Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India.
Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India.
Gen Hosp Psychiatry. 2014 Mar-Apr;36(2):187-91. doi: 10.1016/j.genhosppsych.2013.10.005. Epub 2013 Oct 14.
To explore the frequency of different motor subtypes of delirium in children and adolescents and to study the relationship of motor subtypes with other symptoms, etiology and outcome of delirium.
Forty-nine consecutive patients, aged 8-19 years, diagnosed as having delirium as per DSM-IV-TR were assessed on Delirium Rating Scale-Revised 98 (DRS-R-98), amended Delirium Motor Symptom Scale (DMSS), delirium etiology checklist and risk factors for delirium. Different motoric subtypes of delirium were compared with each other for symptoms of delirium as assessed by DRS-R-98, risk factors, etiology and outcome.
More than half (53%) of patients were classified as having hyperactive delirium, this was followed by the mixed (26.5%) and the hypoactive (16%) subtype. When the different subtypes were compared with each other, the 3 motor subtypes did not differ from each other in terms of frequency and severity of other symptoms except for minor differences. Hallucinations are more common in patients with hyperactive and mixed subtype. There is no significant difference in the outcome of delirium across different subtypes.
Unlike in adults, motoric subtypes of delirium in child and adolescents do not differ from each other with respect to other symptoms, risk factors and outcome.
探讨儿童和青少年谵妄不同运动亚型的发生频率，并研究运动亚型与谵妄的其他症状、病因和结局的关系。
对 49 名符合 DSM-IV-TR 诊断标准的谵妄患儿进行评估，采用修订后的谵妄评定量表-98（DRS-R-98）、改良的谵妄运动症状量表（DMSS）、谵妄病因检查表和谵妄的危险因素。比较不同运动型谵妄亚型之间的谵妄症状（DRS-R-98 评估）、危险因素、病因和结局。
超过一半（53%）的患者被归类为具有活跃型谵妄，其次是混合型（26.5%）和不活跃型（16%）亚型。当将这 3 种亚型相互比较时，除了存在细微差异外，这 3 种运动亚型在其他症状的频率和严重程度方面彼此之间没有差异。幻觉在活跃型和混合型患者中更为常见。不同亚型的谵妄结局没有显著差异。
与成人不同，儿童和青少年的运动型谵妄亚型在其他症状、危险因素和结局方面没有差异。
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