作者
Maarten M van Eijk, Mark van den Boogaard, Rob J van Marum, Paul Benner, Piet Eikelenboom, Marina L Honing, Ben van der Hoven, Janneke Horn, Gerbrand J Izaks, Annette Kalf, Attila Karakus, Ine A Klijn, Michael A Kuiper, Frank-Erik de Leeuw, Tjarda de Man, Roos C van der Mast, Robert-Jan Osse, Sophia E de Rooij, Peter E Spronk, Peter H van der Voort, Willem A van Gool, Arjen J Slooter
发表日期
2011/8/1
期刊
American journal of respiratory and critical care medicine
卷号
184
期号
3
页码范围
340-344
出版商
American Thoracic Society
简介
Rationale: Delirium is often unrecognized in ICU patients and associated with poor outcome. Screening for ICU delirium is recommended by several medical organizations to improve early diagnosis and treatment. The Confusion Assessment Method for the ICU (CAM-ICU) has high sensitivity and specificity for delirium when administered by research nurses. However, test characteristics of the CAM-ICU as performed in routine practice are unclear.
Objectives: To investigate the diagnostic value of the CAM-ICU in daily practice.
Methods: Teams of three delirium experts including psychiatrists, geriatricians, and neurologists visited 10 ICUs twice. Based on cognitive examination, inspection of medical files, and Diagnostic and Statistic Manual of Mental Disorders, 4th edition, Text Revision criteria for delirium, the expert teams classified patients as awake and not delirious, delirious, or comatose. This served as a gold …
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MM van Eijk, M van den Boogaard, RJ van Marum… - American journal of respiratory and critical care …, 2011