Validity and reliability of the Persian version of the confusion assessment method for intensive care units

Arbabi, Mohammad; Zolfaghari, Mehdi; Amirsardari, Anahita; Fahimfar, Noushin; Eybpoosh, Sana

doi:10.18502/npt.v6i3.1255

Cited by 6 publications

(7 citation statements)

References 20 publications

(28 reference statements)

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“…A total of 96 patients were included in the study and were divided into a group receiving intravenous thiamine 200 mg/day and a group receiving intravenous 0.9% saline solution for three days. The validated Persian version of the CAM-ICU was used to assess delirium, and the level of sedation was measured using the RASS scale, every 12 h [38]. The outcome showed that the incidence of delirium was significantly lower in the thiamine group than in the placebo group.…”

Section: Resultsmentioning

confidence: 99%

Delirium in Critical Illness Patients and the Potential Role of Thiamine Therapy in Prevention and Treatment: Findings from a Scoping Review with Implications for Evidence-Based Practice

Lange¹,

Mędrzycka‐Dąbrowska

Friganović

et al. 2021

IJERPH

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Introduction: Thiamine is a water-soluble vitamin and is necessary for energy metabolism. Critically ill patients are at particular risk of developing thiamine deficiency and related complications. One of the complications that can occur is delirium. Delirium is a disorder that affects the body’s response to treatment, length of stay in the ward, mortality, long-term cognitive impairment, and significantly increases treatment costs. In addition, studies show that delirium medication is more effective in preventing than in treating delirium. Given its low cost, availability, and minimal risk of side effects, thiamine supplementation could prove to be a relevant strategy in the prevention and treatment of delirium. Methods: PubMed, Cochrane Library, Ovid, and ClinicalTrials.gov databases were searched using relevant keywords that focus on the use of thiamine to prevent or treat delirium in critically ill patients. Results: Seven articles were included in the analysis. Conclusion: The small number of studies and considerable heterogeneity prevent conclusions supporting the use of thiamine as an adjuvant in the prevention and treatment of delirium among critically ill patients. There is a need for high-quality, large-scale randomized clinical trials to confirm the beneficial effects of thiamine in the prevention and treatment of delirium.

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Section: Resultsmentioning

confidence: 99%

Delirium in Critical Illness Patients and the Potential Role of Thiamine Therapy in Prevention and Treatment: Findings from a Scoping Review with Implications for Evidence-Based Practice

Lange¹,

Mędrzycka‐Dąbrowska

Friganović

et al. 2021

IJERPH

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“…Adinehvand et al ( 10 ) obtained a correlation coefficient of 0.86 by the test-retest method for the GCS scale in Iran. Also, Arbabi et al ( 26 ) obtained a Cronbach alpha coefficient of 0.84 for the BPS scale.…”

Section: Methodsmentioning

confidence: 99%

Impact of a sensory stimulation program conducted by family members on the consciousness and pain levels of ICU patients: A mixed method study

Adineh

Elahi²,

Molavynejad³

et al. 2022

Front. Med.

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BackgroundThe results of several studies show the different effects of a balanced sensory stimulation program (SSP) on patients with brain injury admitted to the intensive care unit (ICU), but these effects have been less studied based on mixed and comprehensive methods.MethodThis mixed-method study involved 66 patients with brain injury admitted to the ICU who were allocated into intervention (n = 33) and control (n = 33) groups using random stratified sampling. Patients in the intervention group received a sensory stimulation program from family members for 1 h daily during ICU hospitalization, while the control group received only routine care. Patients' level of consciousness and pain intensity were measured immediately before and after the intervention using Glasgow Coma Scale (GCS) and Behavioral Pain Scale (BPS), respectively. In-depth unstructured interviews were conducted with the patients in the intervention group 3 months after discharge from the ICU. These interviews were analyzed following Graneheim and Lundman (2004) conventional content analysis method.ResultsA significant difference was found between the study groups in terms of the mean difference of GCS (P =0.001) and BPS score (P = 0.001) before and after intervention. Patients in the intervention group had a higher mean GCS and a lower mean BPS than did patients in the control group. The main themes extracted from the qualitative analysis confirmed the results obtained from the quantitative phase of the study.ConclusionThe combination of the quantitative and qualitative findings suggested that amidst the many hardships and sufferings brain injury patients go through in the ICU, a sensory stimulation program offered by family members may have many benefits such as increased level of consciousness and reduced pain for these patients. Therefore, it is necessary to formulate a framework for this program and provide the needed facilities in order to benefit more from the capacity of such programs for ICU patients.

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“…As shown in Fig. 1 , patients were evaluated once daily for delirium: at first, the level of consciousness was measured by The Richmond Agitation Sedation Scale (RASS) and - a RASS score of − 5 or − 4 is considered coma- if it exceeds − 4 (− 3 to + 4) then the confusion assessment method (CAM) questionnaire [ 22 , 23 ] and the General Practitioner Assessment of Cognition (GPCOG) test was employed; GPCOG test was carried out on the first evaluation only, while RASS and CAM were performed on a daily basis until the patient was discharged or developed delirium. Initially, the researchers evaluated all patients thoroughly, and bedside nurses who had both RASS and CAM training conducted routine evaluations every day until the patients were discharged or developed delirium.…”

Section: Methodsmentioning

confidence: 99%

Delirium risk factors in hospitalized patient: a comprehensive evaluation of underlying diseases and medications in different wards of a large Urban Hospital Center in Iran

et al. 2022

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Background Delirium is a neurobehavioral syndrome, which is characterized by a fluctuation of mental status, disorientation, confusion and inappropriate behavior, and it is prevalent among hospitalized patients. Recognizing modifiable risk factors of delirium is the key point for improving our preventive strategies and restraining its devastating consequences. This study aimed to identify and investigate various factors predisposing hospitalized patients to develop delirium, focusing mostly on underlying diseases and medications. Method In a prospective, observational trial, we investigated 220 patients who had been admitted to the internal, emergency, surgery and hematology-oncology departments. We employed the Confusion Assessment Method (CAM) questionnaire, The Richmond Agitation Sedation Scale (RASS), the General Practitioner Assessment of Cognition (GPCOG), demographic questionnaire, patient interviews and medical records. Multivariate logistic regression models were used to analyze the predictive value of medications and underlying diseases for daily transition to delirium.; demographics were analyzed using univariate analysis to identify those independently associated with delirium. Results Two hundred twenty patients were enrolled; the emergency department had the most incident delirium (31.3%), and the surgery section had the least (2.4%); delirium was significantly correlated with older ages and sleep disturbance. Among multiple underlying diseases and the medications evaluated in this study, we found that a history of dementia, neurological diseases and malignancies increases the odds of transition to delirium and the use of anticoagulants decreases the incident delirium. Conclusion Approximately 1 out of 10 overall patients developed delirium; It is important to evaluate underlying diseases and medications more thoroughly in hospitalized patients to assess the risk of delirium.

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Validity and reliability of the Persian version of the confusion assessment method for intensive care units

Cited by 6 publications

References 20 publications

Delirium in Critical Illness Patients and the Potential Role of Thiamine Therapy in Prevention and Treatment: Findings from a Scoping Review with Implications for Evidence-Based Practice

Delirium in Critical Illness Patients and the Potential Role of Thiamine Therapy in Prevention and Treatment: Findings from a Scoping Review with Implications for Evidence-Based Practice

Impact of a sensory stimulation program conducted by family members on the consciousness and pain levels of ICU patients: A mixed method study

Delirium risk factors in hospitalized patient: a comprehensive evaluation of underlying diseases and medications in different wards of a large Urban Hospital Center in Iran

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