2018年世界卫生组织发布国际疾病分类第11版(ICD-11)对谵妄进行了重新定义:谵妄是急性或亚急性起病的注意障碍(即指向、聚焦、维持和转移注意的能力减弱)和意识障碍(即对环境的定向力减弱),在1天内症状常出现波动,并伴其他认知障碍(如...
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...
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. ArticlePubMedPubMed CentralGoogle...
The richness of the phenomenology of delirium is reflected in the International Classification of Diseases (ICD 10)7 (table 2). For example, impairment of abstract thinking is a core criterion, reflected in the term "confusion," which was introduced in the 19th century8 and pragmatically defined...
The 5th edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5)1 and the 11th revision of the International Classification of Diseases (ICD-11)2 have become more unified in the diagnosis of delirium. They focus on disturbances of attention and awareness, an acute change with fl...
As the field moves toward DSM-V and ICD-11, new data can shed light on the nosological changes that are needed so that diagnostic criteria can reflect empirical data. In this study, we reassess the existing or potential criteria for delirium. Recent Findings: Phenomenological studies in ...
ICU: intensive care unit, ICDSC: Intensive Care Delirium Screening Checklis,; SAPS II: Simplified Acute Physiology Score II, ICD: International Classification of Diseases Full size image The study population included 9’604 patients (females n = 3’250 (33.8%), median age: 63 years [IQR...
19,35,36 Additional limitations of this work include our reliance on ICD-9 coding to ascertain the presence of dementia, as it historically is not the most sensitive or comprehensive measure, which may have resulted in an underestimation of the prevalence of dementia in this population.37,38 ...
Those identified as positive in the screening should be rapidly referred to a definitive diagnosis. The criteria according to DSM 5 or International Statistical Classification of Diseases and Related Health Problems (ICD-10) are suitable for this purpose; the Confusion Assessment Method (CAM), which...
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...