Source:http://linkedlifedata.com/resource/pubmed/id/12724462
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
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| pubmed:dateCreated |
2003-5-1
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| pubmed:abstractText |
This study compared the sensitivity and specificity of DSM-IV criteria for delirium with the sensitivity and specificity of DSM-III and ICD-10 criteria among elderly medical inpatients with or without dementia. Secondary objectives were to examine the effect of changing the definition of criterion A on sensitivity and specificity and to compare the sensitivity and specificity of different numbers of symptoms of delirium. A total of 322 elderly patients who had been admitted from the emergency department to the medical services were classified into one of four groups using DSM-III-R criteria: delirium and dementia (n = 128), delirium only (n = 40), dementia only (n = 94), and neither (n = 60). The sensitivity and specificity of DSM-IV, DSM-III, and ICD-10 criteria were determined against DSM-III-R criteria using three definitions of criterion A (clouding of consciousness only, clouding of consciousness and inattention, clouding of consciousness or inattention). When criterion A was defined as clouding of consciousness or inattention, the sensitivity and specificity of DSM-IV, DSM-III, and ICD-10 criteria were 100% and 71%, 96% and 91%, and 61% and 91%, respectively. The results were similar among patients with or without dementia. The lower specificity of DSM-IV was accounted for by its inclusion of patients who did not show disorganized thinking. DSM-IV criteria for delirium are the most inclusive criteria to date for elderly medical patients with or without dementia.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:issn |
0895-0172
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
15
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
200-7
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| pubmed:dateRevised |
2007-11-15
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| pubmed:meshHeading |
pubmed-meshheading:12724462-Aged,
pubmed-meshheading:12724462-Aged, 80 and over,
pubmed-meshheading:12724462-Confusion,
pubmed-meshheading:12724462-Delirium,
pubmed-meshheading:12724462-Dementia,
pubmed-meshheading:12724462-Diagnosis, Differential,
pubmed-meshheading:12724462-Diagnostic and Statistical Manual of Mental Disorders,
pubmed-meshheading:12724462-Empirical Research,
pubmed-meshheading:12724462-Female,
pubmed-meshheading:12724462-Geriatric Assessment,
pubmed-meshheading:12724462-Humans,
pubmed-meshheading:12724462-Inpatients,
pubmed-meshheading:12724462-International Classification of Diseases,
pubmed-meshheading:12724462-Male,
pubmed-meshheading:12724462-Prospective Studies,
pubmed-meshheading:12724462-Psychiatric Status Rating Scales,
pubmed-meshheading:12724462-Randomized Controlled Trials as Topic,
pubmed-meshheading:12724462-Reproducibility of Results,
pubmed-meshheading:12724462-Sensitivity and Specificity
|
| pubmed:year |
2003
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| pubmed:articleTitle |
An empirical study of different diagnostic criteria for delirium among elderly medical inpatients.
|
| pubmed:affiliation |
Department of Psychiatry, St. Mary's Hospital and McGill University, Montreal, Quebec. martin.cole@ssss.gouv.qc.ca
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| pubmed:publicationType |
Journal Article,
Comparative Study
|