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首页> 外文期刊>Psychosomatics >A Comparison of the Severe Cognitive Impairment Rating Scale With the Mini-Mental State Examination and Delirium Rating Scale-Revised-98 for Delirium: A Cross-sectional Study
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A Comparison of the Severe Cognitive Impairment Rating Scale With the Mini-Mental State Examination and Delirium Rating Scale-Revised-98 for Delirium: A Cross-sectional Study

机译：谵妄与谵妄评级规模 - 98对迷你精神状态审查和谵妄评级规模 - 98的比较：横断面研究

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摘要

Background Cognitive impairment including attention deficits, disorientation, memory impairment, language disturbance, and impaired visuospatial ability are core symptoms of delirium. The Severe Cognitive Impairment Rating Scale (SCIRS) was developed to assess cognition in patients with severe dementia, but may also be useful in elderly people with delirium. Objective We investigated the use of the SCIRS to assess cognition in elderly patients with delirium. Methods We recruited 147 participants, aged ≥65 years, referred for psychiatric consultation at a tertiary-care university hospital. The diagnosis and severity of delirium were assessed using the Korean version of the Delirium Rating Scale-Revised-98 (K-DRS-98). Cognitive function was assessed using the SCIRS and the Mini-Mental State Examination (MMSE) in the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) Assessment Packet (MMSE-KC). Results There was a strong correlation of SCIRS scores with K-DRS-98 cognition domain ( r = ?0.796), severity scores ( r = ?0.742), total scores ( r = ?0.734), and the MMSE-KC ( r = 0.905). Analysis of variance incorporating the severity of delirium suggested that while the MMSE showed a floor effect, the SCIRS could discriminate between moderate and severe delirium. Conclusion The SCIRS is a useful instrument to assess cognitive function in elderly patients with moderate to severe delirium.
机译：背景技术认知障碍，包括注意缺陷，迷失化，记忆障碍，语言干扰和受损的粘合性能力是谵妄的核心症状。制定了严重的认知障碍评级规模（Scirs）以评估严重痴呆患者的认知，但也可用于谵妄的老年人。目的我们调查了苏尔苏尔州的使用来评估老年谵妄患者的认知。方法招聘了147名参与者，≥65岁，提到了一家高级护理大学医院的精神科咨询。使用韩国级评级规模修订-98（K-DRS-98）评估谵妄的诊断和严重程度。韩国版联盟中的苏尔语和迷你精神状态检查（MMSE）评估了认知功能，以建立阿尔茨海默病（CERAD）评估包（MMSE-KC）的注册表。结果与K-DRS-98认知域（r = 0.796），严重性分数（r = 0.742），总分比（r = 0.734），以及MMSE-KC（r = 0.905）。掺入谵妄严重程度的差异分析表明，虽然MMSE表现出地板效应，苏克士可以区分中度和严重的谵妄。结论苏苏尔是评估年长患者中度至重度谵妄患者的认知功能的有用工具。

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