Clinical utility and use of DSM-IV and ICD-10 Criteria and The Memorial Delirium Assessment Scale in establishing a diagnosis of delirium after cardiac surgery.
Authors evaluated the sensitivity and specificity of DSM-IV and ICD-10 criteria and the cutoff value of the Memorial Delirium Assessment Scale (MDAS) in diagnosing postoperative delirium in 260 cardiac surgery patients. Incidence of delirium diagnosed on the basis of DSM-IV and ICD-10 criteria, and with the use of the MDAS was 11.5%, 9.2%, and 6.5%, respectively. The DSM-IV criteria for delirium were found to be more inclusive than those of ICD-10. The cutoff point of 10 of the MDAS was optimal in relation to the presence or absence of delirium after cardiac surgery.
Kazmierski
Jakub
J
Department of Old-Age Psychiatry and Psychotic Disorders, Medical University of Lodz, Czechoslowacka 8/10; 92-216 Lodz, Poland. kubakaz3@wp.pl
Kowman
Maciej
M
Banach
Maciej
M
Fendler
Wojciech
W
Okonski
Piotr
P
Banys
Andrzej
A
Jaszewski
Ryszard
R
Sobow
Tomasz
T
Kloszewska
Iwona
I
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003693:Delirium / Q000175:diagnosis* / Q000523:psychology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006331:Heart Diseases / Q000523:psychology / Q000601:surgery*; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000523:psychology; D011594:Psychometrics; D012372:ROC Curve; D012680:Sensitivity and Specificity