The validity and reliability of the Portuguese versions of three tools used to diagnose delirium in critically ill patients

被引：62

作者：

Gusmao-Flores, Dimitri ^{[1
,8
]}

Figueira Salluh, Jorge Ibrain ^{[2
,3
]}

Dal-Pizzol, Felipe ^{[4
,5
]}

Ritter, Cristiane ^{[4
,5
]}

Tomasi, Cristiane Damiani ^{[4
,5
]}

Dantas de Lima, Marco Antonio Sales ^{[6
]}

Santana, Lauro Reis ^{[7
]}

Pacheco Lins, Rita Marcia ^{[7
]}

Lemos, Patricia Pimenta ^{[7
]}

Serpa, Gisele Vasconcelos ^{[7
]}

Oliveira, Jenisson ^{[7
]}

Chalhub, Ricardo Avila ^{[8
]}

Pitrowsky, Melissa Tassano ^{[2
]}

Lacerda, Acioly L. T. ^{[9
]}

Koenen, Karestan C. ^{[10
,11
,12
]}

Quarantini, Lucas C. ^{[7
,8
]}

机构：

[1] Univ Fed Bahia, Univ Hosp Prof Edgar Santos, Intens Care Unit, Salvador, BA, Brazil

[2] DOr Inst Res & Educ, Rio De Janeiro, Brazil

[3] Inst Nacl Canc INCA, Intens Care Unit, Rio De Janeiro, Brazil

[4] Univ Extremo Catarinense, Lab Fisiopatol Expt, Criciuma, SC, Brazil

[5] Inst Nacl Ciencia & Tecnol Translac Med INCT TM, Programa Posgrad Ciencias Saude, Unidade Acad Ciencias Saude, Criciuma, SC, Brazil

[6] Inst Nacl Canc INCA, Neurosurg Sect, Rio De Janeiro, Brazil

[7] Univ Fed Bahia, Dept Psychiat, Univ Hosp Prof Edgar Santos, Salvador, BA, Brazil

[8] Univ Fed Bahia, Inst Ciencias Saude ICS, Programa Posgrad Proc Interat Orgaos & Sistemas, Salvador, BA, Brazil

[9] Univ Fed Sao Paulo, Lab Interdisciplinar Neurosciencias Clin LiNC, Dept Psychiat, Sao Paulo, Brazil

[10] Harvard Univ, Sch Publ Hlth, Dept Soc, Cambridge, MA 02138 USA

[11] Harvard Univ, Sch Publ Hlth, Dept Human Dev, Cambridge, MA 02138 USA

[12] Harvard Univ, Sch Publ Hlth, Dept Hlth & Epidemiol, Cambridge, MA 02138 USA

来源：

CLINICS | 2011年 / 66卷 / 11期

关键词：

CAM-ICU; ICDSC; CAM-ICU Flowsheet; Critical care; Delirium; INTENSIVE-CARE-UNIT; CONFUSION ASSESSMENT METHOD; CAM-ICU; SCREENING CHECKLIST; CULTURAL-ADAPTATION; VALIDATION; SEDATION;

D O I：

10.1590/S1807-59322011001100011

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：1917 / 1922

页数：6

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