Pilot study on the European Portuguese version of the Confusion Assessment Method

2014 ◽  
Vol 26 (5) ◽  
pp. 321-324
Author(s):  
Sónia Martins ◽  
Patrícia Moldes ◽  
João Pinto-de-Sousa ◽  
Filipe Conceição ◽  
José Artur Paiva ◽  
...  
Keyword(s):  
Pilot Study ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Translation Process ◽  
Rater Reliability ◽  
Confusion Assessment ◽  
Research Guidelines ◽  
European Portuguese ◽  
Scale Total Score ◽  
Moderate Sensitivity

ObjectiveTo present the pilot study on the European Portuguese validation of the Confusion Assessment Method (CAM).MethodsThe translation process was carried out according to International Society Pharmacoeconomics and Outcomes Research guidelines with trained researchers and inter-rater reliability assessment. The study included 50 elderly patients, admitted (≥24 h) to two intermediate care units. Exclusion criteria were: Glasgow Coma Scale (total score ≤11), blindness/deafness, inability to communicate and not able to speak Portuguese. The sensitivity and specificity of CAM were assessed, with DSM-IV-TR criteria of delirium used as a reference standard.ResultsFindings revealed excellent inter-rater reliability (k>0.81), moderate sensitivity (73%) and excellent specificity (95%).ConclusionThese preliminary results suggested that this version emerges as a promising diagnostic instrument for delirium.

scholarly journals The Effect of Multiple Assessments on Delirium Detection: a Pilot Study*

2020 ◽  
Vol 23 (4) ◽  
pp. 277-282
Author(s):  
SA. De Freitas ◽  
EKC. Wong ◽  
JY. Lee ◽  
C. Reppas-Rindlisbacher ◽  
C. Gabor ◽  
...  
Keyword(s):  
Pilot Study ◽  
Hip Fractures ◽  
Detection Rate ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Diagnostic Interview ◽  
Academic Hospital ◽  
Confusion Assessment ◽  
High Prevalence ◽  
Orthopaedic Ward

Background Delirium is characterized by fluctuating attention or arousal, with high prevalence in the orthopaedic ward. Our aim was to: 1) establish the prevalence of delirium on an orthopaedic ward, and 2) compare delirium prevalence using a single geriatrician assessment vs. multiple 3D-CAM (3-Minute Diagnostic Interview for Confusion Assessment Method) assessments during the day. We hypothesized that multiple assessments would increase the detection rate due to the fluctuating nature of delirium. Methods Comparative study conducted at an academic hospital in Hamilton, Ontario. Participants included patients 65 years and older admitted to the orthopaedic ward (n=55). After a geriatrician made the first assessment of delirium by 3D-CAM on each patient, teams with specialized geriatrics training re-assessed participants up to four times. Delirium rates based on first assessment were compared to cumulative end-of-day rates to determine if detection increased with multiple assessments. Results The prevalence of delirium was 30.9% (17 participants) us­ing multiple assessments. Of these cases, 13 (76.4%) were detected in the initial geriatrician assessment. In patients with hip fractures, 70.6% (12 of 17) were identified as delirious by multiple assessments. Conclusion As symptoms fluctuate, multiple daily CAM assessments may increase the identification of delirium in orthopaedic inpatients.

Validation study of the European Portuguese version of the Confusion Assessment Method (CAM)

2014 ◽  
Vol 27 (5) ◽  
pp. 777-784 ◽  
Author(s):  
Sónia Martins ◽  
Carla Lourenço ◽  
João Pinto-de-Sousa ◽  
Filipe Conceição ◽  
José Artur Paiva ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Predictive Value ◽  
Convergent Validity ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Intermediate Care ◽  
Reference Standard ◽  
Confusion Assessment ◽  
European Portuguese ◽  
Dsm Iv

