Standardization of the Czech Version of The Confusion
Assessment Method for the Intensive Care Unit (CAM-ICUcz)

J 2010

Standardization of the Czech Version of The Confusion Assessment Method for the Intensive Care Unit (CAM-ICUcz)

MITASOVA, A., Josef BEDNAŘÍK, Milena KOŠŤÁLOVÁ, R. MICHALCAKOVA, M. JEZKOVA et. al.

Základní údaje

Originální název

Standardization of the Czech Version of The Confusion Assessment Method for the Intensive Care Unit (CAM-ICUcz)

Autoři

MITASOVA, A. (203 Česká republika, garant), Josef BEDNAŘÍK (203 Česká republika, domácí), Milena KOŠŤÁLOVÁ (203 Česká republika, domácí), R. MICHALCAKOVA (203 Česká republika), M. JEZKOVA (203 Česká republika), Tomáš KAŠPÁREK (203 Česká republika, domácí), Světlana SKUTILOVÁ (203 Česká republika, domácí), Eva STRAŽEVSKÁ (203 Česká republika, domácí), Petra ŠÁLYOVÁ (703 Slovensko, domácí), V. SIKOLOVA (203 Česká republika) a L. SRAMKOVA (203 Česká republika)

Vydání

Česká a slovenská neurologie a neurochirurgie, 2010, 1210-7859

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 0.393

Kód RIV

RIV/00216224:14110/10:00056889

Organizační jednotka

Lékařská fakulta

UT WoS

000280224000009

Klíčová slova anglicky

delirium; intensive care; screening

Příznaky

Mezinárodní význam

Změněno: 16. 4. 2012 02:06, Mgr. Michal Petr

Anotace

V originále

The incidence of delirium in intensive care settings is reported as 62%, and in mechanically-ventilated patients it reaches 82%. Delirium is, however, underdiagnosed because of the non-use of standardised diagnostic tools; no such tool yet exists in the Czech language. The aim was to standardise a Czech version of the most frequently used standard test in the English language the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Patients and method: A Czech version of CAM-ICU (CAM-ICUcz) was prepared by using a "forward-backward translation" method followed by acceptance on the part of the authors of the original test (http://www.icudelirium.org/docs/CAM_ICU_training_Czech.pdf). The assessment of CAM-ICUcz validity to detect delirium, compared with the expert assessment based on standard criteria for delirium of the Diagnostic and Statistical Manual of mental disorders (DSM IV), was performed in patients with: A. Acute cerebral stroke: n = 80; B. Mechanical ventilation: n = 10; C. Dementia: n = 34; D. Depression: n = 20; E. Schizophrenia: n = 22. Results: The expert assessment found an episode of delirium in 37 stroke patients (46.25%). The sensitivity and specificity of CAM-ICUcz were 97.3% and 93.0% respectively. All three patients with false positive for delirium due to CAM-ICUcz had severe aphasia of the global or Wernicke type. The test was performable even in mechanically ventilated patients, with delirium detected in 50% of patients and 100% concordance with the expert assessment. CAM-ICUcz was negative in all patients with dementia, depression and schizophrenia (specificity 100%). The test appeared to be quick (duration up to 10 minutes) and applicable by health care workers not specialised in neuropsychological testing in intensive care patients, including those mechanically ventilated. Conclusion: CAM-ICUcz is a suitable screening test for detection of delirium in the intensive care setting.

Návaznosti

MSM0021622404, záměr

Název: Vnitřní organizace a neurobiologické mechanismy funkčních systémů CNS

Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Vnitřní organizace a neurobiologické mechanismy funkčních systémů CNS

Citovat

MITASOVA, A., Josef BEDNAŘÍK, Milena KOŠŤÁLOVÁ, R. MICHALCAKOVA, M. JEZKOVA, Tomáš KAŠPÁREK, Světlana SKUTILOVÁ, Eva STRAŽEVSKÁ, Petra ŠÁLYOVÁ, V. SIKOLOVA a L. SRAMKOVA. Standardization of the Czech Version of The Confusion Assessment Method for the Intensive Care Unit (CAM-ICUcz). Česká a slovenská neurologie a neurochirurgie. 2010, roč. 73, č. 3, s. 258-266. ISSN 1210-7859.

