The diagnosis of delirium in 80 emergency unit patients

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dc.contributor.author Neves, Afonso Carlos [UNIFESP]
dc.contributor.author Sesso, Ricardo de Castro Cintra [UNIFESP]
dc.contributor.author Ferraz, Henrique Ballalai [UNIFESP]
dc.contributor.author Francisco, Sílvio [UNIFESP]
dc.contributor.author Reis-Filho, João Baptista dos [UNIFESP]
dc.date.accessioned 2015-06-14T13:24:44Z
dc.date.available 2015-06-14T13:24:44Z
dc.date.issued 1998-06-01
dc.identifier http://dx.doi.org/10.1590/S0004-282X1998000200002
dc.identifier.citation Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 56, n. 2, p. 176-183, 1998.
dc.identifier.issn 0004-282X
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/637
dc.description.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. en
dc.description.abstract 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. pt
dc.format.extent 176-183
dc.language.iso eng
dc.publisher Academia Brasileira de Neurologia - ABNEURO
dc.relation.ispartof Arquivos de Neuro-Psiquiatria
dc.rights Acesso aberto
dc.subject delirium en
dc.subject diagnosis en
dc.subject acute confusional state en
dc.subject delirium pt
dc.subject diagnóstico pt
dc.subject estado confusional agudo pt
dc.title The diagnosis of delirium in 80 emergency unit patients en
dc.title.alternative Diagnóstico de delirium em 80 pacientes atendidos no pronto socorro pt
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Department of Neurology and Neurosurgery
dc.description.affiliationUnifesp UNIFESP, EPM, Department of Neurology and Neurosurgery
dc.identifier.file S0004-282X1998000200002.pdf
dc.identifier.scielo S0004-282X1998000200002
dc.identifier.doi 10.1590/S0004-282X1998000200002
dc.description.source SciELO



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