Publication

Psychometric evaluation of the DMSS-4 in a cohort of elderly post-operative hip fracture patients with delirium

Adamis, D., Scholtens, R., de Jonghe, A., van Munster, B. C., de Rooij, S. E. J. A. & Meagher, D. J., Jul-2016, In : International Psychogeriatrics. 28, 7, p. 1221-1228 8 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Adamis, D., Scholtens, R., de Jonghe, A., van Munster, B. C., de Rooij, S. E. J. A., & Meagher, D. J. (2016). Psychometric evaluation of the DMSS-4 in a cohort of elderly post-operative hip fracture patients with delirium. International Psychogeriatrics, 28(7), 1221-1228. https://doi.org/10.1017/S1041610216000065

Author

Adamis, Dimitrios ; Scholtens, Rikie ; de Jonghe, Annemarieke ; van Munster, Barbara C ; de Rooij, Sophia E J A ; Meagher, David J. / Psychometric evaluation of the DMSS-4 in a cohort of elderly post-operative hip fracture patients with delirium. In: International Psychogeriatrics. 2016 ; Vol. 28, No. 7. pp. 1221-1228.

Harvard

Adamis, D, Scholtens, R, de Jonghe, A, van Munster, BC, de Rooij, SEJA & Meagher, DJ 2016, 'Psychometric evaluation of the DMSS-4 in a cohort of elderly post-operative hip fracture patients with delirium', International Psychogeriatrics, vol. 28, no. 7, pp. 1221-1228. https://doi.org/10.1017/S1041610216000065

Standard

Psychometric evaluation of the DMSS-4 in a cohort of elderly post-operative hip fracture patients with delirium. / Adamis, Dimitrios; Scholtens, Rikie; de Jonghe, Annemarieke; van Munster, Barbara C; de Rooij, Sophia E J A; Meagher, David J.

In: International Psychogeriatrics, Vol. 28, No. 7, 07.2016, p. 1221-1228.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Adamis D, Scholtens R, de Jonghe A, van Munster BC, de Rooij SEJA, Meagher DJ. Psychometric evaluation of the DMSS-4 in a cohort of elderly post-operative hip fracture patients with delirium. International Psychogeriatrics. 2016 Jul;28(7):1221-1228. https://doi.org/10.1017/S1041610216000065


BibTeX

@article{bf63514653cb4e3f87454fbc7ac24e73,
title = "Psychometric evaluation of the DMSS-4 in a cohort of elderly post-operative hip fracture patients with delirium",
abstract = "Background: Delirium is a common neuropsychiatric syndrome with considerable heterogeneity in clinical profile. Rapid reliable identification of clinical subtypes can allow for more targeted research efforts.Methods: We explored the concordance in attribution of motor subtypes between the Delirium Motor Subtyping Scale 4 (DMSS-4) and the original Delirium Motor Subtyping Scale (DMSS) (assessed cross-sectionally) and subtypes defined longitudinally using the Delirium Symptom Interview (DSI).Results: We included 113 elderly patients developing DSM-IV delirium after hip-surgery [mean age 86.9 +/- 6.6 years; range 65-102; 68.1% females; 25 (22.1%) had no previous history of cognitive impairment]. Concordance for the first measurement was high for both the DMSS-4 and original DMSS (k = 0.82), and overall for the DMSS-4 and DSI (k = 0.84). The DMSS-4 also demonstrated high internal consistency (McDonald's omega = 0.90). The DSI more often allocated an assessment to {"}no subtype{"} compared to the DMSS-4 and DMSS-11, which showed higher inclusion rates for motor subtypes.Conclusions: The DMSS-4 provides a rapid method of identifying motor-defined clinical subtypes of delirium and appears to be a reliable alternative to the more detailed and time-consuming original DMSS and DSI methods of subtype attribution. The DMSS-4, so far translated into three languages, can be readily applied to further studies of causation, treatment and outcome in delirium.",
keywords = "Delirium, activity, motor, subtypes, phenomenology, assessment, DMSS, MOTOR SUBTYPE SCALE, DUTCH VERSION, RATING-SCALE, VALIDATION, REVISED-98, DISORDERS, MELATONIN, SYMPTOMS",
author = "Dimitrios Adamis and Rikie Scholtens and {de Jonghe}, Annemarieke and {van Munster}, {Barbara C} and {de Rooij}, {Sophia E J A} and Meagher, {David J}",
year = "2016",
month = jul,
doi = "10.1017/S1041610216000065",
language = "English",
volume = "28",
pages = "1221--1228",
journal = "International Psychogeriatrics",
issn = "1041-6102",
publisher = "Cambridge University Press",
number = "7",

