Delirium assessment in postoperative patients: Validation of the Portuguese version of the Nursing Delirium Screening Scale in critical care

Abelha, Fernando; Veiga, D.; Norton, Maria C.; Costa-Santos, Cristina; Gaudreau, Jean–David

doi:10.1016/j.bjane.2012.09.003

Cited by 19 publications

(24 citation statements)

References 28 publications

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“…The Nu‐DESC has been translated into several languages and validated in several clinical settings (Abelha, Veiga, Norton, Santos, & Gaudreau, 2013; Gaudreau et al., 2005; Hägi‐Pedersen et al., 2017; Leung, Leung, Leung, & Pan, 2008; Lingehall, Smulter, Engstrom, Gustafson, & Olofsson, 2012; Poikajarvi, Salantera, Katajisto, & Junttila, 2017; Radtke et al., 2008; Spedale et al., 2017). For evidence‐based application of the tool, it is necessary to confirm the diagnostic test accuracy (DTA) of the tool before using it.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic test accuracy of the Nursing Delirium Screening Scale: A systematic review and meta‐analysis

Jeong

Park

Lee

2020

Journal of Advanced Nursing

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Delirium is a psychiatric syndrome that presents an acute disturbance of consciousness, attention, and cognitive function, with an added characteristic of wide manifest fluctuation. With regard to clinical settings, prevalence rates reaching up to 50% are common in both hospitals and long-term care facilities (American Psychiatric Association, 2013). Early detection and prompt management are known to be the keys to treatment of delirium (Rohatgi et al., 2019). Preventing or

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Section: Introductionmentioning

confidence: 99%

Diagnostic test accuracy of the Nursing Delirium Screening Scale: A systematic review and meta‐analysis

Jeong

Park

Lee

2020

Journal of Advanced Nursing

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“…Now there is only a 30% overlap between DSM IV and 5 in delirium diagnosis using the strict definition [ 22 , 23 ]. Additionally, the Nu-DESC has been abundantly validated in comparison to DSM IV in numerous different languages and settings [ 24 – 28 ].…”

Section: Discussionmentioning

confidence: 99%

Nu-DESC DK: the Danish version of the nursing delirium screening scale (nu-DESC)

et al. 2017

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BackgroundDelirium is one of the most common complications among elderly hospitalized patients, postoperative patients and patients on intensive care units with a prevalence between 11 and 80%. Delirium is associated with higher morbidity and mortality. Reliable instruments are required to detect delirium at an early time point. The Nursing-Delirium Screening Scale (Nu-DESC) is a screening tool with high sensitivity and good specificity. However, there is currently no official translation after ISPOR guidelines of any Danish delirium assessment tools available. Thereby hampering the implementation of 2017 ESA-Guidelines on postoperative Delirium in the clinical routine. The aim of this study is to provide an official translation and evaluation of the Nu-DESC into Danish following the ISPOR process.MethodsThe Nu-DESC was translated after International Society for Pharmacoecomonics and Outcome Research (ISPOR) guidelines to Danish after permission of the original author, and is evaluated by medical staff and finally approved by the original author.ResultsAll steps of the ISPOR guideline were consecutively followed, without any major problems. The evaluation of the Nu-DESC DK regarding its intelligibility and feasibility showed no statistically significant differences between nurses and medical doctors ratings. The translation was authorized and approved by the original author.ConclusionThis study provides the Nu-DESC DK, an official Danish delirium screening instrument, which can detect all psychomotor types of delirium.

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“…When considering the type of surgical intervention, a trend towards overestimating the incidence of Post-operative Delirium (POD) in patients undergoing non-cardiac or intracranial interventions was identified because of the number of false positives (n = 9) and positive predictive value (57 %). Abelha et al (34) reported this in a study of 78 patients admitted to the ICU, where Nu-DESC performance was compared with the ICDSC as a gold standard.…”

Section: Nu-desc and Its Use In The Ucimentioning

confidence: 96%

Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review

2020

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Objective: To analyze the context and use of the Nursing Delirium Screening Scale (Nu-DESC) for early detection of delirium in adult patients, compiling the available evidence. Method: Searching for relevant articles on databases such as Cinahl, Medline, Ovid, Scopus, and Web of Science. Inclusion criteria: Articles written in English, Spanish, and Portuguese, published between January 2013 and October 2019. Search terms: “nursing delirium screen,” “inpatient delirium screening,” and “nursing assessment.” We identified 23 articles in which the Nu-DESC was used. Two reviewers independently assessed the articles using the CASPe (Critical Appraisal Skills Program in Spanish) tool. Results: The Nu-DESC is employed in different contexts such as the adult intensive care unit (ICU), post-anesthetic care unit (PACU), palliative care unit, and hospitalization unit. It is more frequently used in the PACU with a more sensitive threshold (≥ 1); the test showed greater sensitivity of 54.5 % (95 % CI: 32.2–75.6) and specificity of 97.1 % (95 % CI: 95.3–98.4). Conclusion: The Nu-DESC facilitates the recognition of delirium episodes by the nursing team, makes care quicker and individualized for each patient, avoiding immediate pharmacological interventions, and coordinate interdisciplinary actions for diagnosis, especially in post-anesthetic care units.

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Delirium assessment in postoperative patients: Validation of the Portuguese version of the Nursing Delirium Screening Scale in critical care

Cited by 19 publications

References 28 publications

Diagnostic test accuracy of the Nursing Delirium Screening Scale: A systematic review and meta‐analysis

Diagnostic test accuracy of the Nursing Delirium Screening Scale: A systematic review and meta‐analysis

Nu-DESC DK: the Danish version of the nursing delirium screening scale (nu-DESC)

Nursing Delirium Screening Scale, a Tool for Early Detection of Delirium: Integrative Review

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