Cross-cultural adaptation and validation of the 3D-CAM Chinese version in surgical ICU patients

Autor: Dong-Liang Mu, Pan-Pan Ding, Shu-Zhe Zhou, Mei-Jing Liu, Xin-Yu Sun, Xue-Ying Li, Dong-Xin Wang
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Psychiatry, Vol 20, Iss 1, Pp 1-7 (2020)
Druh dokumentu: article
ISSN: 1471-244X
DOI: 10.1186/s12888-020-02544-w
Popis: Abstract 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
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