Abstract presented at The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, 13-15 May 2019, Adelaide, Australi

Chang, H.C.

Chen, Kee-Hsin

Ho, Mu-Hsing

Montgomery, Amy

Traynor, Victoria

English

Research Online

University of WollongongResearch OnlineFaculty of Science, Medicine and Health - Papers:Part B Faculty of Science, Medicine and Health2019Diagnostic Accuracy of Delirium Assessment Toolsin Critical Ill Patients: A Systematic Review andMeta-analysisMu-Hsing HoUniversity of Wollongong, mhh838@uowmail.edu.auAmy MontgomeryUniversity of Wollongong, aes883@uowmail.edu.auKee-Hsin ChenUniversity of Wollongong, khchen@uow.edu.auH.C. ChangUniversity of Wollongong, hchang@uow.edu.auVictoria TraynorUniversity of Wollongong, vtraynor@uow.edu.auResearch Online is the open access institutional repository for the University of Wollongong. For further information contact the UOW Library:research-pubs@uow.edu.auPublication DetailsHo, M. H., Montgomery, A., Chen, K. H., Chang, H. C. R. & Traynor, V. (2019). Diagnostic Accuracy of Delirium Assessment Toolsin Critical Ill Patients: A Systematic Review and Meta-analysis. The Australian and New Zealand Society for Geriatric MedicineAnnual Scientific MeetingDiagnostic Accuracy of Delirium Assessment Tools in Critical Ill Patients:A Systematic Review and Meta-analysisAbstractAbstract presented at The Australian and New Zealand Society for Geriatric Medicine Annual ScientificMeeting, 13-15 May 2019, Adelaide, AustraliaKeywordstools, critical, ill, patients:, systematic, diagnostic, review, accuracy, meta-analysis, delirium, assessmentPublication DetailsHo, M. H., Montgomery, A., Chen, K. H., Chang, H. C. R. & Traynor, V. (2019). Diagnostic Accuracy ofDelirium Assessment Tools in Critical Ill Patients: A Systematic Review and Meta-analysis. The Australianand New Zealand Society for Geriatric Medicine Annual Scientific MeetingThis conference paper is available at Research Online: https://ro.uow.edu.au/smhpapers1/814Diagnostic Accuracy of Delirium Assessment Tools in Critical Ill Patients: A Systematic Review and Meta-analysis  Abstract  Aims: To evaluate and compare the diagnostic performance of the confusion assessment method for the intensive care unit (CAM-ICU) and the intensive care delirium screening checklist (ICDSC) in diagnosing delirium in critical ill patients. Methods: PubMed, Embase, CINAHL databases were searched for studies published in English or Mandarin up to December 2018. The meta-analysis was limited to studies in the ICU settings, used the diagnostic and statistical manual of mental disorders (DSM) as a standard reference to test the diagnostic accuracy of delirium assessment tool. Two investigators independently assessed study eligibility and extracted data. A bivariate random effects meta-analysis models were conducted for pooling and comparing diagnostic performance. The outcomes assessed were pooled sensitivities and specificities, summary receiver operating characteristic curve (sROC), the area under the curve (AUC), and diagnostic odds ratio (DOR). The possibility of publication bias was evaluated using Deek’s funnel plot in Stata software. Results: Of 29 studies met the inclusion criteria of which 23 and 8 focus on CAM-ICU and ICDSC, respectively. The pooled sensitivities of 0.85, 0.87, and pooled specificities of 0.95, 0.91 for CAM-ICU, ICDSC respectively. The AUC of the CAM-ICU was 0.96 (95% CI, 0.94-0.98), with DOR of 99 (95% CI, 55-177). The AUC of the ICDSC was 0.95 (95% CI, 0.92-0.96), and the DOR was 65 (95% CI, 27-153). Conclusions: Both CAM-ICU and ICDSC performed high accuracy, good sensitivity and excellent specificity. However, the CAM-ICU demonstrated a better diagnostic accuracy and is recommended for the most specific and comprehensive delirium assessment tool.  Keywords: delirium; critical care; intensive care unit; CAM-ICU; ICDSC 

Diagnostic Accuracy of Delirium Assessment Tools in Critical Ill Patients: A Systematic Review and Meta-analysis

https://ro.uow.edu.au/cgi/viewcontent.cgi?article=1828&amp;context=smhpapers1

Diagnostic Accuracy of Delirium Assessment Tools in Critical Ill Patients: A Systematic Review and Meta-analysis

Abstract

Similar works

Full text

Available Versions

Research Online