Delirium rating scales in critically ill patients: a systematic literature review

Carvalho, João Pedro L. M.; Almeida, Antônio Raimundo Pinto de; Gusmao-Flores, Dimitri

doi:10.5935/0103-507x.20130026

Cited by 24 publications

(19 citation statements)

References 33 publications

(62 reference statements)

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“…The application time varies between one and two minutes and can be used in patients with communication difficulties, especially those who are mechanically ventilated, and because of their capacity to identify subsyndromal delirium. ICDSC has the advantage of having been adapted to Portuguese and validated for use in Brazil by Gusmao-Flores et al (11)(12) .…”

Section: Study Protocolmentioning

confidence: 99%

“…disorientation, presence of hallucinations or psychosis, psychomotor retardation or agitation, inappropriate humor or speech, sleep disturbances and fluctuation of signs of delirium. Being a scale ranging from zero to eight, a patient is considered to have delirium if he scores a score greater than or equal to four, and the subsyndromal one, a score between one and three (4,(10)(11)13) .…”

Section: Identification Of Delirium and Subsyndromal Delirium In Intementioning

confidence: 99%

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Identification of delirium and subsyndromal delirium in intensive care patients

et al. 2019

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Objective: identify delirium and subsyndromal delirium in intensive care patients; age, hospitalization time, and mortality. Method: a retrospective, quantitative study conducted in the Intensive Care Unit, using the Richmond Agitation-Sedation Scale to evaluate sedation and the Intensive Care Delirium Screening Checklist for the identification of delirium, with the participation of 157 patients. For statistical analysis, the t-test and the Chi-square test was carried out. Results: the majority presented subsyndromal delirium (49.7%). Mortality was 21.7%. The relationship between delirium and its subsyndromal with hospitalization time was statistically significant for both (p=0.035 and p <0.001), while age was significant only in the subsyndromal delirium (p=0.009). Conclusion: the majority of the patients presented subsyndromal delirium. The length of hospital stay was statistically significant in delirium and subsyndroma delirium. Age was significant only in subsyndromal delirium. The mortality of patients with delirium was higher than the others.

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Section: Study Protocolmentioning

confidence: 99%

Section: Identification Of Delirium and Subsyndromal Delirium In Intementioning

confidence: 99%

Identification of delirium and subsyndromal delirium in intensive care patients

et al. 2019

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“…EFA was used to collect information simply without any loss of data [ 19 ]. To bring out the characteristics distinctly, our EFA analyses excluded perceptual disturbances, delusions, and mood lability as non-fundamental symptoms among the 13 items which represent severity in the K-DRS-98 out of 16 items (the remaining three items are used for diagnosis) [ 20 ], according to many reports so far that found certain symptoms like perceptual disturbances, delusions, and affective lability are relatively less common [ 21 ]. These uncommon and inconsistently occurring symptoms could make it harder to recognize and clarify the core features of delirium.…”

Section: Discussionmentioning

confidence: 99%

Factor Analysis of Delirium in Elderly, Using the Korean Version of Delirium Rating Scale-Revised-98

Noh

Kwon

Lee

et al. 2018

Psychiatry Investig

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ObjectiveThis study aimed to identify the core symptoms of delirium, particularly in elderly people associated with major risk factors, using the Korean version of the Delirium Rating Scale-Revised-98.MethodsThe study sample consisted of 200 patients (mean age: 72.7±3.9 years, male: 68.5%) who had been diagnosed with delirium. Exploratory factor analysis was used to investigate the factor structure, and confirmatory factor analysis was used to evaluate the goodness of fit of the results.ResultsThe results demonstrated three core domains of delirium in the elderly patients: 1) the cognitive domain (e.g., language, thought process, orientation, attention, long-term memory, and visuospatial ability); 2) the circadian domain (e.g., sleep-wake cycle and motor behavior); and 3) the short-term memory domain (short-term memory). These results were confirmed by confirmatory factor analysis.ConclusionThe findings of this study suggest a theoretical domain structure for delirium in elderly patients.

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“…Children with scores less than -3 on the Richmond Agitation-Sedation Scale (RASS), which is indicative of deep sedation, were excluded. ( 13 , 14 ) Once consent was obtained, sociodemographic and specific data were collected.…”

Section: Methodsmentioning

confidence: 99%

Translation and cross-cultural adaptation of the Cornell Assessment of Pediatric Delirium scale for the Portuguese language

Barbosa¹,

Duarte²,

Bastos³

et al. 2018

Revista Brasileira De Terapia Intensiva

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ObjectiveThis study sought to translate the Cornell Assessment of Pediatric Delirium from English into Brazilian Portuguese and cross-culturally adapt it for use in Brazil.MethodsFollowing the authorization granted by its main author, the processes of translation and cross-cultural adaptation were performed with regard to the Cornell Assessment of Pediatric Delirium in accordance with the following internationally recommended steps: translation of the original into Portuguese by two native speakers of the target language; synthesis of the translated versions; back-translation by two native speakers of the original language; review and harmonization of the back-translation; a review of the Portuguese version of the Cornell Assessment of Pediatric Delirium by an expert panel composed of specialists; pretesting including assessments of clarity, comprehensibility, and acceptability of the translated version using a sample of the target population; and finishing modifications to achieve the final version.ResultsThe translation and cross-cultural adaptation of the Cornell Assessment of Pediatric Delirium followed international recommendations. The linguistic and semantic issues that emerged during the process were discussed by the expert panel, which unanimously agreed to slight modifications. During pretesting, the Cornell Assessment of Pediatric Delirium was administered to 30 eligible children, twice per day; the final version was easy to understand, could be completed quickly, and showed a high inter-rater correlation coefficient (0.955).ConclusionsThe translation of the Cornell Assessment of Pediatric Delirium into Brazilian Portuguese and its cross-cultural adaptation were successful and preserved the linguistic and semantic properties of the original instrument. The Cornell Assessment of Pediatric Delirium proved to be easy to understand and could be completed quickly. Additional studies are needed to test the validity and psychometric properties of this version in Brazil.

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Delirium rating scales in critically ill patients: a systematic literature review

Cited by 24 publications

References 33 publications

Identification of delirium and subsyndromal delirium in intensive care patients

Identification of delirium and subsyndromal delirium in intensive care patients

Factor Analysis of Delirium in Elderly, Using the Korean Version of Delirium Rating Scale-Revised-98

Translation and cross-cultural adaptation of the Cornell Assessment of Pediatric Delirium scale for the Portuguese language

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