Delirium rating scale-revised-98 (DRS-R-98): Colombian adaptation of the Spanish version

Authors

  • J. G. Franco Universidad Pontificia Bolivariana Escuela de Ciencias de la Salud Grupo de Investigación en Psiquiatría de Enlace Clínica Universitaria Bolivariana Medellín (Colombia)
  • M. A. Mejía Universidad Pontificia Bolivariana Escuela de Ciencias de la Salud Grupo de Investigación en Psiquiatría de Enlace Clínica Universitaria Bolivariana Medellín (Colombia)
  • S. B. Ochoa Universidad Pontificia Bolivariana Escuela de Ciencias de la Salud Grupo de Investigación en Psiquiatría de Enlace Clínica Universitaria Bolivariana Medellín (Colombia)
  • L. F. Ramírez Universidad Pontificia Bolivariana Escuela de Ciencias de la Salud Grupo de Investigación en Psiquiatría de Enlace Clínica Universitaria Bolivariana Medellín (Colombia)
  • A. Bulbena Institut d’Atenció Psiquiàtrica Salut Mental i Toxicomanies Departamento de Psiquiatría Hospital del Mar Universidad Autónoma de Barcelona Barcelona (Spain)
  • P. T. Trzepacz Lilly Research Laboratories. Indianapolis, IN University of Mississippi Medical School Jackson, MS. Tufts University School of Medicine, Boston, MA Indiana University School of Medicine. Indianapolis, IN (USA)

Keywords:

delirium, scales, validation studies, measurement, diagnosis

Abstract

Introduction. Delirium is associated with high morbidity and mortality. There are no available instruments validated for evaluation and follow-up of this syndrome in Columbia.

Methods. An expert's panel adapted the Spanish DRSR-98. In 110, randomly selected, medical-surgical hospitalized patients, 17 (15.5%) of them with delirium diagnosed with DSM-IV-TR criteria, the inter-rater reliability, validity and sensitivity to clinical change of the new adaptation of the scale were measured.

Results. Internal consistency (Cronbach's alpha: 0.956), inter-rater reliability (ICC: 0.95) and validity (94.8% under the ROC curve area) were very good. For the Cut-off score of 14 for the total scale score, sensitivity was 82.4% and specificity 97.8 %. The scale was sensitive to clinical change, with a mean difference of 12.9 (t: 4.071; p =0.007).

Conclusions. The Colombian adaptation of the Spanish DRS-R-98 is sensitive, specific and reliable for assessment of delirium in hospitalized adults in medical surgical settings.

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Published

2007-05-01

How to Cite

Franco, J. G., et al. “Delirium Rating Scale-Revised-98 (DRS-R-98): Colombian Adaptation of the Spanish Version”. Actas Españolas De Psiquiatría, vol. 35, no. 3, May 2007, pp. 170-5, https://actaspsiquiatria.es/index.php/actas/article/view/666.

Issue

Vol. 35 No. 3 (2007)

Section

Original