亚谵妄综合征的诊断标准研究进展
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摘要
介绍了亚谵妄综合征的概念起源和两大疾病诊断分类系统对其概念的初步界定,并概括了亚谵妄与全症状谵妄的关系,指出现存的关键性问题为缺乏统一的定义或诊断标准,并重点介绍了现存文献中亚谵妄综合征的诊断标准,旨在为构建相对统一的诊断标准提供参考。
引文
[1]LEVKOFF S E,LIPTZIN B,CLEARY P D,et al.Subsyndromal delirium[J].Am J Geriatr Psychiatry,1996,4(4):320-329.
[2]孙丹丹,梁涛.亚谵妄综合征相关研究进展[J].中国护理管理,2016,16(10):1426-1429.
[3]刘琴,陆骏,宁丽,等.亚谵妄综合征的评估及护理研究进展[J].解放军护理杂志,2017,34(22):37-39;44.
[4]SERAFIM R B,SOARES M,BOZZA F A,et al.Outcomes of subsyndromal delirium in ICU:a systematic review and meta-analysis[J].Crit Care,2017,21(1):179.
[5]COLE M G,CIAMPI A,BELZILE E,et al.Subsyndromal delirium in older people:a systematic review of frequency,risk factors,course and outcomes[J].Int J Geriatr Psychiatry,2013,28(8):771-780.
[6]COLE M G,MCCUSKER J,VOYER P,et al.Core symptoms not meeting criteria for delirium are associated with cognitive and functional impairment and mood and behavior problems in older long-term care residents[J].Int Psychogeriatr,2014,26(7):1181-1189.
[7]COLE M G,MCCUSKER J,VOYER P,et al.Symptoms of delirium predict incident delirium in older long-term care residents[J].Int Psychogeriatr,2013,25(6):887-894.
[8]CERIANA P,FANFULLA F,MAZZACANE F,et al.Delirium in patients admitted to a step-down unit:analysis of incidence and risk factors[J].Journal of Critical Care,2010,25(1):136.
[9]SHIM J,DEPALMA G,SANDS L P,et al.Prognostic significance of postoperative subsyndromal delirium[J].Psychosomatics,2015,56(6):644-651.
[10]LIPOWSKI Z J.Delirium:acute confusional states[M].New York:Oxford University Press,1990:1.
[11]ORGANIZATION W H.ICD-11beta draft(mortality and morbidity statistics)[EB/OL].(2018-04-18)[2018-04-19].https://icd.who.int/dev11/l-m/en.
[12]LEONARD M M,AGAR M,SPILLER J A,et al.Delirium diagnostic and classification challenges in palliative care:subsyndromal delirium,comorbid delirium-dementia,and psychomotor subtypes[J].J Pain Symptom Manage,2014,48(2):199-214.
[13]OUIMET S,RIKER R,BERGEON N,et al.Subsyndromal delirium in the ICU:evidence for a disease spectrum[J].Intensive Care Med,2007,33(6):1007-1013.
[14]ZULIANI G,BONETTI F,MAGON S,et al.Subsyndromal delirium and its determinants in elderly patients hospitalized for acute medical illness[J].J Gerontol A Biol Sci Med Sci,2013,68(10):1296-1302.
[15]COLE M,MCCUSKER J,DENDUKURI N,et al.The prognostic significance of subsyndromal delirium in elderly medical inpatients[J].J Am Geriatr Soc,2003,51(6):754-760.
[16]DIWELL R A,DAVIS D H,VICKERSTAFF V,et al.Key components of the delirium syndrome and mortality:greater impact of acute change and disorganised thinking in a prospective cohort study[J].BMC Geriatr,2018,18(1):24.
[17]INOUYE S K,VAN DYCK C H,ALESSI C A,et al.Clarifying confusion:the confusion assessment method.A new method for detection of delirium[J].Ann Intern Med,1990,113(12):941-948.
[18]BOND S M,DIETRICH M S,SHUSTER JR J L,et al.Delirium in patients with head and neck cancer in the outpatient treatment setting[J].Supportive Care in Cancer,2012,20(5):1023-1030.
