[谵妄评定量表修订版98（DRS-R-98）：西班牙语版的哥伦比亚改编版]
[Delirium rating scale-revised-98 (DRS-R-98): Colombian adaptation of the Spanish version].
作者信息
Franco J G, Mejía M A, Ochoa S B, Ramírez L F, Bulbena A, Trzepacz Pt
机构信息
Universidad Pontificia Bolivariana, Escuela de Ciencias de la Salud, Grupo de Investigación en Psiquiatria de Enlace, Clinica Universitaria Bolivariana Medellin (Colombia).
出版信息
Actas Esp Psiquiatr. 2007 May-Jun;35(3):170-5.
INTRODUCTION
Delirium is associated with high morbidity and mortality. There are no available instruments validated for evaluation and follow-up of this syndrome in Columbia.
METHODS
An expert's panel adapted the Spanish DRSR- 98. In 110, randomly selected, medical-surgical hospitalized patients, 17 (15.5 %) of them with delirium diagnosed with DSM-IV-TR criteria, the inter-rater reliability, validity and sensitivity to clinical change of the new adaptation of the scale were measured.
RESULTS
Internal consistency (Cronbach's alpha: 0.956), inter- rater reliability (ICC: 0.95) and validity (94.8 % under the ROC curve area) were very good. For the Cut-off score of 14 for the total scale score, sensitivity was 82.4% and specificity 97.8 %. The scale was sensitive to clinical change, with a mean difference of 12.9 (t: 4.071; p=0.007).
CONCLUSIONS
The Colombian adaptation of the Spanish DRS-R-98 is sensitive, specific and reliable for assessment of delirium in hospitalized adults in medical surgical settings.
引言
谵妄与高发病率和死亡率相关。在哥伦比亚，尚无经过验证可用于评估和随访该综合征的工具。
方法
一个专家小组对西班牙版DRSR - 98进行了改编。在110名随机选取的内科 - 外科住院患者中，其中17名（15.5%）根据DSM - IV - TR标准被诊断为谵妄，对该量表新改编版本的评分者间信度、效度及对临床变化的敏感性进行了测量。
结果
内部一致性（克朗巴哈系数：0.956）、评分者间信度（组内相关系数：0.95）和效度（ROC曲线下面积为94.8%）都非常好。对于总量表分数的截断值为14时，敏感性为82.4%，特异性为97.8%。该量表对临床变化敏感，平均差异为12.9（t值：4.071；p = 0.007）。
结论
西班牙版DRS - R - 98的哥伦比亚改编版对于评估内科 - 外科环境中住院成人的谵妄具有敏感性、特异性和可靠性。
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