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@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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