@article{979590,
   author = {Mitasova, A. and Bednařík, Josef and Košťálová, Milena and Michalcakova, R. and Jezkova, M. and Kašpárek, Tomáš and Skutilová, Světlana and Straževská, Eva and Šályová, Petra and Sikolova, V. and Sramkova, L.},
   article_number = {3},
   keywords = {delirium; intensive care; screening},
   language = {eng},
   issn = {1210-7859},
   journal = {Česká a slovenská neurologie a neurochirurgie},
   title = {Standardization of the Czech Version of The Confusion Assessment Method for the Intensive Care Unit (CAM-ICUcz)},
   volume = {73},
   year = {2010}
}

TY  - JOUR
ID  - 979590
AU  - Mitasova, A. - Bednařík, Josef - Košťálová, Milena - Michalcakova, R. - Jezkova, M. - Kašpárek, Tomáš - Skutilová, Světlana - Straževská, Eva - Šályová, Petra - Sikolova, V. - Sramkova, L.
PY  - 2010
TI  - Standardization of the Czech Version of The Confusion Assessment Method for the Intensive Care Unit (CAM-ICUcz)
JF  - Česká a slovenská neurologie a neurochirurgie
VL  - 73
IS  - 3
SP  - 258-266
EP  - 258-266
SN  - 12107859
KW  - delirium
KW  - intensive care
KW  - screening
N2  - The incidence of delirium in intensive care settings is reported as 62%, and in mechanically-ventilated patients it reaches 82%. Delirium is, however, underdiagnosed because of the non-use of standardised diagnostic tools; no such tool yet exists in the Czech language. The aim was to standardise a Czech version of the most frequently used standard test in the English language the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Patients and method: A Czech version of CAM-ICU (CAM-ICUcz) was prepared by using a "forward-backward translation" method followed by acceptance on the part of the authors of the original test (http://www.icudelirium.org/docs/CAM_ICU_training_Czech.pdf). The assessment of CAM-ICUcz validity to detect delirium, compared with the expert assessment based on standard criteria for delirium of the Diagnostic and Statistical Manual of mental disorders (DSM IV), was performed in patients with: A. Acute cerebral stroke: n = 80; B. Mechanical ventilation: n = 10; C. Dementia: n = 34; D. Depression: n = 20; E. Schizophrenia: n = 22. Results: The expert assessment found an episode of delirium in 37 stroke patients (46.25%). The sensitivity and specificity of CAM-ICUcz were 97.3% and 93.0% respectively. All three patients with false positive for delirium due to CAM-ICUcz had severe aphasia of the global or Wernicke type. The test was performable even in mechanically ventilated patients, with delirium detected in 50% of patients and 100% concordance with the expert assessment. CAM-ICUcz was negative in all patients with dementia, depression and schizophrenia (specificity 100%). The test appeared to be quick (duration up to 10 minutes) and applicable by health care workers not specialised in neuropsychological testing in intensive care patients, including those mechanically ventilated. Conclusion: CAM-ICUcz is a suitable screening test for detection of delirium in the intensive care setting.
ER  -

MITASOVA, A., Josef BEDNAŘÍK, Milena KOŠŤÁLOVÁ, R. MICHALCAKOVA, M. JEZKOVA, Tomáš KAŠPÁREK, Světlana SKUTILOVÁ, Eva STRAŽEVSKÁ, Petra ŠÁLYOVÁ, V. SIKOLOVA a L. SRAMKOVA. Standardization of the Czech Version of The Confusion Assessment Method for the Intensive Care Unit (CAM-ICUcz). \textit{Česká a slovenská neurologie a neurochirurgie}. 2010, roč.~73, č.~3, s.~258-266. ISSN~1210-7859.

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