A symptom rating scale for delirium

Trzepacz, Paula T.; Baker, Robert W.; Greenhouse, Joel B.

doi:10.1016/0165-1781(88)90037-6

Cited by 593 publications

(388 citation statements)

References 16 publications

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“…Item 7 of the QUADAS was at times difficult to score as although the different tests utilised in practice are independent of each other, the DRS [20] and the CAM [19] are based on DSM Diagnostic Criteria and therefore one may argue that they are not entirely independent. Appendix 2 gives details of the scores given to each study as per QUADAS items.…”

Section: Evaluation Of Methodological Qualitymentioning

confidence: 99%

“…1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 When completing the QUADAS checklist, the Reference Standard was regarded as a clinical assessment of delirium using [17] or DSM-IV-R [18]. The Index Test was regarded as any delirium diagnostic or screening tool such as the Confusion Assessment Method (CAM) [19], the Delirium Rating Scale (DRS) [20], Organic Brain Syndrome (OBS) Scale [21] or the Mini Mental State Examination (MMSE) [22].…”

Section: Data Extraction and Quality Assessmentmentioning

confidence: 99%

“…The DRS [20] and the CAM [19] are frequently used tools both of which are based on DSM criteria, have been designed to identify delirium in a variety of settings. The DRS is a tool comprising 10 items, designed for use by medical staff with specific training [20].…”

Section: Diagnostic and Screening Tools Usedmentioning

confidence: 99%

“…The DRS is a tool comprising 10 items, designed for use by medical staff with specific training [20]. The highest possible score is 32, with a cut-off score of ten indicating the presence of delirium, thus the DRS may be used to rate the severity of delirium [10].…”

Section: Diagnostic and Screening Tools Usedmentioning

confidence: 99%

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Delirium in acute stroke: screening tools, incidence rates and predictors: a systematic review

et al. 2012

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Abstract:Background and purpose: Delirium is a common complication in acute stroke yet there is uncertainty regarding how best to screen for and diagnose delirium after stroke. We sought to establish how delirium after stroke is identified, its incidence rates and factors predicting its development. Methods: We conducted a systematic review of studies investigating delirium in acute stroke. We searched The Cochrane Collaboration, MEDLINE, EMBASE, CINHAL, PsychINFO, Web of Science, British Nursing Index, PEDro and OT Seeker in October 2010.Results: 3127 citations were screened, full text of 60 titles and abstracts were read, of which 20 studies published between 1984 and 2010 were included in this review. The methods most commonly used to identify delirium were generic assessment tools such as the Delirium Rating Scale (n=5) or the Confusion Assessment Method (n=2) or both (n=2). The incidence of delirium in acute stroke ranged from 2.3% to 66%, with our meta-analysis random effects approach placing the rate at 26% (95% CI: 19-33). Of the 11 studies reporting risk factors for delirium, increased age, aphasia, neglect or dysphagia, visual disturbance and elevated cortisol levels were associated with the development of delirium in at least one study. The outcomes associated with the condition are increased morbidity and mortality. Conclusions: Delirium is found in around 26% of stroke patients. Difference in diagnostic and screening procedures could explain the wide variation in frequency of delirium. There are a number of factors that may predict the development of the condition. Title: Delirium in acute stroke: screening tools, incidence rates and predictors -a systematic review. Suggested Reviewers: Powered by Editorial Manager® and Preprint Manager® from Aries Systems Corporation Authors AbstractBackground and purpose Delirium is a common complication in acute stroke yet there is uncertainty regarding how best to

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Section: Evaluation Of Methodological Qualitymentioning

confidence: 99%

Section: Data Extraction and Quality Assessmentmentioning

confidence: 99%

Section: Diagnostic and Screening Tools Usedmentioning

confidence: 99%

Section: Diagnostic and Screening Tools Usedmentioning

confidence: 99%

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Delirium in acute stroke: screening tools, incidence rates and predictors: a systematic review

et al. 2012

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“…Only four facilities (14%) applied a delirium rating scale: Delirium Rating Scale (DRS) 8 in three facilities and Mini-Mental State Examination (MMSE) in one facility.…”

Section: Resultsmentioning

confidence: 99%

A survey on the drug therapy for delirium

Someya

Endo

Hara

et al. 2001

Psychiatry Clin Neurosci

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Delirium, which is experienced by 10-30% of inpatients, is commonly seen in daily practice. A survey was conducted of the delirium medications, and results were obtained from 28 psychiatric departments and related facilities. Haloperidol was used in 67% cases for the treatment of delirium. Ninety-seven per cent of facilities considered haloperidol as the drug of first choice, while 57% thought this drug had few side-effects and was easy to use. However, because the use of this drug is not covered by health insurance in Japan, its use is limited. We expect that this study on medication for the treatment of delirium will be a first step in increasing the approved indications for drugs used for the treatment of delirium, and to reduce off-label use.

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