Translation and validation of the Tibetan confusion assessment method for the intensive care unit

被引：5

作者：

Danzeng, Qu-Zhen ^{[1
,2
,3
]}

Cui, Na ^{[1
,2
,3
]}

Wang, Hao ^{[1
,2
]}

Pan, Wen-Jun ^{[3
]}

Long, Yun ^{[1
,2
]}

Deji, Yang-Zong ^{[3
]}

Ze, Cheng ^{[3
]}

Ren, Zeng ^{[4
]}

机构：

[1] Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Crit Care Med, Beijing 100730, Peoples R China

[2] Chinese Acad Med Sci, Beijing 100730, Peoples R China

[3] Tibet Autonomous Reg Peoples Hosp, Dept Crit Care Med, Lhasa 850000, Tibet, Peoples R China

[4] Tibet Autonomous Reg Peoples Hosp, Dept Neurosurg, Lhasa 850000, Tibet, Peoples R China

来源：

CHINESE MEDICAL JOURNAL | 2019年 / 132卷 / 10期

基金：

中国国家自然科学基金;

关键词：

Delirium; Tibet; CAM-ICU; Validation; MECHANICALLY VENTILATED PATIENTS; CULTURAL-ADAPTATION; DELIRIUM DIAGNOSIS; DSM-IV; CAM; RELIABILITY; GUIDELINES; PREDICTOR; VALIDITY; IMPACT;

D O I：

10.1097/CM9.0000000000000168

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: At present, there is no available delirium translated assessment method for 3.3 million Tibetans. This study aimed to provide a method for delirium assessment for Tibetan patients speaking this language by validating a translation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Methods: The study was conducted between July 2018 and November 2018. Patients were screened for delirium by a neurologist using the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV). Patients were subsequently screened by two nurses using Tibetan translations of the CAM-ICU. With DSM-IV criterion as the reference standard, the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated to assess the validity of the CAM-ICU criterion. Interrater reliability was determined by comparing the CAM-ICU ratings of nurse 1 vs. nurse 2 using the kappa coefficient. Results: Ninety-six patients were assessed independently by two nurses and one neurologist. According to DSM-IV standard, 42 out of 96 (43.8%) patients developed delirium. The sensitivities of Tibetan CAM-ICU were 90.5% for nurse 1 and 92.9% for nurse 2, respectively. Their specificities were 85.2% and 90.7%, respectively. The PPV were 82.6% for nurse 1 and 88.6% for nurse 2. Their NPV were 92.0% and 94.2%, respectively. The Tibetan CAM-ICU was done with good interrater reliability between nurse 1 and nurse 2 (kappa = 0.91, P < 0.001). Conclusion: The Tibetan CAM-ICU shows good validity and might be incorporated into clinical practice in Tibetan Intensive Care Units.

引用

页码：1154 / 1158

页数：5

共 22 条

[1] A comparison of delirium diagnosis in elderly medical inpatients using the CAM, DRS-R98, DSM-IV and DSM-5 criteria [J].

Adamis, Dimitrios ;

Rooney, Siobhan ;

Meagher, David ;

Mulligan, Owen ;

McCarthy, Geraldine .

INTERNATIONAL PSYCHOGERIATRICS, 2015, 27 (06) :883-889

[2] Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit [J].

Barr, Juliana ;

Fraser, Gilles L. ;

Puntillo, Kathleen ;

Ely, E. Wesley ;

Gelinas, Celine ;

Dasta, Joseph F. ;

Davidson, Judy E. ;

Devlin, John W. ;

Kress, John P. ;

Davidson, Judy E. ;

Devlin, John W. ;

Kress, John P. ;

Joffe, Aaron M. ;

Coursin, Douglas B. ;

Herr, Daniel L. ;

Tung, Avery ;

Robinson, Bryce R. H. ;

Fontaine, Dorrie K. ;

Ramsay, Michael A. ;

Riker, Richard R. ;

Sessler, Curtis N. ;

Pun, Brenda ;

Skrobik, Yoanna ;

Jaeschke, Roman .

CRITICAL CARE MEDICINE, 2013, 41 (01) :263-306

[3] Guidelines for the process of cross-cultural adaptation of self-report measures [J].

Beaton, DE ;

Bombardier, C ;

Guillemin, F ;

Ferraz, MB .

SPINE, 2000, 25 (24) :3186-3191

[4] Delirium in mechanically ventilated patients - Validity and reliability of the Confusion Assessment Method for the intensive care unit (CAM-ICU) [J].

Ely, EW ;

Inouye, SK ;

Bernard, GR ;

Gordon, S ;

Francis, J ;

May, L ;

Truman, B ;

Speroff, T ;

Gautam, S ;

Margolin, R ;

Hart, RP ;

Dittus, R .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (21) :2703-2710

[5] Evaluation of delirium in critically ill patients: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) [J].

Ely, EW ;

Margolin, R ;

Francis, J ;

May, L ;

Truman, B ;

Dittus, R ;

Speroff, T ;

Gautam, S ;

Bernard, GR ;

Inouye, SK .

CRITICAL CARE MEDICINE, 2001, 29 (07) :1370-1379

[6] The impact of delirium in the intensive care unit on hospital length of stay [J].

Ely, EW ;

Gautam, S ;

Margolin, R ;

Francis, J ;

May, L ;

Speroff, T ;

Truman, B ;

Dittus, R ;

Bernard, GR ;

Inouye, SK .

INTENSIVE CARE MEDICINE, 2001, 27 (12) :1892-1900

[7] Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit [J].

Ely, EW ;

Shintani, A ;

Truman, B ;

Speroff, T ;

Gordon, SM ;

Harrell, FE ;

Inouye, SK ;

Bernard, GR ;

Dittus, RS .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (14) :1753-1762

[8] Delirium as a predictor of long-term cognitive impairment in survivors of critical illness [J].

Girard, Timothy D. ;

Jackson, James C. ;

Pandharipande, Pratik P. ;

Pun, Brenda T. ;

Thompson, Jennifer L. ;

Shintani, Ayumi K. ;

Gordon, Sharon M. ;

Canonico, Angelo E. ;

Dittus, Robert S. ;

Bernard, Gordon R. ;

Ely, E. Wesley .

CRITICAL CARE MEDICINE, 2010, 38 (07) :1513-1520

[9] Validity and Reliability of the CAM-ICU Flowsheet to diagnose delirium in surgical ICU patients [J].

Guenther, Ulf ;

Popp, Julius ;

Koecher, Lena ;

Muders, Thomas ;

Wrigge, Hermann ;

Ely, E. Wesley ;

Putensen, Christian .

JOURNAL OF CRITICAL CARE, 2010, 25 (01) :144-151

[10] The validity and reliability of the Portuguese versions of three tools used to diagnose delirium in critically ill patients [J].

Gusmao-Flores, Dimitri ;

Figueira Salluh, Jorge Ibrain ;

Dal-Pizzol, Felipe ;

Ritter, Cristiane ;

Tomasi, Cristiane Damiani ;

Dantas de Lima, Marco Antonio Sales ;

Santana, Lauro Reis ;

Pacheco Lins, Rita Marcia ;

Lemos, Patricia Pimenta ;

Serpa, Gisele Vasconcelos ;

Oliveira, Jenisson ;

Chalhub, Ricardo Avila ;

Pitrowsky, Melissa Tassano ;

Lacerda, Acioly L. T. ;

Koenen, Karestan C. ;

Quarantini, Lucas C. .

CLINICS, 2011, 66 (11) :1917-1922

← 1 2 3 →