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Assessing severity of delirium by the Delirium Observation Screening Scale
Author(s)Alice C Scheffer, Barbara C van Munster, Marieke J Schuurmans, Sophia E de Rooij
Journal titleInternational Journal of Geriatric Psychiatry, vol 26, no 3, March 2011
Pagespp 284-291
Sourcehttp://www.interscience.wiley.com/journal/gps
KeywordsConfusion ; In-patients ; Screening ; Evaluation.
AnnotationThe aim of this study was to validate a scale developed to assess the severity of delirium during regular nursing care, the Delirium Observation Screening (DOS) Scale. Delirium was diagnosed according to DSM-IV criteria and the Confusion Assessment Method. Global cognitive functioning was assessed by the Informant Questionnaire Cognitive Decline in the Elderly - Short Form (IQCODE-SF) and the Katz-ADL Scale was used for functional impairment. 97 delirious patients took part in the study including 41 hip fracture patients and 56 medical patients. The correlation between total Delirium Rating Scale-Revised-98 (DRS-R-98) scores and DOS Scale scores was 0.67. For the cognitive impaired group (IQCODE-SF) this correlation was 0.61; for the group with no global cognitive impairment this correlation was 0.67. Correlations between DRS-R-98 and DOS Scale for hypoactive, hyperactive and mixed delirium subtype were 0.40, 0.44 and 0.69 respectively. Concludes that the DOS Scale is a time-efficient, easy to use and reliable method for measuring and monitoring severity of delirium by nurses. (JL).
Accession NumberCPA-110815011 A
ClassmarkEDC: LF7: 3V: 4C

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