| Title | Cross-cultural adaptation and validation of the 3D-CAM Chinese version in surgical ICU patients |
| Authors | Mu, Dong-Liang Ding, Pan-Pan Zhou, Shu-Zhe Liu, Mei-Jing Sun, Xin-Yu Li, Xue-Ying Wang, Dong-Xin |
| Affiliation | Peking Univ, Hosp 1, Dept Anesthesiol & Crit Care Med, Beijing, Peoples R China Peking Univ, Dept Geriatr Psychiat, Hosp 6, Beijing 100191, Peoples R China Peking Univ, Dept Biostat, Hosp 1, Beijing, Peoples R China |
| Keywords | MECHANICALLY VENTILATED PATIENTS CONFUSION ASSESSMENT METHOD MENTAL-STATE-EXAMINATION ELDERLY-PATIENTS INCREASED RISK DELIRIUM CARE DEMENTIA SURGERY PREDICTOR |
| Issue Date | 24-Mar-2020 |
| Publisher | BMC PSYCHIATRY |
| 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 < 0.001). It also performed well in patients with mild cognitive impairment, with the sensitivity from 85.7 to 100% and the specificity from 95.7 to 96.4%. Conclusion Our results showed that the 3D-CAM-CN can be used as a reliable and accurate instrument for delirium assessment in surgical patients. |
| URI | http://hdl.handle.net/20.500.11897/587345 |
| DOI | 10.1186/s12888-020-02544-w |
| Indexed | SSCI SCI(E) |
| Appears in Collections: | 第一医院 第六医院 |
