Table 1.
Expert Panel Ratings of Delirium Severity in Dementia Content Domains and Subdomains across Rounds of Review
| Round 1 (n=8) |
Round 2 (n=7) |
Final Decision | |||||
|---|---|---|---|---|---|---|---|
| Domain: Subdomain |
I | E | U | I | E | U | I/E/U |
| Level of consciousness |
8 | 0 | 0 | - | - | - | Include |
| Inattention |
6 | 1 | 1 | - | - | - | Include |
| Cognitive: Disorientation |
1 | 3 | 4 | 4 | 2 | 1 | Include |
| Cognitive: Disorganized thinking |
2 | 3 | 3 | 6 | 1 | 0 | Include |
| Cognitive: Cognitive impairment |
3 | 2 | 3 | 3 | 3 | 1** | Exclude |
| Psychiatric-Behavioral: Delusions |
5 | 0 | 3 | - | - | - | Include |
| Psychiatric-Behavioral: Inappropriate behavior |
6 | 0 | 2 | - | - | - | Include |
| Psychiatric-Behavioral: Hallucination/perceptual disorder/distortion |
7 | 0 | 1 | - | - | - | Include |
| Emotional Regulation: Anxiety |
4 | 2 | 2 | 2 | 4 | 1 | Exclude |
| Emotional Regulation: Fear, sense of unease |
4 | 2 | 2 | 3 | 4 | 1 | Exclude |
| Emotional Regulation: Depression |
4 | 2 | 2 | 1 | 6 | 0 | Exclude |
| Emotional Regulation: Apathy |
4 | 2 | 2 | 4 | 2 | 1 | Include |
| Emotional Regulation: Withdrawal |
4 | 2 | 2 | 6 | 1 | 0 | Include |
| Emotional Regulation: Anger, hostility, irritability |
6 | 1 | 1 | - | - | - | Include |
| Psychomotor: Agitation |
7 | 0 | 1 | - | - | - | Include |
| Psychomotor: Retardation |
7 | 1 | 0 | - | - | - | Include |
| Functional: Sleep Disorder - Insomnia |
5 | 1 | 2 | 5 | 1 | 1 | Include |
| Functional: Sleep Disorder - Hypersomnolence |
3 | 1 | 4 | 7 | 0 | 0 | Include |
| Functional: Sleep Disorder – Sleep wake cycle |
5 | 0 | 3 | - | - | - | Include |
| Functional: Performance - Transferring |
3 | 2 | 3 | 1 | 6 | 0 | Exclude |
| Functional: Performance - Posture |
4 | 2 | 2 | 4 | 3 | 0 | Include |
| Functional: Performance – Gait, walking |
2 | 3 | 3 | 3 | 4 | 0 | Exclude |
| Functional: Performance – Poor oral intake |
3 | 0 | 4 | 5 | 2 | 0 | Include |
| Functional: Performance - Incontinence |
2 | 2 | 4 | 2 | 4 | 1 | Exclude |
| Functional: Performance – Self-care, appearance | 1 | 2 | 5 | 5 | 2 | 0 | Include |
I = Include count; E = Exclude count; U = Uncertain count
Included= Items for which there was consensus or near consensus that ultimately were retained by reviewers and the study team/leaders
Excluded= Items for which consensus was not achieved and which were not included in the final content domain structure
*
If 2 or more counts in Uncertain category, required further discussion in Round 2
**
BASIL Study team decided to Exclude