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Elsevier, Journal of the American Medical Directors Association, 9(17), p. 828-833, 2016

DOI: 10.1016/j.jamda.2016.05.010

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Detecting Delirium Superimposed on Dementia: Evaluation of the Diagnostic Performance of the Richmond Agitation and Sedation Scale

Journal article published in 2016 by Alessandro Morandi ORCID, Jh Han, David Meagher, Eduard Vasilevskis ORCID, Joaquim Cerejeira, Wolfgang Hasemann ORCID, Amj MacLullich, Giorgio Annoni ORCID, Marco Trabucchi, Giuseppe Bellelli ORCID
This paper is available in a repository.
This paper is available in a repository.

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Abstract

Delirium disproportionately affects patients with dementia and is associated with adverse outcomes. The diagnosis of delirium superimposed on dementia (DSD), however, can be challenging due to several factors, including the absence of caregivers or the severity of preexisting cognitive impairment. Altered level of consciousness has been advocated as a possible useful indicator of delirium in this population. Here we evaluated the performance of the Richmond Agitation and Sedation Scale (RASS) and the modified-RASS (m-RASS), an ultra-brief measure of the level of consciousness, in the diagnosis of DSD.