A longitudinal study of motor subtypes in delirium: Relationship with other phenomenology, etiology, medication exposure and prognosis

Meagher, David; Leonard, Maeve; Donnelly, Sinéad; Conroy, Marion; Adamis, Dimitrios; Trzepacz, Paula T.

doi:10.1016/j.jpsychores.2011.06.001

Cited by 181 publications

(150 citation statements)

References 48 publications

Supporting

Mentioning

134

Contrasting

Unclassified

Order By: Relevance

“…Hypo-active delirium is also more common, particularly among older people, and carries with it a poorer prognosis. 19 Bedside observations of abnormal hand movements, 'aimlessly picking at bedclothes' or 'plucking at the air', show a high specificity for delirium of both hyper-and hypo-active subtypes. 20 …”

Section: Suspect Delirium Earlymentioning

confidence: 99%

Delirium: a guide for the general physician

Todd¹,

Teale²

2017

Clinical Medicine

View full text Add to dashboard Cite

Delirium describes a sudden onset change in mental status of fluctuating course. This is a state of altered consciousness characterised chiefly by inattention or lack of arousal, but can also include new impairment of language, perception and behaviour. Certain predisposing factors can make an individual more susceptible to delirium in the face of a stressor. Stressors include direct insults to the brain, insults peripheral to the brain or external changes in the environment of an individual. Delirium is varied in its presentation, and can be categorised by the psychomotor profile as: hyperactive type (overly vigilant, agitated, often wandersome), hypoactive type (sedate or withdrawn) or mixed types.

show abstract

Section: Suspect Delirium Earlymentioning

confidence: 99%

Delirium: a guide for the general physician

Todd¹,

Teale²

2017

Clinical Medicine

View full text Add to dashboard Cite

show abstract

“…7 In addition, benzodiazepines are still frequently used to treat delirium, despite their being known to elicit or aggravate delirium. 8,9 Disturbances of the circadian sleep-wake cycle represent one of the core features of delir ium, 10 leading to the hypothesis that the neuro transmitter melatonin and changes in its metab olism may be involved in the pathogenesis of delirium. 11,12 Objective measurements have shown that melatonin metabolism is disturbed after abdominal and other types of surgery, insomnia, sleep deprivation and stays in the intensive care unit (ICU), all of which are also known to be factors that contribute to delir ium.…”

mentioning

confidence: 99%

Effect of melatonin on incidence of delirium among patients with hip fracture: a multicentre, double-blind randomized controlled trial

Jonghe

Munster

Goslings

et al. 2014

CMAJ

144

139

View full text Add to dashboard Cite

“…Also, allowing comorbid dementia patients was a limitation, though the number was small and about the same between groups, and may reflect cases in routine clinical care. While we did not evaluate longitudinal ratings, the ability of the DRS-R-98 to be sensitive to change has been shown by others (28,29). Small number of the patients included in the study may be considered as another limitation of the study.…”

Section: Discussionmentioning

confidence: 91%

Reliability and validity of the Turkish translation of the Delirium Rating Scale-Revised-98

Çinar¹,

Özmenler²,

Özşahin³

et al. 2014

Dusunen Adam

Self Cite

View full text Add to dashboard Cite

Reliability and validity of the Turkish translation of the Delirium Rating Scale-Revised-98Objective: Delirium is a common neuropsychiatric disorder. The Delirium Rating Scale-Revised-98 (DRS-R-98) is a widely used and well-validated delirium diagnostic and severity scale that has been translated into many languages. We investigated the reliability and validity of the Turkish version of the DRS-R-98.Method: Data for 30 consecutive delirium patients were obtained from consultation-liaison psychiatry referrals and 30 non-delirium patients were from routine screening following cardiovascular surgery. Two psychiatrist researchers diagnosed all cases using DSM-IV criteria, and independently administered the DRS-R-98 and Mini Mental State Examination (MMSE). Concurrent validity, interrater reliability, inter-battery factor analysis, internal consistency, sensitivity and specificity at various scale cut-off values were analyzed as well as descriptive analyses were performed.Results: Mean age was 70.2±15.4 and 62.8±12.6, and mean DRS-R-98 total score was 25.7±6.3 and 4.5±2.5 for delirium and non-delirium groups, respectively. Cronbachs' α intraclass coefficients measuring interrater reliability for DRS-R-98 severity and total scale scores were both 0.99 (SVD: 203.74; SVD: 282.98, respectively).DRS-R-98 severity scores were correlated with MMSE (r=-0.87, p<0.001 for both raters). Internal consistency was high for the DRS-R-98 (Cronbachs' α=0.964). Cut-off score of 16 for the DRS-R-98 total score had 100% sensitivity and 88.5% specificity, whereas 11 for the DRS-R-98 severity scale had 100% sensitivity and 85.7% specificity. Conclusion:We believe the DRS-R-98 Turkish version is a valid and reliable tool for clinicians and researchers. toplam için 16 kesme puanının duyarlılığı %100, özgüllüğü %88.5 iken, DRS-R-98 şiddet için 11 kesme puanının duyarlılığı %100, özgüllüğü %85.7 olarak bulunmuştur.Sonuç: DRS-R-98 Türkçe çevirisinin klinisyenler ve araştırmacılar için geçerli ve güvenilir olduğuna, yapılacak deliryum çalışmalarına katkıda bulunacağına inanmaktayız.

show abstract

A longitudinal study of motor subtypes in delirium: Relationship with other phenomenology, etiology, medication exposure and prognosis

Cited by 181 publications

References 48 publications

Delirium: a guide for the general physician

Delirium: a guide for the general physician

Effect of melatonin on incidence of delirium among patients with hip fracture: a multicentre, double-blind randomized controlled trial

Reliability and validity of the Turkish translation of the Delirium Rating Scale-Revised-98

Contact Info

Product

Resources

About