国际疾病分类第10版(ICD-10;1993年出版)谵妄标准要求存在来自几个领域的症状:意识和注意力,认知的整体功能障碍,精神运动障碍,睡眠 - 觉醒周期中断和情绪障碍。在研究和临床实践中,DSM标准更常用,可能是因为ICD-10标准更具限制性。例如,一项针对230名老年住院患者的研究发现,24.9%符合DSM-IV...
Table 2 ICD 10 diagnostic criteria for delirium7 DSM-IV recognised the coexistence of delirium and dementia, and DSM-IV-TR includes a code for recording the presence of delirium arising in the course of dementia. The ICD system acknowledges the existence of a minority of people in whom the d...
概述 谵妄在综合医院的发生率为10%~30%,外科手术后患者中有50% 会出现谵妄,谵妄在住院老年人中发病率为25%~56%,年龄大于65岁以后,每增加1岁谵妄的风险增加2%,而在重症监护室(ICU)老年人中高达80%。 2018年世界卫生组织发布国际...
Thirdly, we adopted a standardized definition of delirium based not only on the ICDSC delirium score, but also on the confirmation of the diagnosis through clinical judgement, as ultimately expressed by the ICD-10 coding. The ICDSC score has a pooled sensitivity of 0.83 and a specificity of ...
were separately and blindly screened for symptoms of delirium by use of the S-PTD (performed by the patient's nurse), the CAM (performed by a psychosomatic medicine fellow), and a clinical neuropsychiatric evaluation based on DSM-5/ICD-10 criteria (performed by a psychosomatic medicine ...
ICD-10 1990 Draft of Chapter V: Categories FOO- FOO, mental and behavioral disorders (including disorders of psychological development) Diagnostic criteria for research (WHO/MNHIMEPI87.1, Rev. 4), World Health Organization, Division of Mental Health, Geneva (1990) Google Scholar ...
The CAM diagnostic algorithm had a sensitivity of 0.74, a specificity of 1.0, and an AUC of 0.88 compared with the DSM-IV reference standard and a sensitivity of 0.82, a specificity of 0.91, and an AUC of 0.85 compared with the ICD-10. Compared with the ICD-10, adding psychomot...
World Health Organization. The International Classification of Diseases 11th Revision (ICD-11); 2023.https://icd.who.int/en. Fong TG, Tulebaev SR, Inouye SK. Delirium in elderly adults: Diagnosis, prevention and treatment. Nat Rev Neurol. 2009;5(4):210–20. ...
Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol.1992;45:613-619.http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&Dopt=r&uid=entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1607900&dopt=AbstractGoogle Scholar 44...
The ICD-10 does not include these two aforementioned diagnostic criteria, but includes emotional, psychomotor, and sleep–wake disturbances. The combined body and diagnostic criteria of both the DSM-IV-TR and ICD-10 texts ultimately present a similar picture of delirium. Table 1. Causes of Acute...