Cross-cultural adaptation and validation of the 3D-CAM Chinese version in surgical ICU patients
| Autor: | Pan-Pan Ding, Dong-Liang Mu, Shu-Zhe Zhou, Dong-Xin Wang, Mei-Jing Liu, Xin-Yu Sun, Xue-Ying Li |
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| Rok vydání: | 2019 |
| Předmět: |
Cross-Cultural Comparison
Male medicine.medical_specialty lcsh:RC435-571 MEDLINE Screening tool 030204 cardiovascular system & hematology Sensitivity and Specificity 03 medical and health sciences Chinese version Chinese version validation Chinese 0302 clinical medicine Cohen's kappa Postoperative Cognitive Complications Internal medicine lcsh:Psychiatry Diagnosis medicine Humans 030212 general & internal medicine Prospective Studies Aged business.industry Delirium Reproducibility of Results 3D-CAM Clinical trial Psychiatry and Mental health Inter-rater reliability Intensive Care Units Clinical research Female medicine.symptom business Kappa Research Article |
| Zdroj: | BMC Psychiatry BMC Psychiatry, Vol 20, Iss 1, Pp 1-7 (2020) |
| ISSN: | 1471-244X |
| Popis: | Background Accurate diagnosis of delirium is very important for prevention and treatment. Present study was designed to validate the 3-Minute Diagnostic Interview for CAM-defined Delirium Chinese version (3D-CAM-CN) in surgical ICU patients. Methods In this prospective diagnostic study, the 3D-CAM was translated into Chinese with culture adaption. Two interviewers (Roles A and B) independently administrated 3D-CAM-CN assessment in adult patients from postoperative days 1 to day 3. At the meantime, a panel of psychiatrists diagnosed delirium according to the Diagnostic and Statistical Manual of Mental Disorders-fifth edition as the reference standard. The sensitivity and specificity were calculated to analyze the diagnostic character of the 3D-CAM-CN. Kappa coefficient was used to evaluate interrater reliability. Results Two hundred forty-five adult patients were assessed for at least 2 days, resulting a total of 647 paired-assessments. When compared with the reference standard, the sensitivity and specificity of the 3D-CAM-CN assessment were 87.2 and 96.7%, respectively, by Role A and 84.6 and 97.4%, respectively, by Role B, with good interrater reliability (Kappa coefficient = 0.82, P Conclusion Our results showed that the 3D-CAM-CN can be used as a reliable and accurate instrument for delirium assessment in surgical patients. Trial registration This trail was approved by the Clinical Research Ethic Committee of Peking University First Hospital (No. 2017–1321) and registered on Chinese clinical trial registry on July 6, 2017 (ChiCTR-OOC-17011887). |
| Databáze: | OpenAIRE |
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