Comparing the CAM-ICU and ICDSC for assessing delirium in non-intubated intensive care patients

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F22%3A10157586" target="_blank" >RIV/00098892:_____/22:10157586 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/61988987:17110/22:A2302ELO

Výsledek na webu

<a href="https://cejnm.osu.cz/artkey/cjn-202201-0005_comparing-the-cam-icu-and-icdsc-for-assessing-delirium-in-non-intubated-intensive-care-patients.php" target="_blank" >https://cejnm.osu.cz/artkey/cjn-202201-0005_comparing-the-cam-icu-and-icdsc-for-assessing-delirium-in-non-intubated-intensive-care-patients.php</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.15452/CEJNM.2021.12.0033" target="_blank" >10.15452/CEJNM.2021.12.0033</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Comparing the CAM-ICU and ICDSC for assessing delirium in non-intubated intensive care patients

Popis výsledku v původním jazyce

Aim: The study compared two instruments for detecting delirium, the Intensive Care Delirium Screening Checklist (ICDSC) and the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) as a reference method. Design: Prospective observational study. Methods: The study included 126 consecutive patients staying in the intensive care unit (ICU) for more than 24 hours. The diagnostic properties of both questionnaires and agreement between them were studied and compared. Additionally, the two tests were used to assess the relationship between selected patient parameters and the presence of delirium. Results: There was a high level of agreement between the CAM-ICU and ICDSC, as expressed by Cohen's κ of 0.829 (95% CI: 0.821-0.838). Cronbach's α assessing the internal consistency of a Czech version of the CAM-ICU and ICDSC was 0.903 and 0.865, respectively. The CAM-ICU had 85.5% sensitivity (95% CI: 84.6-91.8) and 94.1% specificity (95% CI: 92.4-95.5); the ICDSC (cut-off ≥ 4) had 90.6% sensitivity (95% CI: 87.0-93.5) and 89.0% specificity (95% CI: 86.8-91.0). Conclusion: Both compared diagnostic instruments, the CAM-ICU and ICDSC, appear to be adequate and usable. When compared with the CAM-ICU as a reference method, the ICDSC showed similar results and a good level of agreement.

Název v anglickém jazyce

Comparing the CAM-ICU and ICDSC for assessing delirium in non-intubated intensive care patients

Popis výsledku anglicky

Aim: The study compared two instruments for detecting delirium, the Intensive Care Delirium Screening Checklist (ICDSC) and the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) as a reference method. Design: Prospective observational study. Methods: The study included 126 consecutive patients staying in the intensive care unit (ICU) for more than 24 hours. The diagnostic properties of both questionnaires and agreement between them were studied and compared. Additionally, the two tests were used to assess the relationship between selected patient parameters and the presence of delirium. Results: There was a high level of agreement between the CAM-ICU and ICDSC, as expressed by Cohen's κ of 0.829 (95% CI: 0.821-0.838). Cronbach's α assessing the internal consistency of a Czech version of the CAM-ICU and ICDSC was 0.903 and 0.865, respectively. The CAM-ICU had 85.5% sensitivity (95% CI: 84.6-91.8) and 94.1% specificity (95% CI: 92.4-95.5); the ICDSC (cut-off ≥ 4) had 90.6% sensitivity (95% CI: 87.0-93.5) and 89.0% specificity (95% CI: 86.8-91.0). Conclusion: Both compared diagnostic instruments, the CAM-ICU and ICDSC, appear to be adequate and usable. When compared with the CAM-ICU as a reference method, the ICDSC showed similar results and a good level of agreement.

Druh

J_SC - Článek v periodiku v databázi SCOPUS

CEP obor

—

OECD FORD obor

30223 - Anaesthesiology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Central European Journal of Nursing and Midwifery

ISSN

2336-3517

e-ISSN

—

Svazek periodika

13

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

8

Strana od-do

587-594

Kód UT WoS článku

—

EID výsledku v databázi Scopus

2-s2.0-85127837371