Using the Chinese version of Memorial Delirium Assessment Scale to describe postoperative delirium after hip surgery.
Using the Chinese version of Memorial Delirium Assessment Scale to describe postoperative delirium after hip surgery.
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使用中文版纪念谵妄评估量表描述髋关节术后谵妄情况
DOI：
10.3389/fnagi.2014.00297
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发表时间：
2014
影响因子：
4.8
通讯作者：
Shen Y
中科院分区：
文献类型：
--
作者：
Shi Z;Wu Y;Li C;Fu S;Li G;Zhu Y;Swain CA;Marcantonio ER;Xie Z;Shen Y
目的：采用记忆妄想评定量表(MDAS)评估精神分裂症的严重程度。然而，MDAS能否在中国人群中使用还是个未知数。此外，描述中国人术后精神障碍的最佳MDAS分界点在很大程度上仍有待确定。因此，我们进行了一项初步研究，以验证MDAS在中文中的有效性，并确定术后MDAS的最佳截断点。方法：选择82例全麻下行髋关节手术的患者，年龄80±6岁，男性21.9%。术前对患者进行困惑评定量表(CAM)和简易智力状态检查(MMSE)。分别于术后第1、2、4天进行CAM术和MDAS检查。对MDAS的信度和效度进行了检验。采用受试者工作特征(ROC)曲线确定MDAS中国版的最佳诊断界点。结果：MDAS中文版具有良好的内部一致性(α=0.910)。ROC分析获得了描述CAM定义的术后精神障碍的平均最佳MDAS值为7.5点，ROC下的面积为0.990(95%可信区间0.977-1.000，P<；0.001)。结论：MDAS中文版具有较好的信度和效度。术后中文版MDAS评分为7.5分的患者有可能出现术后精神障碍。这些结果为今后更大规模的研究奠定了基础。
Objective: Memorial Delirium Assessment Scale (MDAS) assesses severity of delirium. However, whether the MDAS can be used in a Chinese population is unknown. Moreover, the optimal postoperative MDAS cutoff point for describing postoperative delirium in Chinese remains largely to be determined. We therefore performed a pilot study to validate MDAS in the Chinese language and to determine the optimal postoperative MDAS cutoff point for delirium. Methods: Eighty-two patients (80 ± 6 years, 21.9% male), who had hip surgery under general anesthesia, were enrolled. The Confusion Assessment Method (CAM) and Mini-Mental State Examination (MMSE) were administered to the patients before surgery. The CAM and MDAS were performed on the patients on the first, second and fourth postoperative days. The reliability and validity of the MDAS were determined. A receiver operating characteristic (ROC) curve was used to determine the optimal Chinese version MDAS cutoff point for the identification of delirium. Results: The Chinese version of the MDAS had satisfactory internal consistency (α = 0.910). ROC analysis obtained an average optimal MDAS cutoff point of 7.5 in describing the CAM-defined postoperative delirium, with an area under the ROC of 0.990 (95% CI 0.977–1.000, P < 0.001). Conclusions: The Chinese version of the MDAS had good reliability and validity. The patients whose postoperative Chinese version MDAS cutoff point score was 7.5 would likely have postoperative delirium. These results have established a system for a larger scale study in the future.
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影响因子：
120.7
作者：
Marcantonio, Edward R.
通讯作者：
Marcantonio, Edward R.
影响因子：
5.7
作者：
Brown CH 4th;Azman AS;Gottschalk A;Mears SC;Sieber FE
通讯作者：
Sieber FE
影响因子：
4.7
作者：
Breitbart, W;Rosenfeld, B;Passik, S
通讯作者：
Passik, S
DOI：
10.1111/j.1532-5415.2000.tb04718.x
发表时间：
2000-06-01
影响因子：
6.3
作者：
Marcantonio, ER;Flacker, JM;Resnick, NM
通讯作者：
Resnick, NM
影响因子：
2.9
作者：
Meagher, DJ;O'Hanlon, D;Trzepacz, PT
通讯作者：
Trzepacz, PT