RADAR: A Measure of the Sixth Vital Sign?

Clinical Nursing Research
Philippe VoyerSylvie Richard

Abstract

The objective of this study was to investigate the potential of RADAR (Recognizing Active Delirium As part of your Routine) as a measure of the sixth vital sign. This study was a secondary analysis of a study (N = 193) that took place in one acute care hospital and one long-term care facility. The primary outcome was a positive sixth vital sign, defined as the presence of both an altered level of consciousness and inattention. These indicators were assessed using the Confusion Assessment Method. RADAR identified 30 of the 43 participants as having a positive sixth vital sign and 58 of the 70 cases as not, yielding a sensitivity and specificity of 70% and 83%, respectively. Positive predictive value was 71%. RADAR's characteristics, including its brevity and acceptability by nursing staff, make this tool a good candidate as a measure of the sixth vital sign. Future studies should address the generalizability of RADAR among various populations and clinical settings.

References

Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
Dec 15, 1990·Annals of Internal Medicine·S K InouyeR I Horwitz
Jul 13, 1974·Lancet·G Teasdale, B Jennett
Jan 1, 1994·International Psychogeriatrics·L Rönnberg, K Ericsson
Jan 1, 1996·International Psychogeriatrics·H Bickel
Jun 13, 1998·Journal of General Internal Medicine·S K InouyeP Pompei
May 2, 2002·Journal of the American Geriatrics Society·Gina BravoLise Messier
Jan 1, 2003·Journal of Clinical Epidemiology·F BuntinxM Van den Akker
May 20, 2003·Research and Theory for Nursing Practice·Marieke J SchuurmansSijmen A Duursma
Feb 10, 2004·Annals of Emergency Medicine·UNKNOWN American College of Emergency Physicians
Jan 26, 2006·Neurochemistry International·Sebastiaan EngelborghsPeter P De Deyn
Apr 6, 2006·Emergency Medicine Clinics of North America·Scott T Wilber
Aug 18, 2006·Journal of the American Geriatrics Society·Gail J McAvaySharon K Inouye
Jun 16, 2007·Journal of the American Medical Directors Association·Joseph H FlahertyThomas Edes
Apr 4, 2008·Journal of the American Geriatrics Society·Leslie A WeiSharon K Inouye
May 7, 2008·Journal of the American Medical Directors Association·Giuseppe Bellelli, Marco Trabucchi
Jul 1, 1997·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·M R Fearnside, UNKNOWN Trauma Committee, Neurosurgical Society of Australasia
Dec 20, 2008·Journal of the American Geriatrics Society·Kenneth BoockvarRita Shapiro
Jun 30, 2009·Journal of the American Medical Directors Association·Joseph H FlahertyUNKNOWN VA Delirium Working Group
Nov 19, 2011·Journal of the American Geriatrics Society·Martin G ColeEric Belzile
Oct 17, 2012·Journal of Gerontological Nursing·Ann M KolanowskiJane A McDowell
Nov 6, 2012·International Journal of Geriatric Psychiatry·Martin G ColeMarika Dubuc-Sarrasin
Nov 28, 2012·Clinics in Geriatric Medicine·Jin H Han, Scott T Wilber
Sep 3, 2013·Lancet·Sharon K InouyeJane S Saczynski
Oct 2, 2013·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Zoë TiegesAlasdair M J Maclullich
Feb 27, 2014·Journal of Neurology, Neurosurgery, and Psychiatry·Niamh A O'ReganSuzanne Timmons
Jan 1, 2012·World Journal of Emergency Medicine·Hai-Yu XiaoXue-Zhong Yu
Apr 7, 2015·BMC Nursing·Philippe VoyerPierre-Hugues Carmichael

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Citations

Jun 28, 2016·Journal of the American Medical Directors Association·Alessandro MorandiGiuseppe Bellelli
Sep 25, 2019·International Journal of Environmental Research and Public Health·Padraic NicholasD William Molloy
Jun 8, 2021·Journal of Psychosomatic Research·Suzanne S DunneColum P Dunne

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