The validity and reliability of the Portuguese versions of three tools used to diagnose delirium in critically ill patients
Flores, Dimitri Gusmao; Salluh, Jorge Ibrain Figueira; Dal-Pizzol, Felipe; Ritter, Cristiane; Tomas, Cristiane Damiani; Lima, Marco Antnio Sales Dantas de; Santana, Lauro Reis; Lins, Rita M rcia Pacheco; Lemos, Patr¡cia Pimenta; Serpa, Gisele Vasconcelos; Oliveira, Jenisson; Challub, Ricardo µvila; Pitrowsky, Melissa Tassano; Lacerda, Acioly L. T; Koenen, Karestan C; Quarantini, Lucas C.
Clinics
; 66: [1971-1922], 2011. tab, graf
Artículo
en Inglés
| TXTC | ID: txt-25244
OBJECTIVES:
The objectives of this study are to compare the sensitivity and specificity of three diagnostic tools fordelirium (the Intensive Care Delirium Screening Checklist, the Confusion Assessment Method for Intensive Care Unitsand the Confusion Assessment Method for Intensive Care Units Flowsheet) in a mixed population of critically illpatients, 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 apsychiatrist or neurologist using the Diagnostic and Statistical Manual of Mental Disorders. Patients weresubsequently 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 thereference rater. The Confusion Assessment Method for Intensive Care Units had a sensitivity of 72.5% and a specificityof 96.2%; the Confusion Assessment Method for Intensive Care Units Flowsheet had a sensitivity of 72.5% and aspecificity of 96.2%; the Intensive Care Delirium Screening Checklist had a sensitivity of 96.0% and a specificity of72.4%. There was strong agreement between the Confusion Assessment Method for Intensive Care Units and theConfusion 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. Inaddition, the Brazilian Portuguese version of the Confusion Assessment Method for Intensive Care Units is a validand reliable instrument for the assessment of delirium among critically ill patients.(AU)
Biblioteca responsable:
BR440.1
Ubicación: BR440.1
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