The validity and reliability of the portuguese versions of three tools used to diagnose delirium in critically ill patients

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dc.contributor.authorGusmao-Flores, Dimitri
dc.contributor.authorSalluh, Jorge Ibrain Figueira
dc.contributor.authorDal-Pizzol, Felipe
dc.contributor.authorRitter, Cristiane
dc.contributor.authorTomasi, Cristiane Damiani
dc.contributor.authorLima, Marco Antônio Sales Dantas de
dc.contributor.authorSantana, Lauro Reis
dc.contributor.authorLins, Rita Márcia Pacheco
dc.contributor.authorLemos, Patrícia Pimenta
dc.contributor.authorSerpa, Gisele Vasconcelos
dc.contributor.authorOliveira, Jenisson
dc.contributor.authorChalhub, Ricardo Ávila
dc.contributor.authorPitrowsky, Melissa Tassano
dc.contributor.authorLacerda, Acioly Luiz Tavares de [UNIFESP]
dc.contributor.authorKoenen, Karestan C
dc.contributor.authorQuarantini, Lucas de Castro [UNIFESP]
dc.contributor.institutionUniversidade Federal da Bahia University Hospital Prof. Edgar Santos Intensive Care Unit
dc.contributor.institutionD'Or Institute of Research and Education
dc.contributor.institutionInstituto Nacional do Câncer Intensive Care Unit
dc.contributor.institutionUniversidade do Extremo Sul Catarinense Laboratório de Fisiopatologia Experimental
dc.contributor.institutionInstituto Nacional de Ciência e Tecnologia Translacional em Medicina
dc.contributor.institutionInstituto Nacional do Câncer Neurosurgery Section
dc.contributor.institutionUniversidade Federal da Bahia University Hospital Prof. Edgar Santos Department of Psychiatry
dc.contributor.institutionUniversidade Federal da Bahia Instituto de Ciências da Saúde Programa de Pós-graduação em Processos Interativos dos Órgãos e Sistemas
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionHarvard School of Public Health Departments of Society, Human Development, and Health & Epidemiology
dc.date.accessioned2015-06-14T13:42:47Z
dc.date.available2015-06-14T13:42:47Z
dc.date.issued2011-01-01
dc.description.abstractOBJECTIVES: The objectives of this study are to compare the sensitivity and specificity of three diagnostic tools for delirium (the Intensive Care Delirium Screening Checklist, the Confusion Assessment Method for Intensive Care Units and the Confusion Assessment Method for Intensive Care Units Flowsheet) in a mixed population of critically ill patients, and to validate the Brazilian Portuguese Confusion Assessment Method for Intensive Care Units. METHODS: The study was conducted in four intensive care units in Brazil. Patients were screened for delirium by a psychiatrist or neurologist using the Diagnostic and Statistical Manual of Mental Disorders. Patients were subsequently screened by an intensivist using Portuguese translations of the three tools. RESULTS: One hundred and nineteen patients were evaluated and 38.6% were diagnosed with delirium by the reference rater. The Confusion Assessment Method for Intensive Care Units had a sensitivity of 72.5% and a specificity of 96.2%; the Confusion Assessment Method for Intensive Care Units Flowsheet had a sensitivity of 72.5% and a specificity of 96.2%; the Intensive Care Delirium Screening Checklist had a sensitivity of 96.0% and a specificity of 72.4%. There was strong agreement between the Confusion Assessment Method for Intensive Care Units and the Confusion Assessment Method for Intensive Care Units Flowsheet (kappa coefficient = 0.96) CONCLUSION: All three instruments are effective diagnostic tools in critically ill intensive care unit patients. In addition, the Brazilian Portuguese version of the Confusion Assessment Method for Intensive Care Units is a valid and reliable instrument for the assessment of delirium among critically ill patients.en
dc.description.affiliationUniversidade Federal da Bahia University Hospital Prof. Edgar Santos Intensive Care Unit
dc.description.affiliationD'Or Institute of Research and Education
dc.description.affiliationInstituto Nacional do Câncer Intensive Care Unit
dc.description.affiliationUniversidade do Extremo Sul Catarinense Laboratório de Fisiopatologia Experimental
dc.description.affiliationInstituto Nacional de Ciência e Tecnologia Translacional em Medicina
dc.description.affiliationInstituto Nacional do Câncer Neurosurgery Section
dc.description.affiliationUniversidade Federal da Bahia University Hospital Prof. Edgar Santos Department of Psychiatry
dc.description.affiliationUniversidade Federal da Bahia Instituto de Ciências da Saúde Programa de Pós-graduação em Processos Interativos dos Órgãos e Sistemas
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP) Department of Psychiatry Laboratório Interdisciplinar de Neurosciências Clínicas
dc.description.affiliationHarvard School of Public Health Departments of Society, Human Development, and Health & Epidemiology
dc.description.affiliationUnifespUNIFESP, Department of Psychiatry Laboratório Interdisciplinar de Neurosciências Clínicas
dc.description.sourceSciELO
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.format.extent1917-1922
dc.identifierhttp://dx.doi.org/10.1590/S1807-59322011001100011
dc.identifier.citationClinics. Faculdade de Medicina / USP, v. 66, n. 11, p. 1917-1922, 2011.
dc.identifier.doi10.1590/S1807-59322011001100011
dc.identifier.fileS1807-59322011001100011.pdf
dc.identifier.issn1807-5932
dc.identifier.scieloS1807-59322011001100011
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/6180
dc.identifier.wosWOS:000297498600011
dc.language.isoeng
dc.publisherFaculdade de Medicina / USP
dc.relation.ispartofClinics
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCAM-ICUen
dc.subjectICDSCen
dc.subjectCAM-ICU Flowsheeten
dc.subjectCritical careen
dc.subjectDeliriumen
dc.titleThe validity and reliability of the portuguese versions of three tools used to diagnose delirium in critically ill patientsen
dc.typeinfo:eu-repo/semantics/article
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