Poststroke delirium incidence and outcomes: Validation of the
Confusion Assessment Method for the Intensive Care Unit
(CAM-ICU)

J 2012

Poststroke delirium incidence and outcomes: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)

MITÁŠOVÁ, Adéla; Milena KOŠŤÁLOVÁ; Josef BEDNAŘÍK; Radka MICHALČÁKOVÁ; Tomáš KAŠPÁREK et al.

Základní údaje

Originální název

Poststroke delirium incidence and outcomes: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)

Autoři

MITÁŠOVÁ, Adéla; Milena KOŠŤÁLOVÁ ; Josef BEDNAŘÍK; Radka MICHALČÁKOVÁ; Tomáš KAŠPÁREK; Petra BALABÁNOVÁ; Ladislav DUŠEK; Stanislav VOHÁŇKA a E. Wesley ELY

Vydání

Critical Care Medicine, Philadelphia, Lippincott Williams & Wilkins, 2012, 0090-3493

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 6.124

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14740/12:00059522

Organizační jednotka

Středoevropský technologický institut

DOI

https://doi.org/10.1097/CCM.0b013e318232da12

UT WoS

000299313500017

Klíčová slova anglicky

delirium; diagnosis; intensive care; stroke

Štítky

ok, rivok

Příznaky

Mezinárodní význam

Změněno: 12. 4. 2013 04:16, Olga Křížová

Anotace

V originále

Objective: To describe the epidemiology and time spectrum of delirium using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria and to validate a tool for delirium assessment in patients in the acute poststroke period. Patients: A consecutive series of 129 patients with stroke (with infarction or intracerebral hemorrhage, 57 women and 72 men; mean age, 72.5 yrs; age range, 35-93 yrs) admitted to the stroke unit of a university hospital were evaluated for delirium incidence. Measurements and Main Results: Criterion validity and overall accuracy of the Czech version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) were determined using serial daily delirium assessments with CAM-ICU by a junior physician compared with delirium diagnosis by delirium experts using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria that began the first day after stroke onset and continued for at least 7 days. Cox regression models using time-dependent covariate analysis adjusting for age, gender, prestroke dementia, National Institutes of Stroke Health Care at admission, first-day Sequential Organ Failure Assessment, and asphasia were used to understand the relationships between delirium and clinical outcomes. An episode of delirium based on reference Diagnostic and Statistical Manual assessment was detected in 55 patients with stroke (42.6%). In 37 of these (67.3%), delirium began within the first day and in all of them within 5 days of stroke onset. A total of 1003 paired CAM-ICU/Diagnostic and Statistical Manual of Mental Disorders daily assessments were completed. Compared with the reference standard for diagnosing delirium, the CAM-ICU demonstrated a sensitivity of 76% (95% confidence interval [CI] 55% to 91%), a specificity of 98% (95% CI 93% to 100%), an overall accuracy of 94% (95% CI 88% to 97%), and high interrater reliability (kappa = 0.94; 95% CI 0.83-1.0).

Návaznosti

NS10216, projekt VaV

Název: Diagnostika a patofyziologie deliria v intenzivní a pooperační péči

Investor: Ministerstvo zdravotnictví ČR, Diagnostika a patofyziologie v intenzivní a pooperační péči

Přiložené soubory

Mitasova_Kasparek_Poststroke_delirium.pdf

Požádat o autorskou verzi souboru

Citovat

MITÁŠOVÁ, Adéla; Milena KOŠŤÁLOVÁ; Josef BEDNAŘÍK; Radka MICHALČÁKOVÁ; Tomáš KAŠPÁREK; Petra BALABÁNOVÁ; Ladislav DUŠEK; Stanislav VOHÁŇKA a E. Wesley ELY. Poststroke delirium incidence and outcomes: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Critical Care Medicine. Philadelphia: Lippincott Williams & Wilkins, 2012, roč. 40, č. 2, s. 484-490. ISSN 0090-3493. Dostupné z: https://doi.org/10.1097/CCM.0b013e318232da12.

@article{976660,
   author = {Mitášová, Adéla and Košťálová, Milena and Bednařík, Josef and Michalčáková, Radka and Kašpárek, Tomáš and Balabánová, Petra and Dušek, Ladislav and Voháňka, Stanislav and Ely, E. Wesley},
   article_location = {Philadelphia},
   article_number = {2},
   doi = {https://doi.org/10.1097/CCM.0b013e318232da12},
   keywords = {delirium; diagnosis; intensive care; stroke},
   language = {eng},
   issn = {0090-3493},
   journal = {Critical Care Medicine},
   title = {Poststroke delirium incidence and outcomes: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)},
   volume = {40},
   year = {2012}
}

TY  - JOUR
ID  - 976660
AU  - Mitášová, Adéla - Košťálová, Milena - Bednařík, Josef - Michalčáková, Radka - Kašpárek, Tomáš - Balabánová, Petra - Dušek, Ladislav - Voháňka, Stanislav - Ely, E. Wesley
PY  - 2012
TI  - Poststroke delirium incidence and outcomes: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)
JF  - Critical Care Medicine
VL  - 40
IS  - 2
SP  - 484-490
EP  - 484-490
PB  - Lippincott Williams & Wilkins
SN  - 00903493
KW  - delirium
KW  - diagnosis
KW  - intensive care
KW  - stroke
N2  - Objective: To describe the epidemiology and time spectrum of delirium using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria and to validate a tool for delirium assessment in patients in the acute poststroke period. Patients: A consecutive series of 129 patients with stroke (with infarction or intracerebral hemorrhage, 57 women and 72 men; mean age, 72.5 yrs; age range, 35-93 yrs) admitted to the stroke unit of a university hospital were evaluated for delirium incidence. Measurements and Main Results: Criterion validity and overall accuracy of the Czech version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) were determined using serial daily delirium assessments with CAM-ICU by a junior physician compared with delirium diagnosis by delirium experts using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria that began the first day after stroke onset and continued for at least 7 days. Cox regression models using time-dependent covariate analysis adjusting for age, gender, prestroke dementia, National Institutes of Stroke Health Care at admission, first-day Sequential Organ Failure Assessment, and asphasia were used to understand the relationships between delirium and clinical outcomes. An episode of delirium based on reference Diagnostic and Statistical Manual assessment was detected in 55 patients with stroke (42.6%). In 37 of these (67.3%), delirium began within the first day and in all of them within 5 days of stroke onset. A total of 1003 paired CAM-ICU/Diagnostic and Statistical Manual of Mental Disorders daily assessments were completed. Compared with the reference standard for diagnosing delirium, the CAM-ICU demonstrated a sensitivity of 76% (95% confidence interval [CI] 55% to 91%), a specificity of 98% (95% CI 93% to 100%), an overall accuracy of 94% (95% CI 88% to 97%), and high interrater reliability (kappa = 0.94; 95% CI 0.83-1.0).
ER  -

MITÁŠOVÁ, Adéla; Milena KOŠŤÁLOVÁ; Josef BEDNAŘÍK; Radka MICHALČÁKOVÁ; Tomáš KAŠPÁREK; Petra BALABÁNOVÁ; Ladislav DUŠEK; Stanislav VOHÁŇKA a E. Wesley ELY. Poststroke delirium incidence and outcomes: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). \textit{Critical Care Medicine}. Philadelphia: Lippincott Williams \&{} Wilkins, 2012, roč.~40, č.~2, s.~484-490. ISSN~0090-3493. Dostupné z: https://doi.org/10.1097/CCM.0b013e318232da12.

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