Validation of the Confusion Assessment Method in Detecting Postoperative Delirium in Cardiac Surgery Patients

Cerebral oximetry as a biomarker of postoperative delirium in cardiac surgery patients

“…The prevalence of 16% observed in our study was much smaller than previous studies in which from 30% to approximately 55% of critical care patients presented delirium [15,16].…”

Long-Term Effects of Postoperative Delirium in Patients Undergoing Cardiac Operation: A Systematic Review

“…The investigators reported that the CAM is superior in detecting the hyperactive subtype of delirium while being more obsolete in detecting hypoactive delirium [19]. The investigators also suggest more repetitive cognitive testing is most likely needed to recognize the more subtle forms of hypoactive delirium [19]. We believe that this new information is of value to clinicians in two ways.…”

“…With these obvious limitations in delirium screening, the use of a standardized screening tool as a robust method of identifying PoD in patients who have undergone cardiac operation now becomes imperative to assist health care teams. A recent study evaluated the CAM in detecting PoD in cardiac surgical patients and reported a sensitivity of 68% and a specificity of 90% [19]. The investigators reported that the CAM is superior in detecting the hyperactive subtype of delirium while being more obsolete in detecting hypoactive delirium [19].…”

“…A recent study evaluated the CAM in detecting PoD in cardiac surgical patients and reported a sensitivity of 68% and a specificity of 90% [19]. The investigators reported that the CAM is superior in detecting the hyperactive subtype of delirium while being more obsolete in detecting hypoactive delirium [19]. The investigators also suggest more repetitive cognitive testing is most likely needed to recognize the more subtle forms of hypoactive delirium [19].…”

Kjenn tegnene på delirium hos eldre

“…CAM identifiserer om pasienten har en desorganisert tankegang, og om denne veksler i alvorlighetsgrad gjennom døgnet. CAM er oversatt til norsk (23) og har blitt validert for pasienter etter hjertekirurgi (24). 4AT (25) er et nytt instrument til å identifisere delirium, som er enkelt i bruk og oversatt til norsk (26).…”