Autor segons l'article: Jose G. Franco; Esteban Sepulveda; Maeve Leonard; Dimitrios Adamis; Geraldine McCarthy; Colum Dunne; Paula T. Trzepacz; Ana M. Gaviria; Joan de Pablo; Elisabet Vilella; David J. Meagher
Departament: Psicologia Medicina i Cirurgia
Autor/s de la URV: FRANCO VÁSQUEZ, JOSÉ GABRIEL; Esteban Sepulveda; Maeve Leonard; Dimitrios Adamis; Geraldine McCarthy; Colum Dunne; Paula T. Trzepacz; Ana M. Gaviria; Joan de Pablo; VILELLA CUADRADA, ELISABET; David J. Meagher
Paraules clau: Subsyndromal Dementia Delirium
Resum: Introduction Subsyndromal delirium (SSD) complicates diagnosis of delirium and dementia, although there is little research comparing their symptom profiles. Methods Cross-sectional study of 400 elderly patients’ admission to a general hospital or nursing home diagnosed with delirium, SSD, dementia, or no-delirium/no-dementia (NDND). Symptom profiles were assessed using the Delirium Rating Scale-Revised-98 (DRS-R98). Results Twenty percent patients had delirium, 19.3% had SSD, 29.8% had dementia-only, and 31% had NDND. Eighty-one percent of subsyndromal and 76% of delirium groups had comorbid dementia. DRS-R98 scores showed ascending severity from NDND < dementia-only < SSD < delirium. DRS-R98 scores for items evaluating the three core symptom domains (cognitive, higher-order thinking, and circadian) distinguished SSD from delirium and both from nondelirium groups. DRS-R98 profiles were essentially the same in delirium and SSD subgroups with or without dementia, although total scale scores were generally higher when in comorbid subgroups. Discussion SSD shared characteristic core domain symptoms with delirium, which distinguished each from nondelirium groups, although severity was intermediate in the subsyndromal group. Delirium core symptoms overshadowed the dementia phenotype when comorbid. Milder disturbances of delirium core domain symptoms are highly suggestive of SSD.
Grup de recerca: Grup d'Investigació en Psiquiatria
Àrees temàtiques: Psychology Psicología Psicologia
Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 2352-8729
Identificador de l'autor: 0000-0001-9255-8084; n/a; n/a; 0000-0003-1315-1695; n/a; n/a; n/a; 0000-0001-5082-7733; n/a; n/a; n/a
Data d'alta del registre: 2017-01-24
Pàgina final: 10
Volum de revista: 7
Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
Enllaç font original: https://alz-journals.onlinelibrary.wiley.com/doi/full/10.1016/j.dadm.2016.11.002
URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
DOI de l'article: 10.1016/j.dadm.2016.11.002
Entitat: Universitat Rovira i Virgili
Any de publicació de la revista: 2017
Pàgina inicial: 1
Tipus de publicació: Article Artículo Article
Repositori URV