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Biomedical subjects

W Burgert

Publications and source records attributed to W Burgert.

7 recordsLinked to original sources
PubMed2001

A clinical study of competency to consent to treatment in pediatrics.

A 19-item competency questionnaire for pediatric patients (CQ-Peds) was used to evaluate competency to consent to treatment in pediatric outpatients and inpatients at two university hospitals. Sixty-nine consecutive English-speaking pediatric outpatients were studied at Hospital A, and 23 consecutive English-speaking pediatric inpatients were studied at Hospital B. Demographic data were statistically analyzed using the chi-square test, and there were no significant differences between the competent and incompetent groups (using CQ-Peds scores and cutoffs). CQ-Peds scores correlated highly with age (r = .947, p < .003; Outpatient Hospital A). Using the Child Behavior Checklist (CBCL) and the Pediatric Symptom Checklist (PSC) as a screen for psychopathology, the presence of psychiatric disturbance, per se, did not correlate with low CQ-Peds scores, nor was there a statistical difference between children from Spanish-speaking households and those from English-speaking households (Inpatient Hospital B). Overall, the children scored well on the CQ-Peds and demonstrated a good appreciation for their illnesses and treatment. The CQ-Peds score correlated highly with the that on the Wechsler Intelligence Scale for Children Revised Edition (WISC-R) vocabulary, comprehension, and similarities subtests and also with the Wide-Range Achievement Test-III (WRAT-III) reading assessment score (Inpatient Hospital B).

Adolescent↗
PubMed1998

A clinical study of competency in child psychiatric inpatients.

A 17-item competency questionnaire, modified for use with children and adolescents (CQ-ChP), was used to evaluate competency to consent to hospitalization and treatment in child psychiatric inpatients. A total of 25 consecutive English-speaking psychiatric child inpatient admissions were studied. Demographic data were statistically analyzed using chi 2, and there were no significant statistical differences between the competent and incompetent groups (using CQ-ChP scores and cut-offs). The various demographic/clinical variables and scores on the questionnaire were also statistically evaluated using chi 2. The only statistical significance was the association between reading level and competency with a value of p < .05. Therefore, by achieving a reading level at the fifth-grade standard, subjects were found to be competent as measured by the CQ-ChP.

Adolescent↗
PubMed1997

Competency to consent to hospitalization in the medical patient.

A slightly modified version (the CQ-Med) of a 15-item competency questionnaire (the CQ) was used to assess competency to consent to hospitalization in general hospital patients. The purpose of the study was to determine whether voluntary psychiatric inpatients would score comparably with general hospital inpatients using a similar questionnaire. The patients studied performed better in nearly all areas of competency than the previously studied adult and adolescent psychiatric subjects using the same questionnaire (modified for the respective study populations). The CQ-Med questionnaire may be a useful instrument for preliminary screening of general hospital patients, when indicated, for assessment of competency to consent to hospitalization.

Adult↗
PubMed1996

A clinical study of competency in psychiatric inpatients.

A 15-item questionnaire used to evaluate competency to consent to psychiatric hospitalization was validated using a blind forensic psychiatric interview. The statistical correlation was excellent with p < .001. The questionnaire also correlated highly with the Mini-Mental State exam (p < .05), the Brief Psychiatric Rating Scale (p < .05), and the Weschler Adult Intelligence Scale-Revised vocabulary subtest (p < .01). This questionnaire may be a useful instrument for preliminary screening of psychiatric patients for competency to consent to hospitalization and general psychiatric treatment.

Adult↗
PubMed1987

Herpes esophagitis in immunocompetent patients.

Although herpes simplex virus is a recognized cause of esophagitis in immunocompromised patients, it may also be the etiologic agent in otherwise healthy individuals. Odynophagia and dysphagia are the major symptoms. The esophagogram may reveal ulcers in the distal esophagus and there may be motor disturbances as well. Esophageal endoscopy may show vesicles, ulceration or plaques. In the immunocompetent patient, herpes esophagitis is a self-limited disease.

Adult↗
PubMedDate not supplied

Validation of the Mental Alternation Test with the Mini-Mental State Examination in geriatric psychiatric inpatients and normal controls.

The Mental Alternation Test (MAT) is a bedside test of cognition that was used for the detection of human immunodeficiency virus (HIV)-related cognitive impairment. It has been shown to have good reproducibility and inter-rater reliability, and takes only 60 seconds to administer. To assess the utility of the MAT in the geriatric primary care and geriatric psychiatric settings, we used the Mini-Mental State Examination (MMSE) as a further validation of the test. This cohort study included 20 geriatric psychiatric inpatients, 15 normal geriatric controls, and four normal adult controls. The study was conducted within the inpatient psychiatric unit of a referral hospital. Scores on the MAT and the MMSE were compared using correlation calculations. Test score means and standard deviations were computed for each study population. Test score cutoffs derived from a previous study were used to determine the sensitivity and specificity of the MAT as compared with the MMSE. The MAT score was found to correlate significantly with the MMSE score (r =.84, P <.0001). Scores on the MAT were predictive of scores on the MMSE, with a sensitivity of 91% and a specificity of 100%. We conclude that MAT is a good test of cognition in both geriatric primary care and geriatric psychiatric populations. It has both good specificity and sensitivity, and its ease of administration and inter-rater reliability make it a useful diagnostic tool for identifying those patients who may need further cognitive evaluations.

Adult↗