Literature DB >> 29437077

Delirium Assessment Tools for Use in Critically Ill Adults: A Psychometric Analysis and Systematic Review.

Céline Gélinas1,2,3,4,5,6,7, Mélanie Bérubé8,9,10,11,12,13,14, Annie Chevrier8,9,10,11,12,13,14, Brenda T Pun8,9,10,11,12,13,14, E Wesley Ely8,9,10,11,12,13,14, Yoanna Skrobik8,9,10,11,12,13,14, Juliana Barr8,9,10,11,12,13,14.   

Abstract

BACKGROUND: Delirium is highly prevalent in critically ill patients. Its detection with valid tools is crucial.
OBJECTIVE: To analyze the development and psychometric properties of delirium assessment tools for critically ill adults.
METHODS: Databases were searched to identify relevant studies. Inclusion criteria were English language, publication before January 2015, 30 or more patients, and patient population of critically ill adults (>18 years old). Search terms were delirium, scales, critically ill patients, adult, validity, and reliability. Thirty-six manuscripts were identified, encompassing 5 delirium assessment tools (Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), Cognitive Test for Delirium, Delirium Detection Score, Intensive Care Delirium Screening Checklist (ICDSC), and Nursing Delirium Screening Scale). Two independent reviewers analyzed the psychometric properties of these tools by using a standardized scoring system (range, 0-20) to assess the tool development process, reliability, validity, feasibility, and implementation of each tool.
RESULTS: Psychometric properties were very good for the CAM-ICU (19.6) and the ICDSC (19.2), moderate for the Nursing Delirium Screening Scale (13.6), low for the Delirium Detection Score (11.2), and very low for the Cognitive Test for Delirium (8.2).
CONCLUSIONS: The results indicate that the CAM-ICU and the ICDSC are the most valid and reliable delirium assessment tools for critically ill adults. Additional studies are needed to further validate these tools in critically ill patients with neurological disorders and those at various levels of sedation or consciousness. ©2018 American Association of Critical-Care Nurses.

Entities:  

Mesh:

Year:  2018        PMID: 29437077     DOI: 10.4037/ccn2018633

Source DB:  PubMed          Journal:  Crit Care Nurse        ISSN: 0279-5442            Impact factor:   1.708


  14 in total

Review 1.  Delirium in Intensive Care.

Authors:  Lone Musaeus Poulsen; Stine Estrup; Camilla Bekker Mortensen; Nina Christine Andersen-Ranberg
Journal:  Curr Anesthesiol Rep       Date:  2021-09-03

2.  Early Identification of Delirium in Intensive Care Unit Patients: Improving the Quality of Care.

Authors:  Jessica Spiegelberg; Huaxin Song; Brenda Pun; Paula Webb; Leanne M Boehm
Journal:  Crit Care Nurse       Date:  2020-04-01       Impact factor: 1.708

3.  Detecting Delirium: A Systematic Review of Identification Instruments for Non-ICU Settings.

Authors:  Benjamin K I Helfand; Madeline L D'Aquila; Patricia Tabloski; Kristen Erickson; Jirong Yue; Tamara G Fong; Tammy T Hshieh; Eran D Metzger; Eva M Schmitt; Edwin D Boudreaux; Sharon K Inouye; Richard N Jones
Journal:  J Am Geriatr Soc       Date:  2020-11-02       Impact factor: 5.562

Review 4.  Delirium Prevention, Detection, and Treatment in Emergency Medicine Settings: A Geriatric Emergency Care Applied Research (GEAR) Network Scoping Review and Consensus Statement.

Authors:  Christopher R Carpenter; Nada Hammouda; Elizabeth A Linton; Michelle Doering; Ugochi K Ohuabunwa; Kelly J Ko; William W Hung; Manish N Shah; Lee A Lindquist; Kevin Biese; Daniel Wei; Libby Hoy; Lori Nerbonne; Ula Hwang; Scott M Dresden
Journal:  Acad Emerg Med       Date:  2020-12-12       Impact factor: 5.221

Review 5.  Delirium.

Authors:  Jo Ellen Wilson; Matthew F Mart; Colm Cunningham; Yahya Shehabi; Timothy D Girard; Alasdair M J MacLullich; Arjen J C Slooter; E Wesley Ely
Journal:  Nat Rev Dis Primers       Date:  2020-11-12       Impact factor: 65.038

6.  Psychometric properties of the intensive care delirium screening checklist when used by bedside nurses in clinical practice: a prospective descriptive study.

Authors:  Elke Detroyer; Annick Timmermans; Dana Segers; Geert Meyfroidt; Jasperina Dubois; Aimé Van Assche; Etienne Joosten; Koen Milisen
Journal:  BMC Nurs       Date:  2020-04-10

7.  Validation of the Critical-Care Pain Observation Tool-Neuro in brain-injured adults in the intensive care unit: a prospective cohort study.

Authors:  Céline Gélinas; Mélanie Bérubé; Kathleen A Puntillo; Madalina Boitor; Melissa Richard-Lalonde; Francis Bernard; Virginie Williams; Aaron M Joffe; Craig Steiner; Rebekah Marsh; Louise Rose; Craig M Dale; Darina M Tsoller; Manon Choinière; David L Streiner
Journal:  Crit Care       Date:  2021-04-13       Impact factor: 9.097

8.  Design of Clinical Trials Evaluating Sedation in Critically Ill Adults Undergoing Mechanical Ventilation: Recommendations From Sedation Consortium on Endpoints and Procedures for Treatment, Education, and Research (SCEPTER) Recommendation III.

Authors:  Denham S Ward; Anthony R Absalom; Leanne M Aitken; Michele C Balas; David L Brown; Lisa Burry; Elizabeth Colantuoni; Douglas Coursin; John W Devlin; Franklin Dexter; Robert H Dworkin; Talmage D Egan; Doug Elliott; Ingrid Egerod; Pamela Flood; Gilles L Fraser; Timothy D Girard; David Gozal; Ramona O Hopkins; John Kress; Mervyn Maze; Dale M Needham; Pratik Pandharipande; Richard Riker; Daniel I Sessler; Steven L Shafer; Yahya Shehabi; Claudia Spies; Lena S Sun; Avery Tung; Richard D Urman
Journal:  Crit Care Med       Date:  2021-10-01       Impact factor: 9.296

9.  A Tunisian version of the confusion assessment method for the intensive care unit (CAM-ICU): translation and validation.

Authors:  Imen Ben Saida; Saiid Kortli; Badii Amamou; Nawres Kacem; Mariem Ghardallou; Eugene Wesley Ely; Helmi Ben Saad; Mohamed Boussarsar
Journal:  BMC Psychiatry       Date:  2020-05-06       Impact factor: 3.630

Review 10.  Delirium Assessment in Critically Ill Older Adults: Considerations During the COVID-19 Pandemic.

Authors:  Maria C Duggan; Julie Van; Eugene Wesley Ely
Journal:  Crit Care Clin       Date:  2020-08-14       Impact factor: 3.598

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