Delirium among critically ill adults: Evaluation of the psychometric properties of the Italian ‘Confusion Assessment Method for the Intensive Care Unit’

To determine the psychometric properties of the Italian version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), a clinical assessment tool to detect delirium among Intensive Care Unit patients. Validation study. Fifty-seven patients admitted to three medical and surgical In...

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Bibliographic Details
Published in:Intensive & critical care nursing 2014-10, Vol.30 (5), p.283-291
Main Authors: Gaspardo, Pietro, Peressoni, Luca, Comisso, Irene, Mistraletti, Giovanni, Ely, E. Wesley, Morandi, Alessandro
Format: Article
Language:English
Subjects:
Abdomen
Adult
Aged
Aged, 80 and over
Clinical assessment tools
Cognitive impairment
Confusion - diagnosis
Consciousness
Critical care
Critical Care - methods
Critical Illness - nursing
Delirium
Delirium - diagnosis
Female
Hospitals
Humans
Intensive care
Intensive care units
Italy
Male
Middle Aged
Mortality
Neurological monitoring
Nursing
Patients
Psychometrics - methods
Reproducibility of Results
Sensitivity and Specificity
Studies
Surgery
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Summary:To determine the psychometric properties of the Italian version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), a clinical assessment tool to detect delirium among Intensive Care Unit patients. Validation study. Fifty-seven patients admitted to three medical and surgical Intensive Care Units were recruited. During the study interval two trained examiners performed independent delirium assessment by the CAM-ICU for a maximum of four times per patient. Interrater reliability and internal consistency of the tool, which were measured using Cohen's κ and Cronbach's α coefficients respectively. Seventy-two paired evaluations were collected. The 35% of the studied cohort tested positive for delirium. The Italian version of the CAM-ICU demonstrated a substantial interrater reliability (κ=0.76, p
ISSN:0964-3397
1532-4036
DOI:10.1016/j.iccn.2014.05.002