}

RIS

TY - JOUR

T1 - Psychometric evaluation of the DMSS-4 in a cohort of elderly post-operative hip fracture patients with delirium

AU - Adamis, Dimitrios

AU - Scholtens, Rikie

AU - de Jonghe, Annemarieke

AU - van Munster, Barbara C

AU - de Rooij, Sophia E J A

AU - Meagher, David J

PY - 2016/7

Y1 - 2016/7

N2 - Background: Delirium is a common neuropsychiatric syndrome with considerable heterogeneity in clinical profile. Rapid reliable identification of clinical subtypes can allow for more targeted research efforts.Methods: We explored the concordance in attribution of motor subtypes between the Delirium Motor Subtyping Scale 4 (DMSS-4) and the original Delirium Motor Subtyping Scale (DMSS) (assessed cross-sectionally) and subtypes defined longitudinally using the Delirium Symptom Interview (DSI).Results: We included 113 elderly patients developing DSM-IV delirium after hip-surgery [mean age 86.9 +/- 6.6 years; range 65-102; 68.1% females; 25 (22.1%) had no previous history of cognitive impairment]. Concordance for the first measurement was high for both the DMSS-4 and original DMSS (k = 0.82), and overall for the DMSS-4 and DSI (k = 0.84). The DMSS-4 also demonstrated high internal consistency (McDonald's omega = 0.90). The DSI more often allocated an assessment to "no subtype" compared to the DMSS-4 and DMSS-11, which showed higher inclusion rates for motor subtypes.Conclusions: The DMSS-4 provides a rapid method of identifying motor-defined clinical subtypes of delirium and appears to be a reliable alternative to the more detailed and time-consuming original DMSS and DSI methods of subtype attribution. The DMSS-4, so far translated into three languages, can be readily applied to further studies of causation, treatment and outcome in delirium.

AB - Background: Delirium is a common neuropsychiatric syndrome with considerable heterogeneity in clinical profile. Rapid reliable identification of clinical subtypes can allow for more targeted research efforts.Methods: We explored the concordance in attribution of motor subtypes between the Delirium Motor Subtyping Scale 4 (DMSS-4) and the original Delirium Motor Subtyping Scale (DMSS) (assessed cross-sectionally) and subtypes defined longitudinally using the Delirium Symptom Interview (DSI).Results: We included 113 elderly patients developing DSM-IV delirium after hip-surgery [mean age 86.9 +/- 6.6 years; range 65-102; 68.1% females; 25 (22.1%) had no previous history of cognitive impairment]. Concordance for the first measurement was high for both the DMSS-4 and original DMSS (k = 0.82), and overall for the DMSS-4 and DSI (k = 0.84). The DMSS-4 also demonstrated high internal consistency (McDonald's omega = 0.90). The DSI more often allocated an assessment to "no subtype" compared to the DMSS-4 and DMSS-11, which showed higher inclusion rates for motor subtypes.Conclusions: The DMSS-4 provides a rapid method of identifying motor-defined clinical subtypes of delirium and appears to be a reliable alternative to the more detailed and time-consuming original DMSS and DSI methods of subtype attribution. The DMSS-4, so far translated into three languages, can be readily applied to further studies of causation, treatment and outcome in delirium.

KW - Delirium

KW - activity

KW - motor

KW - subtypes

KW - phenomenology

KW - assessment

KW - DMSS

KW - MOTOR SUBTYPE SCALE

KW - DUTCH VERSION

KW - RATING-SCALE

KW - VALIDATION

KW - REVISED-98

KW - DISORDERS

KW - MELATONIN

KW - SYMPTOMS

U2 - 10.1017/S1041610216000065

DO - 10.1017/S1041610216000065

M3 - Article

C2 - 26847532

VL - 28

SP - 1221

EP - 1228

JO - International Psychogeriatrics

JF - International Psychogeriatrics

SN - 1041-6102

IS - 7

ER -

ID: 34345487