Abstract：
:Because hypoactive delirium is especially under-recognized, we analyzed which Mini-Mental State Examination (MMSE) items predicted incident delirium and its hypoactive motor presentation. Over a 1-year period, older medical inpatients (n=291) were consecutively screened on admission with the Confusion Assessment Method-Spanish (CAM-S) to exclude prevalent delirium. Nondelirious patients were evaluated the same day with the MMSE, followed by daily ratings with the CAM-S. Those who became CAM-S positive were rated using the Delirium Rating Scale-Revised-98 to assess severity and motor subtype. Disorientation to time (OR 4.4, 95% CI 1.7-11.1) and place (OR 3.8, 95% CI 1.7-8.2) at admission were risk factors for delirium at follow-up and together correctly classified 88.3% of subjects as to delirium status. Disorientation to time and place, and visuoconstructional impairment were each associated with either hypoactive or mixed subtype (p<0.05 χ(2) test). Simple bedside evaluation of cognitive function in nondelirious patients revealed deficits that detected patients at risk for developing incident delirium at follow-up (especially hypoactive or mixed). We recommend patients with orientation deficits be monitored closely for emergence of delirium. A separate evaluation for possible dementia or other causes of cognitive impairment at admission should be considered too.
journal_name
Psychiatry Resjournal_title
Psychiatry researchauthors
Gabriel Franco J,Santesteban O,Trzepacz P,Bernal C,Valencia C,Ocampo MV,Pablo Jd,Gaviria AM,Vilella Edoi
10.1016/j.psychres.2014.09.003subject
Has Abstractpub_date
2014-12-30 00:00:00pages
975-81issue
3eissn
0165-1781issn
1872-7123pii
S0165-1781(14)00762-8journal_volume
220pub_type
杂志文章abstract：:Parental style and Cloninger's dimensions are associated with psychosis, but it is still unclear whether temperament, character and parenting variables are linked to specific psychotic symptoms. This study extends previous research exploring these issues. 78 patients with psychosis and 156 control subjects were recrui...
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journal_title：Psychiatry research
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更新日期：2016-04-30 00:00:00
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pub_type： 杂志文章
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更新日期：2004-02-15 00:00:00
