale on admission, age, any benzodiazepine use, and point of follow-up (28 d, 3 mo, and 12 mo). Results were similar when data were adjusted for proxy report.
Delirium was independently associated with worse QOL in the domains of applied cognition–executive function, and fatigue at 1-, 3-, and 12-month follow-up.