ABSTRACTBackground:The Confusion Assessment Method (CAM) is the most widely used delirium screening instrument. The aim of this study was to evaluate the reliability and validity of the European Portuguese version of CAM.Methods:The sample included elderly patients (≥65 years), admitted for at least 48 h, into two intermediate care units (ICMU) of Intensive Medicine and Surgical Services in a university hospital. Exclusion criteria were: score ≤11 on the Glasgow Coma Scale (GCS), blindness/deafness, inability to communicate and to speak Portuguese. For concurrent validity, a blinded assessment was conducted by a psychiatrist (DSM-IV-TR, as a reference standard) and by a trained researcher (CAM). This instrument was also compared with other cognitive measures to evaluate convergent validity. Inter-rater reliability was also assessed.Results:In this sample (n = 208), 25% (n = 53) of the patients had delirium, according to DSM-IV-TR. Using this reference standard, the CAM had a moderate sensitivity of 79% and an excellent specificity of 99%. The positive predictive value was 95%, indicating a strong ability to confirm delirium with a positive test result, and the negative predictive value was lower (93%). Good convergent validity was also found, in particular with Mini-Mental State Examination (MMSE) (rs = −0.676; p ≤0.01) and Digit Span Test (DST) forward (rs = −0.605; p ≤0.01), as well as a high inter-rater reliability (diagnostic k = 1.00; single items’ k between 0.65 and 1.00).Conclusion:Robust results on concurrent and convergent validity and good reliability were achieved. This version was shown to be a valid and reliable instrument for delirium detection in elderly patients hospitalized in intermediate care units.

Confusion Assessment Method--European Portuguese Version

2014 ◽  
Author(s):  
Sónia Martins ◽  
Patrícia Moldes ◽  
João Pinto-de-Sousa ◽  
Filipe Conceição ◽  
José Artur Paiva ◽  
...  
Keyword(s):  
Confusion Assessment Method ◽  
Assessment Method ◽  
Portuguese Version ◽  
Confusion Assessment ◽  
European Portuguese

Delirium Recognition by Family: European Portuguese Validation Study of the Family Confusion Assessment Method

2014 ◽  
Vol 62 (9) ◽  
pp. 1748-1752 ◽  
Author(s):  
Sónia Martins ◽  
Filipe Conceição ◽  
José A. Paiva ◽  
Mário R. Simões ◽  
Lia Fernandes
Keyword(s):  
Validation Study ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Confusion Assessment ◽  
European Portuguese ◽  
The Family

Delir-Diagnostik

2007 ◽  
Vol 20 (2-3) ◽  
pp. 135-139
Author(s):  
B. Dittrich ◽  
G. Gatterer ◽  
T. Frühwald ◽  
U. Sommeregger
Keyword(s):  
Confusion Assessment Method ◽  
Assessment Method ◽  
Psychische Störung ◽  
Confusion Assessment

Zusammenfassung: Das Delir (“akuter Verwirrtheitszustand”) bezeichnet eine psychische Störung, die plötzlich auftritt, durch eine rasche Fluktuation von Bewusstseinslage und Aufmerksamkeitsleistung gekennzeichnet ist und eine organische Ursache hat. Dieses Störungsbild nimmt bei Patienten im höheren Lebensalter deutlich an Häufigkeit zu und verursacht durch verlängerte Krankenhausaufenthalte und ungünstige Krankheitsverläufe erhebliche Kosten im Gesundheitssystem. Daher erscheint eine möglichst frühe Erkennung deliranter Zustandsbilder gerade im Rahmen der Geriatrie von großer Bedeutung. Zu diesem Zweck wurde eine deutsche Version der international weit verbreiteten Confusion Assessment Method entwickelt, die für die Bedürfnisse einer Abteilung für Akutgeriatrie modifiziert wurde. Dargestellt werden die Entwicklung und erste Erfahrungen mit diesem Instrument.

3-Minute Diagnostic Interview for Confusion Assessment Method--Chinese Version

2020 ◽  
Author(s):  
Dong-Liang Mu ◽  
Pan-Pan Ding ◽  
Shu-Zhe Zhou ◽  
Mei-Jing Liu ◽  
Xin-Yu Sun ◽  
...  
Keyword(s):  
Confusion Assessment Method ◽  
Assessment Method ◽  
Diagnostic Interview ◽  
Chinese Version ◽  
Confusion Assessment
Sign in / Sign up

Export Citation Format

Share Document