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J Neuropsychiatry Clin Neurosci · Jan 2010
The use of DSM-IV and ICD-10 criteria and diagnostic scales for delirium among cardiac surgery patients: results from the IPDACS study.
- Jakub Kazmierski, Maciej Kowman, Maciej Banach, Wojciech Fendler, Piotr Okonski, Andrzej Banys, Ryszard Jaszewski, Jacek Rysz, Tomasz Sobow, and Iwona Kloszewska.
- Department of Old Age Psychiatry and Psychotic Disorders, Medical University of Lodz, Lodz, Poland. jakub.kazmierski@umed.lodz.pl
- J Neuropsychiatry Clin Neurosci. 2010 Jan 1;22(4):426-32.
AbstractDiagnostic accuracy of different diagnostic systems in estimating the incidence of delirium among surgery patients has not been investigated to date. Therefore, the authors evaluated the frequency of delirium according to DSM-IV and ICD-10 criteria and the cutoff values of the Memorial Delirium Assessment Scale (MDAS) and Delirium Index in 563 patients undergoing cardiac surgery. DSM-IV criteria were found as more inclusive, while ICD-10 criteria were more restrictive in establishing a diagnosis of postoperative delirium. The cutoff scores of 10 on the MDAS and 7 on the Delirium Index were optimal to the presence or absence of delirium.
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