The validity and reliability of the Arabic version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU): A prospective cohort study

Selim, Abeer; Kandeel, Nahed; Elokl, Mohamed; Khater, Mohamed; Saleh, Ashraf Nabil; Bustami, Rami; Ely, E. Wesley

doi:10.1016/j.ijnurstu.2017.12.011

Cited by 24 publications

(18 citation statements)

References 39 publications

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“…Their specificities were 93, 93 and 89%, respectively [11]. Compared to other translated versions of the CAM-ICU [10,15,26,35], the Tunisian version had slightly higher sensitivity and specificity than the Portuguese, the Korean, the Greek and the Egyptian versions (Table IV). The discrepancies between the studies may be partly explained by the different CAM-ICU implementation procedures, and by the heterogeneity in the methodological issues.…”

Section: Discussionmentioning

confidence: 92%

“…In fact, most diagnoses rely only on clinical symptoms. The CAM-ICU, translated to over 26 languages, has recently been translated and validated in the Middle Eastern Arabic countries [14,15]. However, since the Maghrebi/Tunisian dialect is completely different from modern standard Arabic or the Egyptian dialect, the extent of the aforementioned versions [14, 15] is not mutually intelligible, mostly for critically ill patients.…”

Section: Introductionmentioning

confidence: 99%

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A Tunisian version of the Confusion Assessment Method for the intensive care unit (CAM-ICU): translation and validation

Saida

Kortli

Amamou

et al. 2020

Preprint

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Background. Delirium is common in critically ill patients and it is associated with poor outcomes. In Tunisia, however, it is still underdiagnosed as there is no validated screening tool. The aim of this study was to translate and to validate a Tunisian version of the CAM-ICU. Methods. For the validation and inter-rater reliability assessment of the Tunisian CAM-ICU, two trained intensivists independently evaluated delirium in the patients admitted to the ICU between October 2017 and June 2018. All the patients consecutively admitted to the ICU for more than 24 hours and having a Richmond Agitation-Sedation Scale greater than or equal to “-3” were assessed for delirium excluding those with stroke, dementia, psychosis or persistent coma. The results were compared with the reference evaluation carried out by a psychiatrist using the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) criteria. The inter-rater reliability was calculated using the kappa (κ) statistic. The CAM-ICU concurrent validity was assessed using Cronbach’s α coefficient, sensitivity, specificity as well as positive and negative predictive values (PPV and NPV, respectively) for the two Tunisian CAM-ICU raters. Results. The study involved 137 patients [median (IQR) age: 60 [49-68] years, male sex (n=102), invasive mechanical ventilation (n=49)]. Using the DSM-V criteria evaluations, 46 patients were diagnosed with delirium. When applying the Tunisian version of the CAM-ICU, 38(27.7%) patients were diagnosed with delirium for the first rater and 45(32.6%) patients for the second one. The Tunisian CAM-ICU showed a very-high inter-rater reliability for both intensivists (κ = 0.844, p<0.001). Using the DSM-V rater as the reference standard, the sensitivity of the two intensivists’ evaluations was 80.4 vs. 95.7%. Specificity was 98.9% for both. The Cronbach’s α of the first and second raters’ evaluations using the Tunisian version of the CAM-ICU were 0.886 and 0.887, respectively. Conclusions. The Tunisian version of the CAM-ICU showed almost perfect validity and reliability in detecting delirium in critically ill patients. It could therefore be used in Tunisian ICUs or where Tunisian translators are available following appropriate training.

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

A Tunisian version of the Confusion Assessment Method for the intensive care unit (CAM-ICU): translation and validation

Saida

Kortli

Amamou

et al. 2020

Preprint

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“…Table S3 presents the characteristics of the 29 studies. Twenty-three and 8 studies reported accuracy estimates for CAM-ICU (Adamis et al, 2012;Aljuaid et al, 2018;Barman et al, 2018;Boettger et al, 2018;Chanques et al, 2018;Chuang et al, 2007;Ely, Margolin, et al, 2001;Guenther et al, 2010;Gusmao-Flores et al, 2011;Heo et al, 2011;Karlicic et al, 2016;Koga et al, 2015;Lin et al, 2004;Luetz et al, 2010;Mitášová et al, 2012;Nishimura et al, 2016;Pipanmekaporn et al, 2014;Selim et al, 2018;van Eijk et al, 2011;van Eijk et al, 2009;Vreeswijk et al, 2009;Wang et al, 2013) and ICDSC (Barman et al, 2018;Bergeron et al, 2001;Boettger et al, 2018;Chanques et al, 2018;Gusmao-Flores et al, 2011;Kose, Bolu, Ozdemir, Acikel, & Hatipolu, 2016;Nishimura et al, 2016;van Eijk et al, 2009), respectively. Two studies applied Delirium Detection Score (DDS) (Luetz et al, 2010;Otter et al, 2005), one applied Cognitive Test for Delirium (CTD) alone (Hart et al, 1996), one applied Stanford Proxy Test for Delirium (S-PTD) alone (Alosaimi et al, 2018), one applied Neelon and Champagne Confusion Scale (NEECHAM) alone (Immers, Schuurmans, & Van De Bijl, 2005), and one applied Nursing Delirium Screening Scale (Nu-DESC) for delirium assessmen...…”

