Please use this identifier to cite or link to this item: http://repositorio.unifesp.br/handle/11600/6180
Title: 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 Luiz Tavares de [UNIFESP]
Koenen, Karestan C
Quarantini, Lucas de Castro [UNIFESP]
Universidade Federal da Bahia University Hospital Prof. Edgar Santos Intensive Care Unit
D'Or Institute of Research and Education
Instituto Nacional do Câncer Intensive Care Unit
Universidade do Extremo Sul Catarinense Laboratório de Fisiopatologia Experimental
Instituto Nacional de Ciência e Tecnologia Translacional em Medicina
Instituto Nacional do Câncer Neurosurgery Section
Universidade Federal da Bahia University Hospital Prof. Edgar Santos Department of Psychiatry
Universidade Federal da Bahia Instituto de Ciências da Saúde Programa de Pós-graduação em Processos Interativos dos Órgãos e Sistemas
Universidade Federal de São Paulo (UNIFESP)
Harvard School of Public Health Departments of Society, Human Development, and Health & Epidemiology
Keywords: CAM-ICU
ICDSC
CAM-ICU Flowsheet
Critical care
Delirium
Issue Date: 1-Jan-2011
Publisher: Faculdade de Medicina / USP
Citation: Clinics. Faculdade de Medicina / USP, v. 66, n. 11, p. 1917-1922, 2011.
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.
URI: http://repositorio.unifesp.br/handle/11600/6180
ISSN: 1807-5932
Other Identifiers: http://dx.doi.org/10.1590/S1807-59322011001100011
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