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)

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)
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DOI:
10.1007/s00134-007-0920-8
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发表时间:
2008-03-01
影响因子:
38.9
通讯作者:
Weigand, Markus A.
Weigand, Markus A.
中科院分区:
医学1区
文献类型:
--
作者:
Plaschke, Konstanze;Von Haken, Rebecca;Weigand, Markus A.

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目的:在重症监护病房(ICU)中,我们评估了两种独立的妄想评估方法:(A)ICU混乱评估方法(CAM-ICU)和(B)重症监护妄想筛查清单(ICDSC)之间的一致性。设计:前瞻性描述性队列研究。地点和患者:在为期6个月的时间里,174名(平均年龄62.4±13.0岁)择期手术后或急诊后住进ICU的患者在ICU期间或在ICU入院后最多7天,由两名训练有素的独立调查人员(研究人员和床边护士)对其进行两种妄想评估系统的评估。干预:记录患者在ICU入院当天的临床特征。测量和结果:排除永久性昏迷患者后
Objective: 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). Design: Prospective, descriptive cohort study. Setting and patients: 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. Interventions: Patients' clinical characteristics at ICU admission day were documented. Measurements and results: After excluding permanently unconscious patients with