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[重症监护谵妄筛查检查表(ICDSC)——按照指南对重症监护谵妄检查表进行翻译与验证]

[The Intensive Care Delirium Screening Checklist (ICDSC)--translation and validation of intensive care delirium checklist in accordance with guidelines].

作者信息

Radtke Finn M, Franck Martin, Oppermann Stefan, Lütz Alawi, Seeling Matthes, Heymann Anja, Kleinwächter Robin, Kork Felix, Skrobik Yoanna, Spies Claudia D

机构信息

Klinik für Anästhesiologie mit Schwerpunkt operative Intensivmedizin, Campus Charité Mitte und Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 Feb;44(2):80-6. doi: 10.1055/s-0029-1202647. Epub 2009 Feb 6.

Abstract

BACKGROUND

Although Delirium is the most common psychiatric disease in ICU settings, it is recognized late or not at all in up to 84 % of all cases.

METHODS

Translation of the ICDSC, in accordance with ISPOR guidelines and validation by conducting a screening of 68 ICU patients.

RESULTS

The translation process was authorized by the original author. The final German translation of the ICDSC showed a sensitivity and specificity of 89 % and 57 % respectively.

CONCLUSION

The ICDSC is suitable for delirium screening by nurses even on ventilated patients. Besides a high sensitivity another advantage is the possibility to screen for a subsyndromal delirium.

摘要

背景

虽然谵妄是重症监护病房(ICU)环境中最常见的精神疾病,但在所有病例中,高达84%的病例要么被延迟识别,要么根本未被识别。

方法

按照国际药物经济学和结果研究协会(ISPOR)的指南对《重症监护谵妄筛查量表》(ICDSC)进行翻译,并通过对68名ICU患者进行筛查来验证。

结果

翻译过程得到了原作者的授权。ICDSC的最终德文译本的敏感性和特异性分别为89%和57%。

结论

ICDSC适用于护士对谵妄进行筛查,即使是对使用呼吸机的患者。除了高敏感性之外,另一个优点是有可能对亚综合征性谵妄进行筛查。

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