- Poster presentation
- Open access
- Published:
Validity and reliability of the Brazilian-Portuguese version of three tools to diagnose delirium: CAM-ICU, CAM-ICU Flowsheet and ICDSC
Critical Care volume 15, Article number: P50 (2011)
Introduction
Delirium is a frequent form of acute brain dysfunction in critically ill patients. Several detection methods have been developed for use in these patients. This study has the objective to validate the Brazilian-Portuguese CAM-ICU and to compare the sensitivity and specificity of three diagnostic tools (ICDSC, CAM-ICU and CAM-ICU Flowsheet) for delirium in a mixed population of critically ill patients.
Methods
The study was conducted between July and November 2010 in four intensive care units (ICUs) in Brazil. Patients were screened for delirium by a psychiatrist or neurologist as the reference rater using the Diagnostic and Statistical Manual of Mental Diseases, Fourth Edition (DSM-IV), and subsequently by an intensivist rater using a Portuguese translation of the CAM-ICU, CAM-ICU Flowsheet and ICDSC (Intensive Care Delirium Screening Checklist).
Results
One hundred and nineteen patients were evaluated: 38.6% were diagnosed with delirium by the reference rater. The CAM-ICU had sensitivities of 72.5% (95% CI = 55.9 to 84.9%) and specificity 96.2% (95% CI = 88.5% to 99.0%), the CAM-ICU Flowsheet had sensitivities of 72.5% (95% CI = 55.9 to 84.9%) and specificity 96.2% (95% CI = 88.5% to 99.0%), and the ICDSC had sensitivities of 96.0% (95% CI = 81.5 to 99.8%) and specificity 72.4% (95% CI = 58.6 to 83.0%). High agreement occurred between CAM-ICU and CAM-ICU Flowsheet (kappa coefficient = 0.96).
Conclusion
The CAM-ICU Brazilian-Portuguese version is a valid and reliable instrument for the assessment of delirium among critically ill patients. The three instruments CAM-ICU, CAM-ICU Flowsheet and ICDSC are good diagnostic tools in critically ill ICU patients and the CAM-ICU was the most specific. In addition, the CAM-ICU Flowsheet presented an excellent correlation with the CAM-ICU and may be employed in general ICU patients.
Author information
Authors and Affiliations
Rights and permissions
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
About this article
Cite this article
Gusmao-Flores, D., Salluh, J., dal-Pizzol, F. et al. Validity and reliability of the Brazilian-Portuguese version of three tools to diagnose delirium: CAM-ICU, CAM-ICU Flowsheet and ICDSC. Crit Care 15 (Suppl 2), P50 (2011). https://doi.org/10.1186/cc10198
Published:
DOI: https://doi.org/10.1186/cc10198