Valoración de la concordancia entre la escala CAM-ICU y la nursing delirium screening scale en el postoperatorio de cirugía cardiaca en una unidad de críticos

Jun 10, 2014Enfermeria intensiva

Agreement between two delirium rating scales in ICU patients after heart surgery

AI simplified

Circadian Biology on OpenScience ↗PubMed ↗DOI ↗

Abstract

The incidence of delirium was 8.4% using the CAM-ICU scale and 16.8% using the Nursing Delirium Screening Scale (NDSS).

Concordance between CAM-ICU and NDSS was assessed, yielding a Kappa index of 0.541.
This indicates a low level of agreement between the two scales in detecting delirium.
Both scales were administered to 106 patients, resulting in a total of 214 evaluations.
The CAM-ICU scale is recommended for use in postoperative cardiac surgery, but should not be replaced by NDSS.

AI simplified

OBJECTIVE: To evaluate concordance between the scale of delirium assessment CAM-ICU and the Nursing Delirium Screening Scale (NDSS) in postoperative cardiac surgery.

MATERIAL AND METHODS: Prospective study in tertiary hospital with consecutive selection of patients after cardiac surgery. During the stay in the Intensive Care Unit, CAM-ICU and NDSS were administered by the same researcher. For demographic and preoperative risk factors of delirium, descriptive statistical analysis was performed. Concordance was assessed using kappa index.

RESULTS: 106 patients were included, performing 214 evaluations. Incidence of delirium with the CAM-ICU scale was of 8.4%, and of 16.8% with NDSS. The concordance expressed by the index Kappa was of 0.541.

CONCLUSIONS: The concordance between the CAM-ICU scale and the NDSS in the postoperative cardiac surgery and during the stay in the Intensive Care Unit is low. Currently, the use of the CAM-ICU was recommended in this context, but it must not be replaced for the NDSS.

Full Text

Full text is available at the source.

View full text (XML) ↗View full text ↗

Valoración de la concordancia entre la escala CAM-ICU y la nursing delirium screening scale en el postoperatorio de cirugía cardiaca en una unidad de críticos

Abstract

Full Text

You found one interesting study. We’ll send the next 7.

what lands in your inbox each week:

Recent issues from the circadian biology brief

Abstract

Full Text

Related papers

You found one interesting study. We’ll send the next 7.

what lands in your inbox each week:

Recent issues from the circadian biology brief