1. Comparison of the confusion assessment method for the intensive care unit (CAM-ICU) with the Intensive Care Delirium Screening Checklist (ICDSC) for delirium in critical care patients gives high agreement rate(s)
- Author
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Ria Engelhardt, Mirijam Scholz, Rebecca von Haken, Markus A. Weigand, Eike Martin, Konstanze Plaschke, and Angelika Brobeil
- Subjects
Male ,medicine.medical_specialty ,Critical Care ,health care facilities, manpower, and services ,Critical Care and Intensive Care Medicine ,Sensitivity and Specificity ,Severity of Illness Index ,law.invention ,Cohort Studies ,Organic mental disorders ,law ,Intensive care ,Anesthesiology ,Severity of illness ,medicine ,Humans ,Prospective Studies ,Elective surgery ,Intensive care medicine ,APACHE ,Aged ,business.industry ,Delirium ,Reproducibility of Results ,Middle Aged ,medicine.disease ,Intensive care unit ,Intensive Care Units ,Female ,medicine.symptom ,business ,Cohort study - Abstract
In the intensive care unit (ICU) we assessed the agreement between the delirium ratings of two independent delirium assessment methods: (a) the Confusion Assessment method for the ICU (CAM-ICU); and (b) the Intensive Care Delirium Screening Checklist (ICDSC). Prospective, descriptive cohort study. During a 6-month period, 174 patients (mean age 62.4 ± 13.0 years) admitted to the ICU after elective surgery or after an emergency were included and assessed with both delirium assessment systems by two trained independent investigators (research person and bedside nurses) during their ICU stay or for up to 7 days after ICU admission. Patients' clinical characteristics at ICU admission day were documented. After excluding permanently unconscious patients with ≤ –4 on the Richmond Agitation Sedations scale, delirium was identified in 71 of the 174 patients (41%). The patients who were included were tested in 374 paired but researcher-independent ratings of delirium by both scoring methods. The kappa coefficient determined over 7 days of ICU stay was 0.80 (CI 95%: 0.78–0.84; p
- Published
- 2007