Validation of the Swedish version of the Nursing Delirium Screening Scale used in patients 70 years and older undergoing cardiac surgery

2013 ◽  
Vol 22 (19-20) ◽  
pp. 2858-2866 ◽  
Author(s):  
Helena Claesson Lingehall ◽  
Nina Smulter ◽  
Karl Gunnar Engström ◽  
Yngve Gustafson ◽  
Birgitta Olofsson
Keyword(s):  
Cardiac Surgery ◽  
Swedish Version ◽  
Nursing Delirium Screening Scale ◽  
Screening Scale

scholarly journals Risk factors of post-anaesthesia care unit delirium in patients undergoing non-cardiac surgery in Singapore

2021 ◽  
Author(s):  
Y Ke ◽  
S Chew ◽  
E Seet ◽  
WY Wong ◽  
V Lim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiac Surgery ◽  
Public Hospitals ◽  
Major Surgery ◽  
Local Study ◽  
Post Anaesthesia Care Unit ◽  
Nursing Delirium Screening Scale ◽  
Anaesthesia Care ◽  
Screening Scale

Introduction: Post-anaesthesia care unit (PACU) delirium affects 5%–45% of patients after surgery and is associated with postoperative delirium and increased mortality. Up to 40% of PACU delirium is preventable but it remains under-recognised due to a lack of awareness for its diagnosis. Nursing Delirium Screening Scale (Nu-DESC) has been validated in diagnosing PACU delirium but is not routine locally. This study aim was to use the Nu-DESC to establish the incidence and risk factors of PACU delirium in patients undergoing non-cardiac surgery in the surgical population. Methods: With IRB approval and informed consent, we conducted an audit of eligible patients undergoing major surgery in three major public hospitals in Singapore over one week. Patients were assessed for delirium 30–60 minutes following their arrival in the PACU using the Nu-DESC with a score of ≥ 2 as indicative of delirium. Results: A total of 478 patients were assessed. The overall incidence rate of PACU delirium was 18/478 (3.8%) and 9/146 (6.2%) in patients over 65 years old. PACU delirium was more common in females, patients with malignancy and those who underwent longer operations. Logistic Regression analysis showed that the use of BIS (p < 0.001) and the presence of malignancy (p<0.001) were significantly associated with a higher incidence of PACU delirium. Conclusion: In this first local study, the incidence of PACU delirium was 3.8%, with the incidence increasing to 6.2% in those older than 65 years old. Understanding these risk factors will form the basis for which protocols can be established to optimise resource management and prevent long term morbidities and mortality of PACU delirium.

scholarly journals The Polish Version of the Nursing Delirium Screening Scale (NuDESC PL)-Experience of Using in Nursing Practice in Cardiac Surgery Intensive Care Unit

2021 ◽  
Vol 18 (19) ◽  
pp. 10108
Author(s):  
Sabina Krupa ◽  
Ozga Dorota ◽  
Adriano Friganovic ◽  
Wioletta Mędrzycka-Dąbrowska ◽  
Krzysztof Jurek
Keyword(s):  
Cardiac Surgery ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Early Stage ◽  
Statistical Significance ◽  
Night Shift ◽  
Common Diagnosis ◽  
Polish Version ◽  
Nursing Delirium Screening Scale ◽  
Screening Scale