Section: Resultsmentioning

confidence: 99%

Diagnostic Performance of Delirium Assessment Tools in Critically Ill Patients: A Systematic Review and Meta‐Analysis

Montgomery

Traynor

et al. 2020

Worldviews Ev Based Nurs

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Background Critical care nurses are in the best position to detect and monitor delirium in critically ill patients. Therefore, an optimum delirium assessment tool with strong evidence should be identified with critical care nurses to perform in the daily assessment. Aim To evaluate and compare the diagnostic performance of delirium assessment tools in diagnosing delirium in critically ill patients. Methods We searched five electronic databases including the Cochrane Library, PubMed, Embase, CINAHL, and a Chinese database for eligible diagnostic studies published in English or Mandarin up to December 2018. This diagnostic test accuracy meta‐analysis was limited to studies in intensive care unit (ICU) settings, using the Diagnostic and Statistical Manual of Mental Disorders (DSM) as a standard reference to test the accuracy of delirium assessment tools. Eligible studies were critically appraised by two investigators independently. The summary of evidence was conducted for pooling and comparing diagnostic accuracy by a bivariate random effects meta‐analysis model. The pooled sensitivities and specificities, summary receiver operating characteristic curve (sROC), the area under the curve (AUC), and diagnostic odds ratio (DOR) were calculated and plotted. The possibility of publication bias was assessed by Deeks’ funnel plot. Data Synthesis We identified and evaluated 23 and 8 articles focused on CAM‐ICU and ICDSC, respectively. The summary sensitivities of 0.85 and 0.87, and summary specificities of 0.95 and 0.91 were found for CAM‐ICU and ICDSC, respectively. The AUC of the CAM‐ICU was 0.96 (95% CI, 0.94–0.98), with DOR at 99 (95% CI, 55–177). The AUC of the ICDSC was 0.95 (95% CI, 0.92–0.96), and the DOR was 65 (95% CI, 27–153). Linking Evidence to Action CAM‐ICU demonstrated higher diagnostic test accuracy and is recommended as the optimal delirium assessment tool. However, the results should be interpreted with caution due to the between‐study heterogeneity of this diagnostic test accuracy meta‐analysis.

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“…Berdasarkan studi dibeberapa negara menunjukkan peningkatan angka kejadian delirium. Seperti penelitian di Arab Saudi dan di German menunjukkan angka kejadian delirium sebanyak 80 %, sedangkan di Norwegia jumlah tersebut meningkat menjadi 89 % dari total pasien ( Selim et al, 2018;Steinseth, Høye, & Hov, 2018). Di Indonesia menyebutkan sebanyak 37 % pasien di ruang ICU menderita delirium (Maskoen et al, 2016).…”

Section: Pendahuluanunclassified

Studi Explorasi Pengalaman Perawat dalam Pengkajian Delirium

Khanafi¹,

Ismail

Erawati

2019

Jurnal Perawat Indonesia

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Delirium di tandai dengan perubahan status mental, tingkat kesadaran serta perhatian yang akut dan fluktuatif yang sering di jumpai pada pasien di ruang intensive care unit (ICU). Delirium dapat menyebabkan meningkatnya length of stay (LOS), meningkatkan biaya perawatan,kematian, delirium menetap serta lamanya pemulihan. Tujuan dari penelitian ini ialah untuk mengexplorasi pengalaman perawat rumah sakit dalam mengkaji pasien delirium di ruang ICU.Penelitian ini menggunakan metode diskriptif kualitatif. Pengumpulan data dengan indepth interview dengan panduan semi terstruktur. Hasil wawancara pada informan di dapatkan informasi bahwa pengetahuan perawat tentang delirium ini masih kurang, sehingga perawat belum pernah melakukan pengkajian delirium, perawat sebatas mengkaji tingkat kesadaran menggunakan glascow coma scale (GCS), dalam re evaluasi delirium sebatas mengikuti advis medis, dari rumah sakit belum ada kebijakan dalam pengkajian delirium. Dari informasi ini dapat dijadikan acuan bagi peneliti untuk di adakanya peningkatan pengetahuan perawat mengenai delirium serta di adakanya alat/tool pengkajian delirium yang tepat, mudah untuk ruang ICU.

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The validity and reliability of the Arabic version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU): A prospective cohort study

Cited by 24 publications

References 39 publications

A Tunisian version of the Confusion Assessment Method for the intensive care unit (CAM-ICU): translation and validation

A Tunisian version of the Confusion Assessment Method for the intensive care unit (CAM-ICU): translation and validation

Diagnostic Performance of Delirium Assessment Tools in Critically Ill Patients: A Systematic Review and Meta‐Analysis

Studi Explorasi Pengalaman Perawat dalam Pengkajian Delirium

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