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Abstract: Stroke is a cerebrovascular disease that can cause various complications, one of which is delirium. Delirium is an acute neurocognitive disorder characterized by changes in consciousness, attention, and cognition. The purpose of this study was to determine the Relationship between Stroke Severity Level and Delirium Incidence in Stroke Patients in the ICU of RSI Sakinah Mojokerto. This study was used a correlation analytic research design using a cross-sectional approach. The sample in this study was 22 patients treated in the ICU of RSI Sakinah Mojokerto with the sampling technique used in this study was consecutive sampling. The instruments used in this study were use the National Institutes of Health Stroke Scale (NIHSS) observation tools to be measure stroke severity and the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) Observation tools to measure delirium. The analysis method used in this study was the Spearment Rho Test. The results showed patients with Severe Neurological Deficit experienced Positive Delirium as many as 11 respondents (100.0%) and Patients with Very Severe Neurological Deficit experienced Positive Delirium as many as 5 respondents (100.0%). The results of the analysis showed that there was a significant Relationship between Stroke Severity and Delirium Incidence in the ICU of RSI Sakinah Mojokerto with a P-value of 0.010 <α (0.05). Dysfunction in the brain area can interfere with cognitive function and cause symptoms of delirium. Oxygen deficit caused by severe stroke can damage brain cells and interfere with cognitive function, thereby increasing the likelihood of delirium.
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