Introduction: Delirium is a common complication of patients hospitalized in Intensive care units (ICU). The risk of delirium is estimated at approximately 80% in intensive care units. In the case of cardiac surgery ICU, the risk of delirium increases due to the type of procedures performed with the use of extracorporeal circulation. The aim of this study was to provide an official translation and evaluation of Nursing Delirium Screening Scale (NuDESC) into Polish. The NuDESC scale is a scale used by nurses around the world to detect delirium at an early stage in treatment. Methods: The method used in the study was the NuDESC tool, which was translated into Polish. The study was conducted by Cardiac ICU nurses during day shift (at 8 a.m.), night shift (at 8 p.m.) and in other situations where the patients showed delirium-like symptoms. Results: Statistically significant differences were observed between the first and second day in the studied group of patients in the case of illusions/hallucinations. Delirium occurred more frequently during the night, but statistical significance was demonstrated for both daytime and nighttime shifts. It was not demonstrated in relation to the NuDESC scale in the case of insomnia disorders. The diagnosis of delirium and disorientation was the most common diagnosis observed in patients on the first day of their stay in the ICU, followed by problems with communication. Delirium occurred on the first day, mainly at night. On the second day, delirium was much less frequent during the night; the biggest problem was disorientation and problems with communication. Conclusion: This study contributed to the development of the Polish version of the scale (NuDESC PL) which is now used as the Polish screening tool for delirium detection. The availability of an easy-to-use nurse-based delirium instrument is a prerequisite for widespread implementation.

scholarly journals Νοσηλευτική προσέγγιση ασθενών με delirium μετά από καρδιοχειρουργική επέμβαση

2015 ◽  
Author(s):  
Ηλίας Τσαγγαλάς
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Assessment Method ◽  
Nursing Delirium Screening Scale ◽  
Screening Scale

Το οξύ μετεγχειρητικό οργανικό ψυχοσύνδρομο (delirium) αποτελεί συχνή επιπλοκή μετά από καρδιοχειρουργικές επεμβάσεις. Χαρακτηρίζεται από αποπροσανατολισμό του ασθενούς, συχνότερα στη Μονάδα Εντατικής Θεραπείας, ως προς τον χώρο και το χρόνο, πολλές φορές συνοδευόμενο από επιθετική ή αυτοκαταστροφική συμπεριφορά. Σκοπός της παρούσης μελέτης είναι η έρευνα της επίδρασης-αποτελεσματικότητας συγκεκριμένων νοσηλευτικών παρεμβάσεων στην αντιμετώπιση του παραληρήματος.Υλικό και Μέθοδος. Συμπεριλάβαμε στη μελέτη 47 ασθενείς που εμφάνισαν delirium επί συνόλου 184 ασθενών που συνολικά υποβλήθηκαν σε μείζονα καρδιοχειρουργική επέμβαση (CABG, AVR, MVR, συνδυασμένες επεμβάσεις, Ανεύρυσμα και Διαχωρισμός Θωρακικής Αορτής) την αντίστοιχη περίοδο, διάρκειας 18 μηνών. Οι ασθενείς ελέγχθηκαν ως προς το σύνδρομο με τις κλίμακες CAM -ICU (Confusement Assessment Method for Intensive Care Unit) και Nu DeSc (Nursing Delirium Screening Scale). Στη συνέχεια χωρίστηκαν σε τέσσερις ομάδες: μία ομάδα ελέγχου χωρίς επιπλέον παρεμβάσεις, μία ομάδα στην οποία δόθηκε στους ασθενείς δυνατότητα για ακρόαση μουσικής για 20 λεπτά δύο φορές την ημέρα, μία ομάδα στην οποία εφαρμόστηκε επιπλέον πρόγραμμα φυσικοθεραπείας, και τέλος, μία ομάδα με δυνατότητα δύο επιπλέον επισκέψεων διαρκείας εικοσαλέπτου από οικείους, ημερησίως.Αποτελέσματα. Στη μελέτη συμμετείχαν 152 (83%) άνδρες και 32 (17%) γυναίκες. Ο μέσος όρος ηλικίας και των δύο φύλων χωρίς delirium ήταν 61.55±7.9 ετών και με delirium ήταν 68.97±8.1 ετών. Οι ασθενείς στους οποίους εφαρμόστηκαν υποστηρικτικές παρεμβάσεις είχαν βελτιωμένη συμπεριφορά ως προς το delirium με βάση τα αποτελέσματα στις κλίμακες μετρήσεως. Πιο συγκεκριμένα, οι ασθενείς με την ακρόαση μουσικής πριν την παρέμβαση είχαν μέσο όρο σε score 4.8±0.7 και μετά την παρέμβαση score 3.2±0.4 με (p< 0.01). Αυτοί της ομάδας φυσικοθεραπείας είχαν μέσο όρο σε score 4.7±0.6 και μετά την παρέμβαση score 3.6±0.4 με (p< 0.05). Τέλος αυτοί με τη δυνατότητα επιπλέον επισκεπτηρίου είχαν μέσο όρο σε score 5±0.7 και μετά την παρέμβαση score μέσο όρο 4.0±0.5 με (p< 0.05). Η διάρκεια του παραληρήματος υπήρξε πολύ μικρότερη στις ομάδες παρέμβασης σε σύγκριση με την ομάδα ελέγχου που δεν έλαβε παρέμβασης (32 ± 3, ± 36 4 και 38 ± 4 vs 48 ± 9 ώρες αντίστοιχα).Συμπεράσματα. Οι υποστηρικτικές, μη φαρμακευτικής φύσεως παρεμβάσεις, βοηθούν στη βελτίωση της εικόνας των ασθενών με delirium μετά από καρδιοχειρουργικές επεμβάσεις

