Department of Critical Care, Hafer Albatin Central Hospital, Hafer Albatin, Saudi Arabia.
Department of Pharmacy, King Hussein Cancer Center, Amman, Jordan.
J Crit Care. 2019 Dec;54:170-174. doi: 10.1016/j.jcrc.2019.08.025. Epub 2019 Aug 26.
To develop an Arabic version of Intensive Care Delirium Screening Checklist (ICDSC) and assess its validity and reliability among critically ill patients.
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.
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 α = 0.63 and composite reliability = 0.64). Interrater agreement was excellent (Kappa coefficient [ҡ] = 0.85).
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.
开发阿拉伯语版的重症监护谵妄筛查检查表（ICDSC），并评估其在重症监护患者中的有效性和可靠性。
便利抽样的多中心成人 ICU 患者研究。采用严格的背靠背翻译方法进行阿拉伯语翻译。通过比较两名评估者的评估与精神科评估，计算灵敏度和特异性，来确定同时效度。kappa 系数描述了组内一致性，而 Cronbach α 和综合可靠性则描述了内部一致性。
共纳入 300 名重症患者。其中，180 名患者进行了有效性测试。入组患者中，11%的患者 ICDSC 筛查为谵妄阳性。受试者工作特征（ROC）曲线下面积为 0.9413，预测灵敏度为 70%（95%置信区间：60-81%），特异性为 99%（95%置信区间：98-100%）。阿拉伯语 ICDSC 显示出可接受的内部一致性（Cronbach α=0.63，综合可靠性=0.64）。组内一致性良好（kappa 系数[ҡ]=0.85）。
阿拉伯语版 ICDSC 是一种针对阿拉伯语 ICU 人群的有效且可靠的谵妄筛查工具。未来的研究可以探讨这些发现是否适用于更高比例的机械通气患者，并在其他阿拉伯语重症监护环境中评估其可接受性和可靠性。
