Cultural and Linguistic Validation of the Italian Version of the Intensive Care Delirium Screening Checklist

Abstract

The purposes of this study were to identify the most suitable rating scale for the diagnosis of delirium in the Italian setting and to develop and validate an Italian version of a delirium screening checklist. The findings are reported.

Reliability and Validity of the Intensive Care Delirium Screening Checklist in Turkish

“…This value was found between 0.728 and 0.830 for each day according to the primary nurse's 5‐day assessment (Table ). Cronbach's alpha reliability coefficient was between 0.72 and 0.44 in a validity‐reliability study of the ICDSC in Italy (Domenico & Federica, ). The coefficient of the original ICDSC was calculated between 0.71 and 0.79 in the scale development study (Bergeon et al., ).…”

“…There are different results in the literature on the sensitivity and specificity of the ICDSC. Sensitivity was high in some studies (van Eijk et al, 2009;George et al, 2011;Gusmao-Flores, Salluh, Chalhub, & Quarantini, 2012), while specificity was high in others (Domenico & Federica, 2012;Neufeld et al, 2011). In a study that was performed among surgical and medical ICU patients, the sensitivity was 95.7% (85.2-99.5) for the ICDSC scale (Gusmao-Flores et al, 2011).…”

“…The aim of the checklist is to determine delirium. This checklist is used by physicians or nurses with or without psychiatry education (Devlin, Brummel, & Al‐Qadheeb, ; Domenico & Federica, ; Roberts et al., ). Furthermore, this checklist does not require patients to communicate verbally (Domenico & Federica, ).…”

“…This checklist is used by physicians or nurses with or without psychiatry education (Devlin, Brummel, & Al‐Qadheeb, ; Domenico & Federica, ; Roberts et al., ). Furthermore, this checklist does not require patients to communicate verbally (Domenico & Federica, ). The ICDSC is based on eight items that are the combination of observational data, including attention, sleep–awake cycle, symptom fluctuations, and routinely collected data such as consciousness and orientation disorders (Bergeon et al., ; Devlin et al., ; Pun & Boehm, ).…”

“…Therefore, the clinical causes direct the treatment process (Close & Long, 2009). Delirium negatively affects the clinical condition of the patient, increases mortality, length of hospital or intensive care duration, and the need for post-discharge care (van den Boogaard et al, 2012;Domenico & Federica, 2012). The fluctuating course of the syndrome and lack of appropriate assessment tools make it difficult to reach diagnosis of delirium (Devlin et al, 2007;van Eijk et al, 2009;Neufeld et al, 2011) or create risk for error in the diagnostic process (Bergeon et al, 2001;Neufeld et al, 2011).…”