The Journal of neuropsychiatry and clinical neurosciences
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J Neuropsychiatry Clin Neurosci · Jan 1994
Comparative StudyThe Delirium Rating Scale in a psychogeriatric inpatient setting.
The Delirium Rating Scale (DRS) has been shown to be a valid instrument for identifying and grading the severity of delirium in patients admitted to a general hospital for medical or surgical treatment. However, its accuracy in identifying delirium among elderly patients admitted to a psychiatric hospital for evaluation and treatment of psychiatric illness has not been previously addressed. ⋯ A DRS threshold score of > or = 10 correctly identified delirious patients with a sensitivity of 94% and a specificity of 82%. Both psychosis and cognitive impairment appeared to falsely elevate the DRS score in this population.
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The authors review posttraumatic headache (PTH). The most common symptom following head injury, PTH is paradoxically most severe after mild head injury. ⋯ Often PTH affects family life, recreation, and employment. Patients require education and support as well as appropriate evaluation and treatment.
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J Neuropsychiatry Clin Neurosci · Jan 1994
The prevalence of traumatic brain injury and co-occurring disabilities in a national household survey of adults.
This original point prevalence study provides sociodemographic characteristics and Canadian household prevalence rates of adults (15 years and older) with disability who have survived a traumatic brain injury (TBI) and the type, number, and prevalence rates of co-occurring disabilities. This report is based on the Health and Activity Limitation Survey, a national survey conducted by Statistics Canada in 1986-87. ⋯ Rates are highest in the 45-64 age range, 3 times those in the 15-24 age group. Eighty-four percent of adults with TBI have co-occurring disabilities (median = 2), the most prevalent being limited mobility and agility.