Delirium diagnostic tool-provisional (DDT-Pro) scores in delirium, subsyndromal delirium and no delirium
| Autor: | Alejandra M. Giraldo, Juan D. Velásquez-Tirado, María Victoria Ocampo, Cristóbal Restrepo, José Franco, Adolfo Zuluaga, Paola A. Serna, Paula T. Trzepacz, Daniel R. Zaraza, Esteban Sepulveda, Carolina López |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
behavioral disciplines and activities DDT Psychiatric nosology 03 medical and health sciences 0302 clinical medicine Internal medicine parasitic diseases mental disorders medicine Humans Dementia 030212 general & internal medicine Reference standards Psychiatric Status Rating Scales Inpatients business.industry Subsyndromal delirium Delirium Geriatric assessment Length of Stay medicine.disease nervous system diseases 030227 psychiatry Psychiatry and Mental health Psychiatric status rating scales medicine.symptom business Hospital stay |
| Zdroj: | General Hospital Psychiatry. 67:107-114 |
| ISSN: | 0163-8343 |
| DOI: | 10.1016/j.genhosppsych.2020.10.003 |
| Popis: | Objective To evaluate whether the Delirium Diagnostic Tool-Provisional (DDT-Pro), a 0–9 point scale with three items each representing symptoms from delirium's three core domains, differentiates subsyndromal delirium (SSD) from delirium and no delirium. Methods We applied cluster analyses of DDT-Pro scores from 200 consecutive inpatients using three reference standards for delirium diagnosis to determine DDT-Pro cutoff values for delirium, SSD and no delirium groups. Clinical validators and DDT-Pro item scores were compared among groups. Results DDT-Pro SSD range was 6–7 (n = 54), with no delirium having higher scores (n = 98) and delirium lower (n = 48). Dementia prevalence in the SSD group (40.7%) was intermediate between no delirium (20.4%) and delirium (66.7%). SSD and delirium groups were more affected than no delirium regarding medical comorbidities, hospital stay (no delirium 1 week) and mortality (SSD = 7.4%, delirium = 18.8%, no delirium = 1%). Values for motor subtypes, frontal lobe signs, and DRS-R98 in the SSD group were intermediate between no delirium and delirium, as well as for the DDT-Pro items (all p Conclusions All DDT-Pro items, which represent the three delirium core domains, are important for SSD diagnosis. Patients scoring in the SSD 6–7 range have significant clinical and prognostic features and deserve clinical attention. |
| Databáze: | OpenAIRE |
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