Table 2.
Characteristics of included studies: delirium raters, and quality of methodology and reporting.
Tools (Author, Year) | Definition of dementia and dementia rater | Delirium rater DSM criteria |
Delirium rater delirium tool |
Time between assessment for delirium and DSM rater |
Quality of methods (1–14)a |
Quality of data report (1–25)b |
---|---|---|---|---|---|---|
SPMSQ (Erkinjuntti1987)22 | DSM (Neurologist) | Neurologist | Psychologist | Not reported | 10 | 11 |
CAM (Inouye 1990)24 | DSM-III-R (Psychiatrist) | Geriatric psychiatrists | Geriatrician | Maximum 6 hours | 13 | 25 |
DRS (Rosen 1994)26 | DSM-III-R (Geriatric psychiatrists) | Geriatric psychiatrists | Research clinician | Not reported | 11 | 20 |
CTD (Hart 1996)23 | DSM-III-R, MDRS (Neuropsychologist) | Psychiatrist | Research nurses | Not reported | 9 | 19 |
CAM-ICU (Ely 2001)20 | DSM-IV;BDRS (geriatrician, geriatric psychiatrist ; nurses) | Geriatrician, geriatric psychiatrist neuropsychologist | Research nurses | ≤ 4 hours | 13 | 24 |
CAM-ICU (Ely 2001)21 | DSM-IV;BDRS (geriatrician, geriatric psychiatrist ; nurses) | Geriatrician, geriatric psychiatrist | Research nurses, intensivists | ≤ 4 hours | 13 | 24 |
CAM-ICU (Mitasova2011)27 | BDRS (neuropsychologist) | Neurologist, neuropsychologist, psychiatrist, speech therapist | Neurology resident | <2 hours | 13 | 23 |
EEG (Thomas 2007)28 | IQCODE, DSM-IV, neuropsychological tests (geriatrician, geriatric psychiatrist, gerontologist, neurologist) | Geriatrician, geriatric psychiatrist, gerontologist, neurologist | Neurophysiologist | Not reported | 10 | 21 |
CAM (Hestermann2009)25 | IQCODE, DSM-IV (psychologist, gerontologist;geriatric psychiatrist) | Geriatric psychiatrist, geriatrician | Psychologist, gerontologist | ≤ 3 hours | 13 | 19 |
Abbreviations: BDRS, Blessed dementia rating scale score; CAM, Confusion Assessment Method; DSM, Diagnostic and Statistical Manual of Mental Disorders; DRS, Delirium Rating Scale; CAM-ICU, Confusion Assessment Method for the Intensive Care Unit; CTD, Cognitive Test for Delirium; EEG, electroencephalography; IQCODE, Informant Questionnaire on Cognitive Decline in the Elderly; Mattis Dementia Rating Scale, MDRS; NA, non available; SPMSQ, Short-Portable Mental Status Questionnaire.
Quality of study methodology was assessed with the Assessment of Methodological Quality (QUADAS tool): score range 1–14 (higher=better).19
Quality of data reporting was evaluated with the Assessment of Quality of Reporting (STARD criteria): score range 1–25 (higher=better).18