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dc.contributor.authorBoettger, Soenke-
dc.contributor.authorNuñez, David Garcia-
dc.contributor.authorMeyer, Rafael-
dc.contributor.authorRichter, André-
dc.contributor.authorSchubert, Maria-
dc.contributor.authorJenewein, Josef-
dc.date.accessioned2018-11-05T14:41:55Z-
dc.date.available2018-11-05T14:41:55Z-
dc.date.issued2018-02-
dc.identifier.issn1478-9515de_CH
dc.identifier.issn1478-9523de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/12542-
dc.description.abstractObjective: Similar to delirium, its subsyndromal form has been recognized as the cause of diverse adverse outcomes. Nonetheless, the nature of this subsyndromal delirium remains vastly understudied. Therefore, in the following, we evaluate the phenomenological characteristics of this syndrome versus no and full-syndromal delirium. Method: In this prospective cohort study, we evaluated the Delirium Rating Scale–Revised, 1998 (DRS–R–98) versus the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., Text Revision (DSM–IV–TR) diagnostic criteria and examined the diagnosis of delirium with respect to phenomenological distinctions in the intensive care setting. Results: Out of 289 patients, 36 with subsyndromal delirium versus 86 with full-syndromal and 167 without delirium were identified. Agreement with respect to the DSM–IV–TR diagnosis of delirium was perfect. The most common subtype in those with subsyndromal delirium was hypoactive, in contrast to mixed subtype in those with full-syndromal delirium versus no motor alterations in those without delirium. By presence and severity of delirium symptoms, subsyndromal delirium was intermediate. The ability of the DRS–R–98 items to discriminate between either form of delirium was substantial. Between subsyndromal and no delirium, the cognitive domain and sleep–wake cycle were more impaired and allowed a distinction with no delirium. Further, between full- and subsyndromal delirium, the prevalence and severity of individual DRS–R–98 items were greater. Although the differences between these two forms of delirium was substantial, the items were not very specific, indicating that the phenomenology of subsyndromal delirium is closer to full-syndromal delirium. Significance of results: Phenomenologically, subsyndromal delirium was found to be distinct from and intermediate between no delirium and full-syndromal delirium. Moreover, the greater proximity to full-syndromal delirium indicated that subsyndromal delirium represents an identifiable subform of full-syndromal delirium.de_CH
dc.language.isoende_CH
dc.publisherCambridge University Pressde_CH
dc.relation.ispartofPalliative & Supportive Carede_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectDiagnostic and Statistical Manual of Mental Disordersde_CH
dc.subject1998 (DRS–R–98)de_CH
dc.subject4th ed.de_CH
dc.subjectDeliriumde_CH
dc.subjectDelirium Rating Scale–Revisedde_CH
dc.subjectFull-syndromalde_CH
dc.subjectIntensive care unit (ICU)de_CH
dc.subjectPhenomenologyde_CH
dc.subjectSubsyndromalde_CH
dc.subjectText Revision (DSM–IV–TR)de_CH
dc.subjectAdolescentde_CH
dc.subjectAdultde_CH
dc.subjectAgedde_CH
dc.subjectAged, 80 and overde_CH
dc.subjectAnalysis of Variancede_CH
dc.subjectCohort Studiesde_CH
dc.subjectCross-Sectional Studiesde_CH
dc.subjectDeliriumde_CH
dc.subjectDiagnostic and Statistical Manual of Mental Disordersde_CH
dc.subjectFemalede_CH
dc.subjectHumansde_CH
dc.subjectIntensive Care Unitsde_CH
dc.subjectMalede_CH
dc.subjectMiddle Agedde_CH
dc.subjectNeuropsychological Testsde_CH
dc.subjectPrevalencede_CH
dc.subjectProspective Studiesde_CH
dc.subjectSwitzerlandde_CH
dc.subject.ddc610.73: Pflegede_CH
dc.subject.ddc616.8: Neurologie und Krankheiten des Nervensystemsde_CH
dc.titleSubsyndromal delirium in the intensive care setting : phenomenological characteristics and discrimination of subsyndromal delirium versus no and full-syndromal deliriumde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Pflege (IPF)de_CH
dc.identifier.doi10.1017/S1478951517000104de_CH
dc.identifier.pmid28262089de_CH
zhaw.funding.euNode_CH
zhaw.issueSpecial Issue 1de_CH
zhaw.originated.zhawNode_CH
zhaw.pages.end13de_CH
zhaw.pages.start3de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume16de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedAngewandte Gerontologiede_CH
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Boettger, S., Nuñez, D. G., Meyer, R., Richter, A., Schubert, M., & Jenewein, J. (2018). Subsyndromal delirium in the intensive care setting : phenomenological characteristics and discrimination of subsyndromal delirium versus no and full-syndromal delirium. Palliative & Supportive Care, 16(Special Issue 1), 3–13. https://doi.org/10.1017/S1478951517000104
Boettger, S. et al. (2018) ‘Subsyndromal delirium in the intensive care setting : phenomenological characteristics and discrimination of subsyndromal delirium versus no and full-syndromal delirium’, Palliative & Supportive Care, 16(Special Issue 1), pp. 3–13. Available at: https://doi.org/10.1017/S1478951517000104.
S. Boettger, D. G. Nuñez, R. Meyer, A. Richter, M. Schubert, and J. Jenewein, “Subsyndromal delirium in the intensive care setting : phenomenological characteristics and discrimination of subsyndromal delirium versus no and full-syndromal delirium,” Palliative & Supportive Care, vol. 16, no. Special Issue 1, pp. 3–13, Feb. 2018, doi: 10.1017/S1478951517000104.
BOETTGER, Soenke, David Garcia NUÑEZ, Rafael MEYER, André RICHTER, Maria SCHUBERT und Josef JENEWEIN, 2018. Subsyndromal delirium in the intensive care setting : phenomenological characteristics and discrimination of subsyndromal delirium versus no and full-syndromal delirium. Palliative & Supportive Care. Februar 2018. Bd. 16, Nr. Special Issue 1, S. 3–13. DOI 10.1017/S1478951517000104
Boettger, Soenke, David Garcia Nuñez, Rafael Meyer, André Richter, Maria Schubert, and Josef Jenewein. 2018. “Subsyndromal Delirium in the Intensive Care Setting : Phenomenological Characteristics and Discrimination of Subsyndromal Delirium versus No and Full-Syndromal Delirium.” Palliative & Supportive Care 16 (Special Issue 1): 3–13. https://doi.org/10.1017/S1478951517000104.
Boettger, Soenke, et al. “Subsyndromal Delirium in the Intensive Care Setting : Phenomenological Characteristics and Discrimination of Subsyndromal Delirium versus No and Full-Syndromal Delirium.” Palliative & Supportive Care, vol. 16, no. Special Issue 1, Feb. 2018, pp. 3–13, https://doi.org/10.1017/S1478951517000104.


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