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Delirium scales
 — a review of current evidence
Author(s)Dimitrios Adamis, Naveen Sharma, Paul J P Whelan
Journal titleAging & Mental Health, vol 14, no 5, July 2010
PublisherTaylor & Francis, July 2010
Pagespp 543-555
Sourcehttp://www.tandfonline.com
KeywordsConfusion ; Screening ; Evaluation ; Literature reviews.
AnnotationDelirium is a common neuropsychiatric condition with many adverse outcomes in elderly populations including death. Despite this, it is often misdiagnosed and mistreated. A number of scales can be used to detect delirium. The authors review scales that have been used in delirium studies and report their psychometric properties. An extensive MEDLINE database search and subsequent examination of reference lists was conducted to identify the various delirium scales that have been designed, primarily for use in the older population group. Twenty-four scales were identified. Delirium instruments differed according to the classification system they were based on, length of time to administer, the rater and whether they were screening scales or measured symptom severity. The psychometric properties of each scale is reported. A large number of scales exist, but not all are properly evaluated in terms of psychometric properties, and there is not unanimity about which scale is the best. However, a small number of scales may be considered already to be robust and useable: the Confusion Assessment Method (CAM), the Delirium Rating Scale (DRS), the Memorial Delirium Assessment Scale (MDAS) and the NEECHAM Confusion Scale. (KJ/RH).
Accession NumberCPA-100927215 A
ClassmarkEDC: 3V: 4C: 64A

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