JAMDA
Volume 7, Issue 7 , Pages 412-415 , September 2006

Reliability of a Structured Assessment for Nonclinicians to Detect Delirium Among New Admissions to Postacute Care

  • Samuel E. Simon, PhD

      Affiliations

    • Mathematica Policy Research, Cambridge, MA
    • Institute for Aging Research, Hebrew Senior Life, Boston, MA
    • ,
  • Margaret A. Bergmann, GNP, MS

      Affiliations

    • Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA.
    • ,
  • Richard N. Jones, ScD

      Affiliations

    • Institute for Aging Research, Hebrew Senior Life, Boston, MA
    • ,
  • Katherine M. Murphy, PhD

      Affiliations

    • Institute for Aging Research, Hebrew Senior Life, Boston, MA
    • ,
  • E. John Orav, PhD

      Affiliations

    • Division of General Medicine, Brigham and Women’s Hospital, Boston, MA
    • ,
  • Edward R. Marcantonio, MD, SM

      Affiliations

    • Institute for Aging Research, Hebrew Senior Life, Boston, MA
    • Division of Gerontology, Beth Israel Deaconess Medical Center, Boston, MA
    • Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA.
    • Corresponding Author InformationAddress correspondence to Edward R. Marcantonio, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Rose 118, Boston, MA 02215.

References 

  1. Inouye SK . The dilemma of delirium: clinical and research controversies regarding diagnosis and evaluation of delirium in hospitalized elderly medical patients . Am J Med . 1994;97:278–288
  2. Flacker JM , Marcantonio ER . Delirium in the elderly (Optimal management) . Drugs Aging . 1998;13:119–130
  3. Levkoff SE , Evans DA , Liptzin B , et al.   Delirium (The occurence and persistence of symptoms among elderly hospitalized patients) . Arch Intern Med . 1992;152:334–340
  4. Kelly KG , Zisselman M , Cutillo-Schmitter T , et al.   Severity and course of delirium in medically hospitalized nursing facility residents . Am J Geriatr Psychiatry . 2001;9:72–77
  5. Marcantonio ER , Simon SE , Bergmann MA , et al.   Delirium symptoms in post-acute care: Prevalent, persistent and associated with poor functional recovery . J Am Geriatr Soc . 2003;51:4–7
  6. Kiely DK , Bergmann MA , Murphy KM , et al.   Delirium among newly admitted post-acute facility patients: Prevalence, symptoms and severity . J Gerontol A Biol Sci Med Sci . 2003;58:M441–M445
  7. Albert MS , Levkoff SE , Reilly C , et al.   The delirium symptom interview: An interview for the detection of delirium symptoms in hospitalized patients . J Geriatr Psychiatry Neurol . 1992;5:14–21
  8. Breitbart W , Rosenfeld B , Roth A , et al.   The Memorial Delirium Assessment Scale . J Pain Symptom Manage . 1997;13:128–137
  9. Inouye SK , van Dyck CH , Alessi CA , et al.   Clarifying confusion: The confusion assessment method (A new method for the detection of delirium) . Ann Intern Med . 1990;114:941–948
  10. Diagnostic and Statistical Manual of Psychiatric Disorders, Version III, Revised . Washington, DC: American Psychiatric Association; 1987;
  11. Folstein MF , Folstein SE , McHugh PR . “Mini-Mental State”: a practical method for grading the cognitive state of patients for the clinician . J Psychiatr Res . 1975;21:189–198
  12. Wechsler D . Wechsler adult intelligence scale-revised manual . New York: Psychological Corporation, A Harcourt Assessment Company; 1989;
  13. SPSS 11.0 Syntax Reference Guide . 2001; Chicago, IL
  14. Inouye SK , Foreman MD , Mion LC , et al.   Nurses’ recognition of delirium and its symptoms: Comparison of nurse and researcher ratings . Arch Intern Med . 2001;161:2467–2473

PII: S1525-8610(06)00126-5

doi: 10.1016/j.jamda.2006.02.006

JAMDA
Volume 7, Issue 7 , Pages 412-415 , September 2006

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