Document Detail


Initial validation of a brief provisional diagnostic scale for delirium.
MedLine Citation:
PMID:  20645705     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PRIMARY OBJECTIVE: The Delirium Diagnostic Tool-Provisional (DDT-Pro) is a newly developed provisional diagnostic tool for delirium presented here. This study evaluated its accuracy and validity in a population of participants with acquired brain injury (ABI).
RESEARCH DESIGN: Cross-sectional study.
METHODS: Thirty-six patients with ABI, including traumatic brain injury (TBI; n = 29) and intraparenchymal haemorrhage (ICH; n = 7) were assessed at admission to inpatient rehabilitation using the DDT-Pro, the Delirium Rating Scale-Revised 98 (DRS-R98) and DSM-IV-TR diagnostic criteria for delirium.
RESULTS: Using receiver operating characteristic (ROC) analysis, the estimate of accuracy, the area under the curve (AUC), was 0.994, and the DDT-Pro accurately classified 35/36 (97%) observations vs the DSM-IV-TR gold standard. The DDT-Pro correlated well with the DRS-R98 both in terms of raw score (r = -0.913, p < 0.0001) and estimates of the duration of delirium (r = 0.975, p < 0.0001).
CONCLUSIONS: The DDT-Pro is supported as a measure of delirium following ABI. Further validation in ABI and other medical populations is recommended.
Authors:
Jacob Kean; Paula T Trzepacz; Laura L Murray; Malene Abell; Lance Trexler
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Validation Studies    
Journal Detail:
Title:  Brain injury : [BI]     Volume:  24     ISSN:  1362-301X     ISO Abbreviation:  Brain Inj     Publication Date:  2010  
Date Detail:
Created Date:  2010-08-18     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  England    
Other Details:
Languages:  eng     Pagination:  1222-30     Citation Subset:  IM    
Affiliation:
Department of Speech and Hearing Sciences, Indiana University, Bloomington, IN, USA. jakean@indiana.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Area Under Curve
Brain Injuries / complications*,  physiopathology
Cross-Sectional Studies
Delirium / diagnosis*,  physiopathology
Female
Humans
Intracranial Hemorrhages / physiopathology
Male
Middle Aged
Psychiatric Status Rating Scales
ROC Curve
Sensitivity and Specificity
Severity of Illness Index
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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