[19]BOURDEL-MARCHASSON I,VINCENT S,GERMAIN C,et al.Delirium symptoms and low dietary intake in older inpatients are independent predictors of institutionalization:A 1-year prospective population-based study[J].Journals of Gerontology Series aBiological Sciences and Medical Sciences,2004,59(4):350-354.
[20]COLE M G,BAILEY R,BONNYCASTLE M,et al.Frequency of full,partial and no recovery from subsyndromal deliriumin older hospital inpatients[J].Int J Geriatr Psychiatry,2016,31(5):544-550.
[21]LEONARD M,SPILLER J,KEEN J,et al.Symptoms of depression and delirium assessed serially in palliative-care inpatients[J].Psychosomatics,2009,50(5):506-514.
[22]MARCANTONIO E R,KIELY D K,SIMON S E,et al.Outcomes of older people admitted to postacute facilities with delirium[J].J Am Geriatr Soc,2005,53(6):963-969.
[23]MARTINEZ VELILLA N,ALONSO BOUZON C,CAMBRA CONTIN K,et al.Different functional outcomes in patients with delirium and subsyndromal delirium one month after hospital discharge[J].Dement Geriatr Cogn Disord,2012,34(5/6):332-336.
[24]TAN M C,FELDE A,KUSKOWSKI M,et al.Incidence and predictors of post-cardiotomy delirium[J].Am J Geriatr Psychiatry,2008,16(7):575-583.
[25]COLE M G,MCCUSKER J,VOYER P,et al.The course of subsyndromal delirium in older long-term care residents[J].American Journal of Geriatric Psychiatry,2013,21(3):289-296.
[26]COLE M G,MCCUSKER J,VOYER P,et al.Subsyndromal delirium in older long-term care residents:incidence,risk factors,and outcomes[J].J Am Geriatr Soc,2011,59(10):1829-1836.
[27]MEAGHER D,O′REGAN N,RYAN D,et al.Frequency of delirium and subsyndromal delirium in an adult acute hospital population[J].Br J Psychiatry,2014,205(6):478-485.
[28]BERGERON N,DUBOIS M J,DUMONT M,et al.Intensive care delirium screening checklist:evaluation of a new screening tool[J].Intensive Care Med,2001,27(5):859-864.
[29]AL-QADHEEB N S,SKROBIK Y,SCHUMAKER G,et al.Preventing ICU subsyndromal delirium conversion to delirium with low-dose iv haloperidol:a double-blind,placebo-controlled pilot study[J].Crit Care Med,2016,44(3):583-591.
[30]BREU A,STRANSKY M,METTERLEIN T,et al.Subsyndromal delirium after cardiac surgery[J].Scand Cardiovasc J,2015,49(4):207-212.
[31]HAKIM S M,OTHMAN A I,NAOUM D O.Early treatment with risperidone for subsyndromal delirium after on-pump cardiac surgery in the elderly:a randomized trial[J].Anesthesiology,2012,116(5):987-997.
[32]MARQUIS F,OUIMET S,RIKER R,et al.Individual delirium symptoms:do they matter?[J].Crit Care Med,2007,35(11):2533-2537.
[33]SKROBIK Y,AHERN S,LEBLANC M,et al.Protocolized intensive care unit management of analgesia,sedation,and delirium improves analgesia and subsyndromal delirium rates[J].Anesth Analg,2010,111(2):451-463.
[34]BRUMMEL N E,BOEHM L M,GIRARD T D,et al.Subsyndromal delirium and institutionalization among patients with critical illness[J].Am J Crit Care,2017,26(6):447-455.
[35]TRZEPACZ P T,MITTAL D,TORRES R,et al.Validation of the Delirium Rating Scale-revised-98:comparison with the delirium rating scale and the cognitive test for delirium[J].Journal of Neuropsychiatry &Clinical Neurosciences,2001,13(2):229.
[36]MEAGHER D,ADAMIS D,TRZEPACZ P,et al.Features of subsyndromal and persistent delirium[J].Br J Psychiatry,2012,200(1):37-44.
