Assessment of delirium in advanced cancer: The use of the bedside confusion scale

American Journal of Hospice and Palliative Medicine

Volumn 18, Issue 5, 2001, Pages 335-341

  Sarhill, Nabeel ^a   Walsh, Declan ^b   Nelson, Kristine A ^b   Legrand, Susan ^b   Davis, Mellar P ^b  

^a WORLD HEALTH ORGANIZATION   (Switzerland)

^b TAUSSIG CANCER INSTITUTE   (United States)

Author keywords

acute confusional state; advanced cancer; bedside confusion scale (BSCS); delirium; haloperidol; symptom management

Indexed keywords

AGED; ARTICLE; CASE CONTROL STUDY; CLASSIFICATION; CONFUSION; DELIRIUM; EPIDEMIOLOGY; FEMALE; GERIATRIC ASSESSMENT; HEALTH CARE FACILITY; HOSPITALIZATION; HUMAN; MALE; MASS SCREENING; METHODOLOGY; MIDDLE AGED; NEOPLASM; NEUROLOGIC EXAMINATION; PILOT STUDY; PREVALENCE; PROSPECTIVE STUDY; STANDARD; TIME; VALIDATION STUDY;

AGED; CASE-CONTROL STUDIES; CAUSALITY; CONFUSION; DELIRIUM; FEMALE; GERIATRIC ASSESSMENT; HUMANS; MALE; MASS SCREENING; MIDDLE AGED; NEOPLASMS; NEUROLOGIC EXAMINATION; PATIENTS' ROOMS; PILOT PROJECTS; PREVALENCE; PROSPECTIVE STUDIES; SEVERITY OF ILLNESS INDEX; TIME FACTORS;

EID: 0035459047     PISSN: 10499091     EISSN: None     Source Type: Journal    
DOI: 10.1177/104990910101800509     Document Type: Article

References (28)

1. Breitbart W: Identifying patients at risk for, and treatment of major psychiatric complications of cancer. Support Care Cancer. 1995; 3(1): 45-60.
2. Breitbart W, Bruera E, Chochinov H, et al.: Neuropsychiatric syndromes and psychological symptoms in patients with advanced cancer. J Pain & Symptom Manage. 1995; 10(2): 131-141.
3. Bruera E, Chadwick S, Weinlick A, et al.: Delirium and severe sedation in patients with terminal cancer. Cancer Treat Rep. 1987; 71(7-8): 787-788.
4. Derogatis LR, Morrow GR, Fetting J, et al.: The prevalence of psychiatric disorders among cancer patients. JAMA. 1983; 249(6): 751-757.
5. Stiefel F, Fainsinger R, Bruera E: Acute confusional states in patients with advanced cancer. J Pain & Symptom Manage. 1992; 7(2): 94-98.
6. Ingham J, Breitbart W: Epidemiology and clinical features of delirium. In Portenoy RK (ed.): Topics in Palliative Care. New York: Oxford University Press, 1997: 7-19.
7. Inouye SK: The dilemma of delirium: Clinical and research controversies regarding diagnosis and evaluation of delirium in hospitalized elderly medical patients. Am J Med. 1994; 97(3): 278-288.
8. Roth-Roemer S, Fann J, Syrjala K: The importance of recognizing and measuring delirium. J Pain & Symptom Manage. 1997; 13(3): 125-127.
9. Pereira J, Hanson J, Bruera E: The frequency and clinical course of cognitive impairment in patients with terminal cancer. Cancer. 1997; 79(4): 835-842.
10. Bruera E, Franco JJ, Maltoni M, et al.: Changing pattern of agitated impaired mental status in patients with advanced cancer: Association with cognitive monitoring, hydration, and opioid rotation. J Pain & Symptom Manage. 1995; 10(4): 287-291.
11. Lawlor PG, Gagnon B, Mancini IL, et al.: Occurrence, causes, and outcome of delirium in patients with advanced cancer: A prospective study. Arch Intern Med. 2000; 160(6): 786-794.
12. Bruera E, Miller L, McCallion J, et al.: Cognitive failure in patients with terminal cancer: A prospective study. J Pain & Symptom Manage. 1992; 7(4): 192-195.
13. Massie MJ, Holland J, Glass E: Delirium in terminally ill cancer patients. Am J Psychiatry. 1983; 140(8): 1048-1050.
14. Maddocks I, Somogyi A, Abbott F, et al.: Attenuation of morphine-induced delirium in palliative care by substitution with infusion of oxycodone. J Pain & Symptom Manage. 1996; 12(3): 182-189.
15. Breitbart W, Chochinov H, Passik S: Psychiatric aspects of palliative care. In Doyle D, Hanks G, MacDonald N (eds.): Oxford Textbook of Palliative Medicine. Oxford: Oxford University Press, 1998: 932-954. See also Rabins PV: Psychosocial and management aspects of delirium. Int Psychogeriatr. 1991; 3(2): 319-324.
16. Bruera E, Fainsinger RL, Miller MJ, et al.: The assessment of pain intensity in patients with cognitive failure: A preliminary report. J Pain & Symptom Manage. 1992; 7(5): 267-270.
17. Rummans TA, Evans JM, Krahn LE, et al.: Delirium in elderly patients: Evaluation and management. Mayo Clin Proc. 1995; 70(10): 989-998.
18. Stillman MJ, Rybicki L: The bedside confusion scale: Development of a portable bedside test for confusion and its application to the palliative medicine population. J Palliat Med. 2000; 3: 449-456.
19. Haskell RM, Frankel HL, Rotondo MF: Agitation. AACN Clin Issues. 1997; 8(3): 335-350 [published erratum appears in AACN Clin Issues. Nov 1997; 8(4): 652].
20. Liptzin B, Levkoff SE: An empirical study of delirium subtypes. Br J Psychiatry. 1992; 161: 843-845.
21. Folstein MF, Folstein SE, McHugh PR: Mini-mental state: A practical method forgrading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3): 189-198.
22. Breitbart W, Rosenfeld B, Roth A, et al.: The Memorial Delirium Assessment Scale. J Pain & Symptom Manage. 1997; 13(3): 128-137.
23. Inouye SK, van Dyck CH, Alessi CA, et al.: Clarifying confusion: The confusion assessment method: A new method for detection of delirium [see comments]. Ann Intern Med. 1990; 113(12): 941-948.
24. Trzepacz PT, Baker RW, Greenhouse J: A symptom rating scale for delirium. Psychiatry Res. 1988; 23(1): 89-97.
25. Trzepacz PT: A review of delirium assessment instruments. Gen Hosp Psychiatry. 1994; 16(6): 397-405.
26. Tuma R, DeAngelis LM: Altered mental status in patients with cancer. Arch Neurol. 2000; 57(12): 1727-1731.
27. Ramani S, Karnad AB: Long-term subcutaneous infusion of midazolam for refractory delirium in terminal breast cancer. South Med J. 1996; 89(11): 1101-1103.
28. Fernandez F, Holmes VF, Adams F, et al. Treatment of severe, refractory agitation with a haloperidol drip. J Clin Psychiatry. 1988; 49(6): 239-241.