scholarly journals Nu-DESC DK: the Danish version of the nursing delirium screening scale (nu-DESC)

BMC Nursing ◽  
2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniel Hägi-Pedersen ◽  
Kasper Højgaard Thybo ◽  
Trine Hedegaard Holgersen ◽  
Joen Juel Jensen ◽  
Jean-David Gaudreau ◽  
...  
Keyword(s):  
Danish Version ◽  
Nursing Delirium Screening Scale ◽  
Screening Scale

scholarly journals Avaliação do delírio em pacientes pós-operatórios: validação da versão portuguesa da Nursing Delirium Screening Scale na terapia intensiva

2013 ◽  
Vol 63 (6) ◽  
pp. 450-455 ◽  
Author(s):  
Fernando Abelha ◽  
Dalila Veiga ◽  
Maria Norton ◽  
Cristina Santos ◽  
Jean-David Gaudreau
Keyword(s):  
Nursing Delirium Screening Scale ◽  
Terapia Intensiva ◽  
Screening Scale

scholarly journals Hospital-Associated Disability Associated With Delirium Among Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 584-584
Author(s):  
Richard Kennedy ◽  
Hyun Freeman ◽  
Roy Martin ◽  
Caroline Whittington ◽  
John Osborne ◽  
...  
Keyword(s):  
Older Adults ◽  
Hospital Admission ◽  
Mixed Models ◽  
Cognitive Status ◽  
Common Complication ◽  
Mediation Analyses ◽  
Nursing Delirium Screening Scale ◽  
Hospitalized Older Adults ◽  
Screening Scale

Abstract Hospital-associated disability (HAD), defined as a loss of activities of daily living (ADLs) occurring during hospitalization, is a common complication among older adults. Delirium is also a common complication during hospitalization and is associated with multiple long-term sequelae. We sought to determine the effect of delirium and known covariates on the risk of incident HAD in hospitalized older adults. We examined electronic health record (EHR) data for 35,201 older adults ≥ 65 years of age admitted to the general inpatient (non-ICU) units of UAB Hospital from January 1, 2015 to December 31, 2019. Delirium was defined as a score ≥ 2 on the Nursing Delirium Screening Scale (NuDESC) during hospital admission, and HAD defined as a decline on the Katz ADL scale from hospital admission to discharge. Generalized linear mixed models were used to examine the association between delirium and HAD, adjusting for covariates and repeated observations for individuals with multiple admissions. We found that 21.2% of older adults developed HAD during their hospitalization and experienced higher delirium rates as compared to those not developing HAD (25.2% vs. 16.3%). Presence of delirium, medical comorbidity score, baseline cognitive status, and baseline ADL function were associated (all p &lt;0.001) with incident HAD. Mediation analyses also showed that 8% of the effect of comorbidity on incident HAD was due to delirium (p &lt; 0.001). Reducing rates of delirium can be one component of a comprehensive approach to reduce rates of HAD in older adults.

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