A critique of instruments and methods to detect, diagnose, and rate delirium

作者: Mark J. Smith , William S. Breitbart , Meredith M. Platt

DOI: 10.1016/0885-3924(94)00066-T

关键词:

摘要: This document reviews existing instruments for evaluation of delirium. Instruments have been grouped into four categories: tests that screen cognitive impairment, delirium diagnostic instruments, delirium-specific numerical rating scales, and laboratory paraclinical exams. Analysis was based on comparison their psychometric properties as well subjective judgment. Guidelines are suggested choosing the appropriate instrument according to type clinical or research envisaged. Important factors in an instrument, besides appropriateness its characteristics, include administration time constraints, level rater expertise, patient capabilities. By familiarizing investigators with variety available, this work should permit more selection future studies

参考文章(229)
McHugh Pr, Folstein Mf, Psychopathology of dementia: implications for neuropathology. Research publications - Association for Research in Nervous and Mental Disease. ,vol. 57, pp. 17- 30 ,(1979)
Tune L, Lucas Mj, Steele C, Haloperidol versus thioridazine in the treatment of behavioral symptoms in senile dementia of the Alzheimer's type: preliminary findings. The Journal of Clinical Psychiatry. ,vol. 47, pp. 310- 312 ,(1986)
M Spitzer, A Jost, L Hermle, G Oepen, [Clinical and laboratory differentiation of alcohol withdrawal syndrome ("predelirium") and alcoholic delirium]. Psychiatrische Praxis. ,vol. 19, pp. 16- 22 ,(1992)
Brain magnetic resonance imaging findings in ECT-induced delirium. Journal of Neuropsychiatry and Clinical Neurosciences. ,vol. 2, pp. 53- 58 ,(1990) , 10.1176/JNP.2.1.53
Wells Ce, Pro Jd, The use of the electroencephalogram in the diagnosis of delirium. Diseases of the nervous system. ,vol. 38, pp. 804- ,(1977)
O'Neill D, Walsh Jb, O'Shea B, Coakley D, Screening for dementia and delirium using an adapted Folstein Mini-Mental State Examination. Irish Medical Journal. ,vol. 82, pp. 24- ,(1989)
B. Reisberg, The Brief Cognitive Rating Scale (BCRS) : findings in primary degenerativ dementia (PDD) Psychopharmacology Bulletin. ,vol. 19, pp. 47- 50 ,(1983)
Milton M. Gross, Eastlyn Lewis, John Hastey, Acute Alcohol Withdrawal Syndrome Springer, Boston, MA. pp. 191- 263 ,(1974) , 10.1007/978-1-4684-2937-4_6
Radiologic correlates of antidepressant-induced delirium: the possible significance of basal-ganglia lesions. Journal of Neuropsychiatry and Clinical Neurosciences. ,vol. 1, pp. 188- 190 ,(1989) , 10.1176/JNP.1.2.188