Recognition of dementia among medical patients.
Recognition of dementia among medical patients.
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内科患者对痴呆症的认识。
DOI：
10.1001/archinte.1984.00350130081017
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发表时间：
1984
影响因子：
--
通讯作者：
Craig R. Smith
中科院分区：
文献类型：
--
作者：
R. Roca;L. Klein;S. Kirby;J. Mcarthur;G. Vogelsang;M. Folstein;Craig R. Smith
为了确定在内科住院患者中如何准确地诊断痴呆症，我们将医学实习生的判断与基于标准标准的诊断进行了比较。在380例内科住院患者中，有57名实习生对痴呆的存在提出了意见。实习生诊断痴呆的敏感度和特异度分别为79%和80%。与正确分类的非痴呆症患者相比，被误诊为痴呆症的患者不太可能是高中毕业生，而那些未被识别为痴呆症的患者更有可能低于65岁，而其痴呆症得到了医院工作人员的认可。结论：误诊与年龄、文化程度有关，重视这些因素可提高诊断准确率。
To determine how accurately dementia was diagnosed among medical inpatients, we compared the judgments of medical interns with diagnoses based on standard criteria. Fifty-seven interns rendered opinions regarding the presence of dementia in 380 medical inpatients who were simultaneously examined by physician-investigators applying criteria derived from DSM III. The sensitivity and specificity of diagnosis by interns were 79% and 80%, respectively. Patients who were misdiagnosed as demented were less likely to be high school graduates than their correctly classified nondemented counterparts, and those with unrecognized dementia were more likely to be younger than 65 years than patients whose dementia was recognized by house staff. It is concluded that misdiagnosis is related to age and educational status and that attention to these factors may improve diagnostic accuracy.