作者
David J Meagher, Alessandro Morandi, Sharon K Inouye, Wes Ely, Dimitrios Adamis, Alasdair J Maclullich, James L Rudolph, Karin Neufeld, Maeve Leonard, Giuseppe Bellelli, Daniel Davis, Andrew Teodorczuk, Stefan Kreisel, Christine Thomas, Wolfgang Hasemann, Suzanne Timmons, Niamh O’Regan, Sandeep Grover, Faiza Jabbar, Walter Cullen, Colum Dunne, Barbara Kamholz, Barbara C Van Munster, Sophia E De Rooij, Jos De Jonghe, Paula T Trzepacz
发表日期
2014/12
期刊
BMC medicine
卷号
12
页码范围
1-10
出版商
BioMed Central
简介
Background
The Diagnostic and Statistical Manual fifth edition (DSM-5) provides new criteria for delirium diagnosis. We examined delirium diagnosis using these new criteria compared with the Diagnostic and Statistical Manual fourth edition (DSM-IV) in a large dataset of patients assessed for delirium and related presentations.
Methods
Patient data (n = 768) from six prospectively collected cohorts, clinically assessed using DSM-IV and the Delirium Rating Scale-Revised-98 (DRS-R98), were pooled. Post hoc application of DRS-R98 item scores were used to rate DSM-5 criteria. `Strict’ and `relaxed’ DSM-5 criteria to ascertain delirium were compared to rates determined by DSM-IV.
Results
Using DSM-IV by clinical assessment, delirium was found in 510/768 patients (66%). Strict DSM-5 criteria categorized 158 as …
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DJ Meagher, A Morandi, SK Inouye, W Ely, D Adamis… - BMC medicine, 2014