Translation and validation of the Tibetan confusion assessment method for the intensive care unit
(0) Background: At present, there is no available delirium translated assessment method for 3.3 million Tibetans.This study aimed to provide a method for delirium assessment for Tibetan patients speaking this language by validating a translation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Methods: The study was conducted between July 2018 and November 2018.Patients were screened for delirium by a neurologist using the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV).Patients were subsequently screened by two nurses using Tibetan translations of the CAM-ICU.With DSM-IV criterion as the reference standard, the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated to assess the validity of the CAM-ICU criterion.Interrater reliability was determined by comparing the CAM-ICU ratings of nurse 1 vs.nurse 2 using the κ coefficient.Results: Ninety-six patients were assessed independently by two nurses and one neurologist.According to DSM-IV standard, 42 out of 96 (43.8%) patients developed delirium.The sensitivities of Tibetan CAM-ICU were 90.5% for nurse 1 and 92.9% for nurse 2,respectively.Their specificities were 85.2% and 90.7%, respectively.The PPV were 82.6% for nurse 1 and 88.6% for nurse 2.Their NPV were 92.0% and 94.2%, respectively.The Tibetan CAM-ICU was done with good interrater reliability between nurse 1 and nurse 2 (κ=0.91, P<0.001).Conclusion: The Tibetan CAM-ICU shows good validity and might be incorporated into clinical practice in Tibetan Intensive Care Units.
Delirium Tibet CAM-ICU Validation
Qu-Zhen Danzeng Na Cui Hao Wang Wen-Jun Pan Yun Long Yang-Zong Deji Cheng Ze Zeng Ren
Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical Co Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical Co Department of Critical Care Medicine, Tibet Autonomous Region Peoples Hospital, Lhasa, Tibet 850000 Department of Neurosurgery, Tibet Autonomous Region Peoples Hospital, Lhasa, Tibet 850000, China
国际会议
珠海
英文
1154-1158
2019-05-23（万方平台首次上网日期，不代表论文的发表时间）