This article reports the development of the NEECHAM Confusion Scale for rapid and unobtrusive assessment and monitoring of acute confusion. The scale was tested in two samples (N = 168 and 258, respectively) of elderly patients hospitalized for acute medical illness. Internal consistency and interrater reliability of the instrument were found to be high. The NEECHAM correlated well with the Mini-Mental State Examination and the sum of DSM-III-R positive items. Factor analyses identified and confirmed cognitive/behavioral and physiological domains. The NEECHAM provides a valid and reliable bedside assessment of acute confusion, particularly at its onset and in patients with ''quiet'' manifestations.
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Univ Turku, Fac Med, Dept Nursing Sci, Turku, Finland
Univ Helsinki Hosp, Perioperat Intens Care & Pain Med, POB 266, FI-00029 Helsinki, FinlandUniv Turku, Fac Med, Dept Nursing Sci, Turku, Finland
Poikajarvi, Satu
Salantera, Sanna
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Univ Turku, Fac Med, Dept Nursing Sci, Turku, Finland
Turku Univ Hosp, Dept Nursing, Turku, FinlandUniv Turku, Fac Med, Dept Nursing Sci, Turku, Finland
Salantera, Sanna
Katajisto, Jouko
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Univ Turku, Fac Math & Nat Sci, Dept Math & Stat, Turku, FinlandUniv Turku, Fac Med, Dept Nursing Sci, Turku, Finland
Katajisto, Jouko
Junttila, Kristiina
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Univ Turku, Fac Med, Dept Nursing Sci, Turku, Finland
Helsinki Univ Hosp, Adm Grp, Helsinki, FinlandUniv Turku, Fac Med, Dept Nursing Sci, Turku, Finland
机构:University Hospitals Leuven,Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, Belgium & Department of Geriatrics
Koen Milisen
Marquis D Foreman
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机构:University Hospitals Leuven,Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, Belgium & Department of Geriatrics
Marquis D Foreman
Annik Hendrickx
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机构:University Hospitals Leuven,Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, Belgium & Department of Geriatrics
Annik Hendrickx
Jan Godderis
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机构:University Hospitals Leuven,Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, Belgium & Department of Geriatrics
Jan Godderis
Ivo L Abraham
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机构:University Hospitals Leuven,Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, Belgium & Department of Geriatrics
Ivo L Abraham
Paul LO Broos
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机构:University Hospitals Leuven,Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, Belgium & Department of Geriatrics
Paul LO Broos
Sabina De Geest
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机构:University Hospitals Leuven,Center for Health Services and Nursing Research, Katholieke Universiteit Leuven, Leuven, Belgium & Department of Geriatrics
机构:
Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA
Wharton Sch Business, Leonard Davis Inst Hlth Econ, Philadelphia, PA USA
Matrix45, Earlysville, VA USAKatholieke Univ Leuven, Ctr Hlth Serv & Nursing Res, Louvain, Belgium
机构:
Grad Sch Tokyo Med & Dent Univ, Grad Sch, Sect Liaison Psychiat & Palliat Med, Tokyo, JapanGrad Sch Tokyo Med & Dent Univ, Grad Sch, Sect Liaison Psychiat & Palliat Med, Tokyo, Japan
Matsushita, T
Matsushima, E
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机构:Grad Sch Tokyo Med & Dent Univ, Grad Sch, Sect Liaison Psychiat & Palliat Med, Tokyo, Japan
Matsushima, E
Maruyama, M
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机构:Grad Sch Tokyo Med & Dent Univ, Grad Sch, Sect Liaison Psychiat & Palliat Med, Tokyo, Japan