The validity and reliability of the Portuguese versions of three tools used to diagnose delirium in critically ill patients |
| |
Authors: | Gusmao-Flores Dimitri Salluh Jorge Ibrain Figueira Dal-Pizzol Felipe Ritter Cristiane Tomasi Cristiane Damiani Lima Marco Antônio Sales Dantas de Santana Lauro Reis Lins Rita Márcia Pacheco Lemos Patrícia Pimenta Serpa Gisele Vasconcelos Oliveira Jenisson Chalhub Ricardo Ávila Pitrowsky Melissa Tassano Lacerda Acioly L T Koenen Karestan C Quarantini Lucas C |
| |
Affiliation: | Intensive Care Unit, University Hospital Prof. Edgar Santos, Universidade Federal da Bahia, Salvador, BA, Brazil. dimitrigusmao@gmail.com |
| |
Abstract: | OBJECTIVES:The objectives of this study are to compare the sensitivity and specificity of three diagnostic tools for delirium (the Intensive Care Delirium Screening Checklist, the Confusion Assessment Method for Intensive Care Units and the Confusion Assessment Method for Intensive Care Units Flowsheet) in a mixed population of critically ill patients, and to validate the Brazilian Portuguese Confusion Assessment Method for Intensive Care Units.METHODS:The study was conducted in four intensive care units in Brazil. Patients were screened for delirium by a psychiatrist or neurologist using the Diagnostic and Statistical Manual of Mental Disorders. Patients were subsequently screened by an intensivist using Portuguese translations of the three tools.RESULTS:One hundred and nineteen patients were evaluated and 38.6% were diagnosed with delirium by the reference rater. The Confusion Assessment Method for Intensive Care Units had a sensitivity of 72.5% and a specificity of 96.2%; the Confusion Assessment Method for Intensive Care Units Flowsheet had a sensitivity of 72.5% and a specificity of 96.2%; the Intensive Care Delirium Screening Checklist had a sensitivity of 96.0% and a specificity of 72.4%. There was strong agreement between the Confusion Assessment Method for Intensive Care Units and the Confusion Assessment Method for Intensive Care Units Flowsheet (kappa coefficient = 0.96).CONCLUSION:All three instruments are effective diagnostic tools in critically ill intensive care unit patients. In addition, the Brazilian Portuguese version of the Confusion Assessment Method for Intensive Care Units is a valid and reliable instrument for the assessment of delirium among critically ill patients. |
| |
Keywords: | CAM-ICU ICDSC CAM-ICU Flowsheet Critical care Delirium |
本文献已被 ScienceDirect PubMed 等数据库收录! |