Die Intensive Care Delirium Screening Checklist (ICDSC) – Richtlinienkonforme Übersetzung und Validierung einer intensivmedizinischen Delirium–Checkliste

Radtke, Frank‐Olaf; Franck, Martin; Oppermann, Stefan; Lütz, Alawi; Seeling, Matthes; Heymann, Anja; Kleinwächter, Robin; Kork, Felix; Skrobik, Yoanna; Spies, Claudia

doi:10.1055/s-0029-1202647

Cited by 58 publications

(12 citation statements)

References 10 publications

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“…However, neither of these diagnostic tools can be easily applied to daily bedside practice. Therefore, a variety of screening tools such as the Confusion Assessment Method (CAM),5 the Delirium Rating Scale,6 the Intensive Care Delirium Screening Checklist,7 and the Nursing Delirium Screening Scale8 have been developed. Among them, CAM is one of the most widely used diagnostic instruments for clinical and research purposes with proven psychometric properties 9.…”

Section: Introductionmentioning

confidence: 99%

Confusion assessment method: a systematic review and meta-analysis of diagnostic accuracy

Shi¹,

Warren²,

Saposnik³

et al. 2013

NDT

122

100

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BackgroundDelirium is common in the early stages of hospitalization for a variety of acute and chronic diseases.ObjectivesTo evaluate the diagnostic accuracy of two delirium screening tools, the Confusion Assessment Method (CAM) and the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).MethodsWe searched MEDLINE, EMBASE, and PsychInfo for relevant articles published in English up to March 2013. We compared two screening tools to Diagnostic and Statistical Manual of Mental Disorders IV criteria. Two reviewers independently assessed studies to determine their eligibility, validity, and quality. Sensitivity and specificity were calculated using a bivariate model.ResultsTwenty-two studies (n = 2,442 patients) met the inclusion criteria. All studies demonstrated that these two scales can be administered within ten minutes, by trained clinical or research staff. The pooled sensitivities and specificity for CAM were 82% (95% confidence interval [CI]: 69%–91%) and 99% (95% CI: 87%–100%), and 81% (95% CI: 57%–93%) and 98% (95% CI: 86%–100%) for CAM-ICU, respectively.ConclusionBoth CAM and CAM-ICU are validated instruments for the diagnosis of delirium in a variety of medical settings. However, CAM and CAM-ICU both present higher specificity than sensitivity. Therefore, the use of these tools should not replace clinical judgment.

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Section: Introductionmentioning

confidence: 99%

Confusion assessment method: a systematic review and meta-analysis of diagnostic accuracy

Shi¹,

Warren²,

Saposnik³

et al. 2013

NDT

122

100

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show abstract

“…Auch war die Interrater-Reliabilität zwischen Ärzten und Pflegekräften mit > 94 % sehr hoch und der Test ließ sich gut in die tägliche Routine integrieren. 26 Auch dieses Messinstrument ist nur mit einem RASS ≥ -3 durchführbar. 26 Bei der Skala werden acht verschiedene Kriterien 26 Dieser Test kann retrospektiv erfolgen, z.…”

Section: Cam-icu Die Confusion Assessment Methods For the Intensiveunclassified

“…26 Auch dieses Messinstrument ist nur mit einem RASS ≥ -3 durchführbar. 26 Bei der Skala werden acht verschiedene Kriterien 26 Dieser Test kann retrospektiv erfolgen, z. B. am Ende jeder Schicht.…”

Section: Cam-icu Die Confusion Assessment Methods For the Intensiveunclassified

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Dem Delir ein Schnippchen schlagen

Scheunemann¹,

Stuch²

2016

intensiv

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“…Although it is a gold standard diagnostic tool, it can be difficult to use even by experienced non-psychiatrists [8]. Therefore, screening for delirium may be more effective when using validated diagnostic scales: Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) [9,10], Intensive Care Delirium Screening Checklist (ICDSC) [11], Delirium Observation Screening (DOS) [12], Neelon and Champagne Confusion Scale (NEECHAM) [13], or others, which have found popularity in scientific research regarding delirium. These methods are summarized in Table 1.…”

Section: Introductionmentioning

confidence: 99%

Antipsychotic Drugs in Prevention of Postoperative Delirium—What Is Known in 2020?

Pluta

Dziech

Czempik

et al. 2020

IJERPH

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Delirium is one of the most frequently reported neuropsychiatric complications in the perioperative period, especially in the population of elderly patients who often suffer from numerous comorbidities undergoing extensive or urgent surgery. It can affect up to 80% of patients who require hospitalization in an intensive care setting postoperatively. Delirium increases mortality, morbidity, length of hospital stay, and cost of treatment. An episode of delirium in the acute phase may lower the general quality of life and increases the risk of cognitive decline long-term. Since pharmacological treatment of delirium is not highly effective, focus of research has shifted towards developing preventive strategies. We aimed to perform a review of the topic based on the most recent literature. We conclude that, based on the available data, it seems impossible to make strong recommendations for using antipsychotic drugs in prophylaxis. Further research should answer the question what, if any, benefit patients receive from the pharmacological prevention of delirium, and which agents should be used.

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Die Intensive Care Delirium Screening Checklist (ICDSC) – Richtlinienkonforme Übersetzung und Validierung einer intensivmedizinischen Delirium–Checkliste

Abstract: The ICDSC is suitable for delirium screening by nurses even on ventilated patients. Besides a high sensitivity another advantage is the possibility to screen for a subsyndromal delirium.

Cited by 58 publications

References 10 publications

Confusion assessment method: a systematic review and meta-analysis of diagnostic accuracy

Confusion assessment method: a systematic review and meta-analysis of diagnostic accuracy

Dem Delir ein Schnippchen schlagen

Antipsychotic Drugs in Prevention of Postoperative Delirium—What Is Known in 2020?

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