Accuracy of a clinical decision support system based on the 3-minute diagnostic interview for CAM-defined delirium: A validation study

被引：2

作者：

Wang, Jiamin ^{[1
,2
]}

Ji, Meihua ^{[2
]}

Huang, Yongjun ^{[3
]}

Yang, Fangyu ^{[2
]}

Wu, Ying ^{[2
,4
]}

机构：

[1] Beijing Univ Chinese Med, Sch Nursing, Beijing 100105, Peoples R China

[2] Capital Med Univ, Sch Nursing, Beijing 100069, Peoples R China

[3] Beijing Geriatr Hosp, Dept Neurol, Beijing 100095, Peoples R China

[4] Capital Med Univ, Sch Nursing, 10 You Anmen Wai Xi Tou Tiao, Beijing 100069, Peoples R China

来源：

GERIATRIC NURSING | 2023年 / 53卷

关键词：

Delirium; Clinical decision support system; Older adult; Validation; MINI-MENTAL STATE; 3D-CAM;

D O I：

10.1016/j.gerinurse.2023.07.021

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Objective: To evaluate the accuracy of the 3D-DST for delirium assessment in older adults by the nurse researcher.Methods: The 3D-DST was administered by a trained nurse researcher to assess delirium among eligible older adults (aged =70 years). The criteria for identifying delirium was based on the Diagnostic and Statistical Man#ual of Mental Disorders, 5th Edition (DSM-V).Results: A total of 95 older adults were enrolled in the current study, and 23 patients were identified as positive for delirium by the psychiatrist. The sensitivity and specificity of the 3D-DST were 96% and 94%, respectively. High sensitivities of the 3D-DST were also observed among patients with hypoactive delirium (95%) and those with cognitive impairment (93%).Conclusion: The 3D-DST was demonstrated as an appropriate instrument with highly acceptable sensitivities and specificities for delirium detection in hospitalized older patients.

引用

页码：255 / 260

页数：6

共 28 条

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