Translation and validation of the Korean confusion assessment method for the intensive care unit

BMC Psychiatry

Research Article

Eun Hee Song¹  Young-Soo Shim¹  Bong-Jin Hahm¹  Sang-Min Lee¹  Byoung-Jo Lee¹  Han-A Lee¹  Eun Young Heo¹  Sung Koo Han¹  Chul-Gyu Yoo¹  Young Whan Kim¹ 

[1] Seoul National University College of Medicine, 103 Daehangno, 110-744, Jongno-gu, Seoul, Republic of Korea;

关键词: Intensive Care Unit;    Intensive Care Unit Patient;    Interrater Reliability;    Medical Intensive Care Unit;    Korean Version;   

DOI  :  10.1186/1471-244X-11-94

 received in 2010-10-04, accepted in 2011-05-23,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundDelirium is a common problem and associated with poor outcomes in intensive care unit (ICU) patients. Diagnosis of delirium in ICU patients is limited and usually underdiagnosed by physicians. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is one of the most widely used screening methods for detection of ICU delirium. Our goal was to translate and validate the CAM-ICU for use in the Korean ICU setting.MethodsTranslation of the CAM-ICU was done according to the guidelines suggested by the Translation and Cultural Adaptation Group. For validation and interrater reliability assessment of the Korean CAM-ICU, two nurses independently assessed delirium in ICU patients and the results were compared with the reference evaluation, which was done by a psychiatrist using the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV).ResultsTwenty-two patients were evaluated by two nurses and one psychiatrist expert independently. During the study period, we have continuously educated study nurses. Based on DSM-IV criteria, 16 out of 22 (72.7%) patients developed delirium. The sensitivities of the two nurses' evaluations using the Korean CAM-ICU were 89.80% for nurse 1 and 77.40% for nurse 2. Their specificities were 72.40% and 75.80% and their overall accuracy was 83.33% and 88.37% respectively. The Korean CAM-ICU was done with reasonable interrater reliability between nurse 1 and nurse 2 (κ = 0.81, p < 0.001).ConclusionsThe Korean CAM-ICU showed good validity and could be incorporated into clinical practice in Korean ICUs.Trial registrationISRCTN: ISRCTN50265663

【 授权许可】

Unknown   
© Heo et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.