Alcoba Pérez Á, Ciria Poza S, Carracedo Catalán C, García Fernández A, Marcos Vidal J M
Unidad de Reanimación Postquirúrgica, Complejo Asistencial Universitario de León, León, España; Servicio de Anestesiología y Reanimación, Complejo Asistencial Universitario de León , León, España.
Unidad de Reanimación Postquirúrgica, Complejo Asistencial Universitario de León, León, España; Servicio de Anestesiología y Reanimación, Complejo Asistencial Universitario de León , León, España.
Enferm Intensiva. 2014 Jul-Sep;25(3):100-6. doi: 10.1016/j.enfi.2014.03.003. Epub 2014 Jun 6.
To evaluate concordance between the scale of delirium assessment CAM-ICU and the Nursing Delirium Screening Scale (NDSS) in postoperative cardiac surgery.
Prospective study in tertiary hospital with consecutive selection of patients after cardiac surgery. During the stay in the Intensive Care Unit, CAM-ICU and NDSS were administered by the same researcher. For demographic and preoperative risk factors of delirium, descriptive statistical analysis was performed. Concordance was assessed using kappa index.
106 patients were included, performing 214 evaluations. Incidence of delirium with the CAM-ICU scale was of 8.4%, and of 16.8% with NDSS. The concordance expressed by the index Kappa was of 0.541.
The concordance between the CAM-ICU scale and the NDSS in the postoperative cardiac surgery and during the stay in the Intensive Care Unit is low. Currently, the use of the CAM-ICU was recommended in this context, but it must not be replaced for the NDSS.
评估谵妄评估量表CAM-ICU与护理谵妄筛查量表（NDSS）在心脏手术后的一致性。
在一家三级医院进行前瞻性研究，连续选取心脏手术后的患者。在重症监护病房住院期间，由同一名研究人员使用CAM-ICU和NDSS进行评估。对谵妄的人口统计学和术前危险因素进行描述性统计分析。使用kappa指数评估一致性。
纳入106例患者，进行了214次评估。使用CAM-ICU量表时谵妄的发生率为8.4%，使用NDSS时为16.8%。Kappa指数表示的一致性为0.541。
在心脏手术后及重症监护病房住院期间，CAM-ICU量表与NDSS之间的一致性较低。目前，在此情况下推荐使用CAM-ICU，但不能用NDSS替代。