[37]TRZEPACZ P T,FRANCO J G,MEAGHER D J,et al.Phenotype of subsyndromal delirium using pooled multicultural Delirium Rating Scale Revised-98data[J].J Psychosom Res,2012,73(1):10-17.
[2]孙丹丹,梁涛.亚谵妄综合征相关研究进展[J].中国护理管理,2016,16(10):1426-1429.
[3]刘琴,陆骏,宁丽,等.亚谵妄综合征的评估及护理研究进展[J].解放军护理杂志,2017,34(22):37-39;44.
[4]SERAFIM R B,SOARES M,BOZZA F A,et al.Outcomes of subsyndromal delirium in ICU:a systematic review and meta-analysis[J].Crit Care,2017,21(1):179.
[5]COLE M G,CIAMPI A,BELZILE E,et al.Subsyndromal delirium in older people:a systematic review of frequency,risk factors,course and outcomes[J].Int J Geriatr Psychiatry,2013,28(8):771-780.
[6]COLE M G,MCCUSKER J,VOYER P,et al.Core symptoms not meeting criteria for delirium are associated with cognitive and functional impairment and mood and behavior problems in older long-term care residents[J].Int Psychogeriatr,2014,26(7):1181-1189.
[7]COLE M G,MCCUSKER J,VOYER P,et al.Symptoms of delirium predict incident delirium in older long-term care residents[J].Int Psychogeriatr,2013,25(6):887-894.
[8]CERIANA P,FANFULLA F,MAZZACANE F,et al.Delirium in patients admitted to a step-down unit:analysis of incidence and risk factors[J].Journal of Critical Care,2010,25(1):136.
[9]SHIM J,DEPALMA G,SANDS L P,et al.Prognostic significance of postoperative subsyndromal delirium[J].Psychosomatics,2015,56(6):644-651.
[10]LIPOWSKI Z J.Delirium:acute confusional states[M].New York:Oxford University Press,1990:1.
[11]ORGANIZATION W H.ICD-11beta draft(mortality and morbidity statistics)[EB/OL].(2018-04-18)[2018-04-19].https://icd.who.int/dev11/l-m/en.
[12]LEONARD M M,AGAR M,SPILLER J A,et al.Delirium diagnostic and classification challenges in palliative care:subsyndromal delirium,comorbid delirium-dementia,and psychomotor subtypes[J].J Pain Symptom Manage,2014,48(2):199-214.
[13]OUIMET S,RIKER R,BERGEON N,et al.Subsyndromal delirium in the ICU:evidence for a disease spectrum[J].Intensive Care Med,2007,33(6):1007-1013.
[14]ZULIANI G,BONETTI F,MAGON S,et al.Subsyndromal delirium and its determinants in elderly patients hospitalized for acute medical illness[J].J Gerontol A Biol Sci Med Sci,2013,68(10):1296-1302.
[15]COLE M,MCCUSKER J,DENDUKURI N,et al.The prognostic significance of subsyndromal delirium in elderly medical inpatients[J].J Am Geriatr Soc,2003,51(6):754-760.
[16]DIWELL R A,DAVIS D H,VICKERSTAFF V,et al.Key components of the delirium syndrome and mortality:greater impact of acute change and disorganised thinking in a prospective cohort study[J].BMC Geriatr,2018,18(1):24.
[17]INOUYE S K,VAN DYCK C H,ALESSI C A,et al.Clarifying confusion:the confusion assessment method.A new method for detection of delirium[J].Ann Intern Med,1990,113(12):941-948.
[18]BOND S M,DIETRICH M S,SHUSTER JR J L,et al.Delirium in patients with head and neck cancer in the outpatient treatment setting[J].Supportive Care in Cancer,2012,20(5):1023-1030.
[19]BOURDEL-MARCHASSON I,VINCENT S,GERMAIN C,et al.Delirium symptoms and low dietary intake in older inpatients are independent predictors of institutionalization:A 1-year prospective population-based study[J].Journals of Gerontology Series aBiological Sciences and Medical Sciences,2004,59(4):350-354.
