The diagnosis of delirium in 80 emergency unit patients

The diagnosis of delirium in 80 emergency unit patients

Alternative title Diagnóstico de delirium em 80 pacientes atendidos no pronto socorro
Author Neves, Afonso Carlos Autor UNIFESP Google Scholar
Sesso, Ricardo de Castro Cintra Autor UNIFESP Google Scholar
Ferraz, Henrique Ballalai Autor UNIFESP Google Scholar
Francisco, Sílvio Autor UNIFESP Google Scholar
Reis-Filho, João Baptista dos Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract We evaluated the initial and final diagnosis of 80 patients with delirium arriving at the emergence unit of a university hospital in a large Brazilian city over a period of 30 months up to December 1991. The diagnosis was based on the DSM-IIIR criteria. Patients with a known history of head trauma or epileptic seizure and patients younger than 13 years were excluded. Only patients with a disease of up to 7 days were included.The patients were subdivided into four etiologic groups: vascular; associated with the use of alcohol; infectious-parasitic; miscellaneous.The results showed a rate of correct diagnosis ranging from 65 to 80% with the use of kappa test (standard good to excelent). Sensitivity, specificity, positive predictive and negative predictive values had results showing different conditions for initial diagnosis in each group. This study can help the initial diagnosis of delirium and the choice for diagnostic testing.

Nós avaliamos o diagnóstico inicial e final de 80 pacientes com delirium que chegaram ao Pronto Socorro do Hospital São Paulo, Universidade Federal de São Paulo (UNIFESP), no período de 30 meses até dezembro-1991. O diagnóstico foi baseado nos critérios do DSM-IIIR. Os pacientes com história de trauma de crânio, crises epiléticas e idade inferior a 13 anos foram excluídos. Os pacientes foram subdivididos em quatro grupos etiológicos: vascular; associado ao uso de álcool; infecto-parasitário; miscelânea.Os resultados mostraram porcentagem de acerto entre 65-80%. O teste de kappa mostrou-se entre bom e excelente. O resultado da sensibilidade, especificidade, valor preditivo positivo e negativo mostraram diferentes condições no diagnóstico inicial de cada grupo. Este estudo pode ajudar na escolha de um teste para o diagnóstico inicial de delirium.
Keywords delirium
diagnosis
acute confusional state
delirium
diagnóstico
estado confusional agudo
Language English
Date 1998-06-01
Published in Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 56, n. 2, p. 176-183, 1998.
ISSN 0004-282X (Sherpa/Romeo)
Publisher Academia Brasileira de Neurologia - ABNEURO
Extent 176-183
Origin http://dx.doi.org/10.1590/S0004-282X1998000200002
Access rights Open access Open Access
Type Article
SciELO ID S0004-282X1998000200002 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/637

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