A critique of instruments and methods to detect, diagnose, and rate delirium Journal Article
| Authors: | Smith, M. J.; Breitbart, W. S.; Platt, M. M. |
| Article Title: | A critique of instruments and methods to detect, diagnose, and rate delirium |
| Abstract: | This document reviews existing instruments for evaluation of delirium. Instruments have been grouped into four categories: tests that screen for cognitive impairment, delirium diagnostic instruments, delirium-specific numerical rating scales, and laboratory and paraclinical exams. Analysis of instruments was based on comparison of their psychometric properties as well as subjective judgment. Guidelines are suggested for choosing the appropriate instrument according to the type of clinical evaluation or delirium research envisaged. Important factors in choosing an instrument, besides the appropriateness of its psychometric characteristics, include administration time constraints, level of rater expertise, and patient capabilities. By familiarizing investigators with the variety of evaluation instruments available, this work should permit more appropriate instrument selection in future studies on delirium. © 1995 U.S. Cancer Pain Relief Committee. |
| Keywords: | human immunodeficiency virus infection; nuclear magnetic resonance imaging; computer assisted tomography; chlorpromazine; haloperidol; lorazepam; delirium; calcium; practice guideline; confusion; evaluation; screening; diagnosis; alcohol; psychiatric status rating scales; neuropsychological test; neuropsychological tests; antidepressant agent; neuroleptic agent; rating scale; cognitive defect; morphine; evaluation studies; cognitive; corticosteroid; cognition disorders; memory; single photon emission computer tomography; psychologic test; glutamic acid; electroencephalogram; psychometrics; psychometry; pediatrics; benzodiazepine; serotonin; cyclic gmp; severity; corticotropin; 4 aminobutyric acid; instruments; psychological tests; neurotransmitter; cholinergic receptor blocking agent; phosphatidylinositol; rating; 4 aminobutyric acid receptor stimulating agent; cholinergic receptor stimulating agent; n methyl dextro aspartic acid; human; article; beta endorphin; intelligence test; lysergide; phencyclidine; quinuclidinyl benzilate; drawing |
| Journal Title: | Journal of Pain and Symptom Management |
| Volume: | 10 |
| Issue: | 1 |
| ISSN: | 0885-3924 |
| Publisher: | Elsevier Inc. |
| Date Published: | 1995-01-01 |
| Start Page: | 35 |
| End Page: | 77 |
| Language: | English |
| DOI: | 10.1016/0885-3924(94)00066-t |
| PUBMED: | 7714346 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 28 August 2018 -- Source: Scopus |