[20]COLE M G,BAILEY R,BONNYCASTLE M,et al.Frequency of full,partial and no recovery from subsyndromal deliriumin older hospital inpatients[J].Int J Geriatr Psychiatry,2016,31(5):544-550.
[21]LEONARD M,SPILLER J,KEEN J,et al.Symptoms of depression and delirium assessed serially in palliative-care inpatients[J].Psychosomatics,2009,50(5):506-514.
[22]MARCANTONIO E R,KIELY D K,SIMON S E,et al.Outcomes of older people admitted to postacute facilities with delirium[J].J Am Geriatr Soc,2005,53(6):963-969.
[23]MARTINEZ VELILLA N,ALONSO BOUZON C,CAMBRA CONTIN K,et al.Different functional outcomes in patients with delirium and subsyndromal delirium one month after hospital discharge[J].Dement Geriatr Cogn Disord,2012,34(5/6):332-336.
[24]TAN M C,FELDE A,KUSKOWSKI M,et al.Incidence and predictors of post-cardiotomy delirium[J].Am J Geriatr Psychiatry,2008,16(7):575-583.
[25]COLE M G,MCCUSKER J,VOYER P,et al.The course of subsyndromal delirium in older long-term care residents[J].American Journal of Geriatric Psychiatry,2013,21(3):289-296.
[26]COLE M G,MCCUSKER J,VOYER P,et al.Subsyndromal delirium in older long-term care residents:incidence,risk factors,and outcomes[J].J Am Geriatr Soc,2011,59(10):1829-1836.
[27]MEAGHER D,O′REGAN N,RYAN D,et al.Frequency of delirium and subsyndromal delirium in an adult acute hospital population[J].Br J Psychiatry,2014,205(6):478-485.
[28]BERGERON N,DUBOIS M J,DUMONT M,et al.Intensive care delirium screening checklist:evaluation of a new screening tool[J].Intensive Care Med,2001,27(5):859-864.
[29]AL-QADHEEB N S,SKROBIK Y,SCHUMAKER G,et al.Preventing ICU subsyndromal delirium conversion to delirium with low-dose iv haloperidol:a double-blind,placebo-controlled pilot study[J].Crit Care Med,2016,44(3):583-591.
[30]BREU A,STRANSKY M,METTERLEIN T,et al.Subsyndromal delirium after cardiac surgery[J].Scand Cardiovasc J,2015,49(4):207-212.
[31]HAKIM S M,OTHMAN A I,NAOUM D O.Early treatment with risperidone for subsyndromal delirium after on-pump cardiac surgery in the elderly:a randomized trial[J].Anesthesiology,2012,116(5):987-997.
[32]MARQUIS F,OUIMET S,RIKER R,et al.Individual delirium symptoms:do they matter?[J].Crit Care Med,2007,35(11):2533-2537.
[33]SKROBIK Y,AHERN S,LEBLANC M,et al.Protocolized intensive care unit management of analgesia,sedation,and delirium improves analgesia and subsyndromal delirium rates[J].Anesth Analg,2010,111(2):451-463.
[34]BRUMMEL N E,BOEHM L M,GIRARD T D,et al.Subsyndromal delirium and institutionalization among patients with critical illness[J].Am J Crit Care,2017,26(6):447-455.
[35]TRZEPACZ P T,MITTAL D,TORRES R,et al.Validation of the Delirium Rating Scale-revised-98:comparison with the delirium rating scale and the cognitive test for delirium[J].Journal of Neuropsychiatry &Clinical Neurosciences,2001,13(2):229.
[36]MEAGHER D,ADAMIS D,TRZEPACZ P,et al.Features of subsyndromal and persistent delirium[J].Br J Psychiatry,2012,200(1):37-44.
[37]TRZEPACZ P T,FRANCO J G,MEAGHER D J,et al.Phenotype of subsyndromal delirium using pooled multicultural Delirium Rating Scale Revised-98data[J].J Psychosom Res,2012,73(1):10-17.