J Neuropsychiatry Clin Neurosci 10:199-204, May 1998
© 1998 American Psychiatric Press, Inc.
Is Delirium Different When It Occurs in Dementia?
A Study Using the Delirium Rating Scale
Paula T. Trzepacz, M.D.,
Benoit H. Mulsant, M.D.,
Mary Amanda Dew, Ph.D.,
Rona Pasternak, M.D.,
Robert A. Sweet, M.D. and
George S. Zubenko, M.D., Ph.D.
Received August 20, 1996; revised April 21, 1997; accepted April 25, 1997. From the Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, Mississippi, and the Divisions of Geriatric Psychiatry/Neuropsychiatry and Psychiatric Epidemiology, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center/University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. Address correspondence to Dr. Trzepacz, University of Mississippi Medical Center, 2500 N. State St., Jackson, MS 39216.
The authors studied 61 geropsychiatric patients with delirium from a cohort of 843 consecutive admissions to a geriatric clinical research unit. A central study goal was to assess how the presence of dementia affected the presentation of delirium. Eighteen delirious (D) and 43 delirious-demented (D-D) patients were compared on the Delirium Rating Scale (DRS), Mini-Mental State Examination (MMSE), Brief Psychiatric Rating Scale (BPRS), and EEG. D-D patients had lower MMSE scores, but no differences were found in total DRS or BPRS scores or in EEG grade. DRS items were similar in the two groups except that D-D had more cognitive impairment than D. An exploratory principal components analysis of DRS items identified two core factors. The authors conclude that the presentation of delirium in the setting of concurrent dementia is very similar to delirium without dementia, with subtle differences probably attributable to dementia.
Key Words: Delirium • Dementia • Rating Scales
This article has been cited by other articles:
|
|
|
|
 
J. G. Franco, P. T. Trzepacz, M. A. Mejia, and S. B. Ochoa
Factor Analysis of The Colombian Translation of The Delirium Rating Scale (DRS), Revised-98
Psychosomatics,
May 1, 2009;
50(3):
255 - 262.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. J. Meagher, M. Moran, B. Raju, D. Gibbons, S. Donnelly, J. Saunders, and P. T. Trzepacz
Motor Symptoms in 100 Patients With Delirium Versus Control Subjects: Comparison of Subtyping Methods
Psychosomatics,
July 1, 2008;
49(4):
300 - 308.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. L. Fricchione, S. H. Nejad, J. A. Esses, T. J. Cummings Jr., J. Querques, N. H. Cassem, and G. B. Murray
Postoperative Delirium
Am J Psychiatry,
July 1, 2008;
165(7):
803 - 812.
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Meagher and M. Leonard
The active management of delirium: improving detection and treatment
Adv. Psychiatr. Treat.,
July 1, 2008;
14(4):
292 - 301.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Meagher and P. T. Trzepacz
Phenomenological Distinctions Needed in DSM-V: Delirium, Subsyndromal Delirium, and Dementias
J Neuropsychiatry Clin Neurosci,
November 1, 2007;
19(4):
468 - 470.
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Edlund, M. Lundstrom, O. Sandberg, G. Bucht, B. Brannstrom, and Y. Gustafson
Symptom Profile of Delirium in Older People With and Without Dementia
J Geriatr Psychiatry Neurol,
September 1, 2007;
20(3):
166 - 171.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. J. MEAGHER, M. MORAN, B. RAJU, D. GIBBONS, S. DONNELLY, J. SAUNDERS, and P. T. TRZEPACZ
Phenomenology of delirium: Assessment of 100 adult cases using standardised measures
The British Journal of Psychiatry,
February 1, 2007;
190(2):
135 - 141.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. K. Kiely, M. A. Bergmann, K. M. Murphy, R. N. Jones, E. J. Orav, and E. R. Marcantonio
Delirium Among Newly Admitted Postacute Facility Patients: Prevalence, Symptoms, and Severity
J. Gerontol. A Biol. Sci. Med. Sci.,
May 1, 2003;
58(5):
M441 - 445.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. Truman and E. W. Ely
Monitoring Delirium in Critically Ill Patients: Using the Confusion Assessment Method for the Intensive Care Unit
Crit. Care Nurse,
April 1, 2003;
23(2):
25 - 35.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. G. Cole, J. McCusker, N. Dendukuri, and L. Han
Symptoms of Delirium Among Elderly Medical Inpatients With or Without Dementia
J Neuropsychiatry Clin Neurosci,
May 1, 2002;
14(2):
167 - 175.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. W. Ely, S. K. Inouye, G. R. Bernard, S. Gordon, J. Francis, L. May, B. Truman, T. Speroff, S. Gautam, R. Margolin, et al.
Delirium in Mechanically Ventilated Patients: Validity and Reliability of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)
JAMA,
December 5, 2001;
286(21):
2703 - 2710.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Meagher
Delirium: the role of psychiatry
Adv. Psychiatr. Treat.,
November 1, 2001;
7(6):
433 - 442.
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. T. Trzepacz, D. Mittal, R. Torres, K. Kanary, J. Norton, and N. Jimerson
Validation of the Delirium Rating Scale-Revised-98: Comparison With the Delirium Rating Scale and the Cognitive Test for Delirium
J Neuropsychiatry Clin Neurosci,
May 1, 2001;
13(2):
229 - 242.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. J Meagher
Regular review: Delirium: optimising management
BMJ,
January 20, 2001;
322(7279):
144 - 149.
[Full Text]
|
|
|
|
|
|
|
V. Camus, R. Gonthier, G. Dubos, P. Schwed, and I. Simeone
Etiologic and Outcome Profiles in Hypoactive and Hyperactive Subtypes of Delirium
J Geriatr Psychiatry Neurol,
April 1, 2000;
13(1):
38 - 42.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. J. Meagher, D. O'Hanlon, E. O'Mahony, P. R. Casey, and P. T. Trzepacz
Relationship Between Symptoms and Motoric Subtype of Delirium
J Neuropsychiatry Clin Neurosci,
February 1, 2000;
12(1):
51 - 56.
[Abstract]
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1998
American Neuropsychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
