Arabic intensive care delirium screening checklist's validity and reliability: A multicenter study.
J Crit Care
; 54: 170-174, 2019 12.
Article
em En
| MEDLINE
| ID: mdl-31476652
ABSTRACT
PURPOSE:
To develop an Arabic version of Intensive Care Delirium Screening Checklist (ICDSC) and assess its validity and reliability among critically ill patients. MATERIALS ANDMETHODS:
Multicentered study of convenience sample of adult ICU patients. Arabic translation was performed with rigorous back-to-back translation methods. Concurrent validity was established by calculating the sensitivity and specificity of two examiner assessments compared to a psychiatric evaluation. Kappa coefficients describe interrater reliability, whereas Cronbach α and composite reliability depict internal consistency.RESULTS:
Three hundred critically ill patients were enrolled. Of these, validity testing was assessed in 180 patients. ICDSC screening was positive for delirium in 11% of enrolled patients. The area under the receiver operator characteristic (ROC) curve is 0.9413, with predicted sensitivity 70% (95% confidence interval [CI] 60-81%) and specificity 99% (95% CI 98-100%). The Arabic ICDSC showed acceptable internal consistency (Cronbach αâ¯=â¯0.63 and composite reliabilityâ¯=â¯0.64). Interrater agreement was excellent (Kappa coefficient [Ò¡]â¯=â¯0.85).CONCLUSIONS:
Arabic ICDSC is a valid and reliable delirium-screening tool among Arabic-speaking ICU population. Future studies could address whether these findings are generalizable to a higher proportion of mechanically ventilated patients, and address acceptability and reliability in other Arabic language critical care settings.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Psicometria
/
Programas de Rastreamento
/
Cuidados Críticos
/
Delírio
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Crit Care
Ano de publicação:
2019
Tipo de documento:
Article