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Subsyndromal delirium compared with delirium, dementia, and subjects without delirium or dementia in elderly general hospital admissions and nursing home residents

  • Datos identificativos

    Identificador: imarina:6388960
    Autores:
    Sepulveda ELeonard MFranco JAdamis DMcCarthy GDunne CTrzepacz PGaviria Ade Pablo JVilella EMeagher D
    Resumen:
    © 2016 The Authors 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.
  • Otros:

    Autor según el artículo: Sepulveda E; Leonard M; Franco J; Adamis D; McCarthy G; Dunne C; Trzepacz P; Gaviria A; de Pablo J; Vilella E; Meagher D
    Departamento: Medicina i Cirurgia
    Autor/es de la URV: FRANCO VÁSQUEZ, JOSÉ GABRIEL / Vilella Cuadrada, Elisabet
    Palabras clave: Subsyndromal Elderly Diagnosis Dementia Delirium elderly diagnosis dementia delirium
    Resumen: © 2016 The Authors 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.
    Áreas temáticas: Psychiatry and mental health Neurosciences Neurology (clinical) Medicina ii Clinical neurology
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 23528729
    Direcció de correo del autor: elisabet.vilella@urv.cat
    Identificador del autor: 0000-0002-1887-5919
    Fecha de alta del registro: 2023-02-26
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://pubmed.ncbi.nlm.nih.gov/28116342/
    Referencia al articulo segun fuente origial: Alzheimers Dement (Amst). 7 1-10
    Referencia de l'ítem segons les normes APA: Sepulveda E; Leonard M; Franco J; Adamis D; McCarthy G; Dunne C; Trzepacz P; Gaviria A; de Pablo J; Vilella E; Meagher D (2017). Subsyndromal delirium compared with delirium, dementia, and subjects without delirium or dementia in elderly general hospital admissions and nursing home residents. Alzheimers Dement (Amst), 7(), 1-10. DOI: 10.1016/j.dadm.2016.11.002
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    DOI del artículo: 10.1016/j.dadm.2016.11.002
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2017
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Clinical Neurology,Neurology (Clinical),Neurosciences,Psychiatry and Mental Health
    Subsyndromal
    Elderly
    Diagnosis
    Dementia
    Delirium
    elderly
    diagnosis
    dementia
    delirium
    Psychiatry and mental health
    Neurosciences
    Neurology (clinical)
    Medicina ii
    Clinical neurology
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