From: Diagnostic accuracy of delirium diagnosis in pediatric intensive care: a systematic review
Publication | Setting | Index tests | Reference tests | Dates of study | Eligibility | Recruitment; data acquisition method | Final number of patients (eligible but excludedn, %) | ||
---|---|---|---|---|---|---|---|---|---|
Name | No. of raters (training) | Name | No. of raters (training) | ||||||
University hospital | PAED | Unclear ("interns") | DSM-IV and multidisciplinary meeting | 1 (psychiatrist, with input from PICU team) | November 2006 through February 2010 | All PICU patients ages 1 to 17 yr without deep sedation; if elective surgery, PICU stay >48 hr | Consecutive; retrospective | 144 (n =10, 6% where PAED could not be rated) | |
Smith et al., 2011 [10] | University hospital | p-CAM-ICU | 6 (4 bedside nurses, 2 intensivists) | DSM-IV | 2 (psychiatrists) | 1 July 2008 through 30 March 2009 | All PICU patients ages ≥5 yr | Consecutive (except weekends and holidays); prospective | 68 (n =17, 20%; no paired assessment =13, assessments >3 hr apart =3, withdrawn =1) |
Silver et al., 2012 [11] | University hospital | CAP-D | 2 (1 intensivist, 1 resident) | DSM-IV | 4 (2 psychiatrists, 2 fellows) | Unspecified 6-week period | All PICU patients with RASS score above -4 | Consecutive; prospective | 50 (n =6, 11% with incomplete data) |
Traube et al., 2013 [17] | University hospital | CAP-D(R) | >100 (bedside nurses) | DSM-IV | 6 (psychiatrists) | March 2012 through May 2012 | All PICU patients with RASS score above -4 | Consecutive; prospective | 111 (0) |
University hospital | Clinical suspicionb | Unclear (intensivists) | DSM-IV and multidisciplinary meeting | 1 (psychiatrist, with input from PICU team) | January 2002 through December 2005 | All PICU patients | Consecutive; prospective | 877 (0) |