The 2014 updated version of the Confusion Assessment Method for the Intensive Care Unit compared to the 5th version of the Diagnostic and Statistical Manual of Mental Disorders and other current methods used by intensivists

Annals of Intensive Care
Gérald ChanquesSamir Jaber

Abstract

One third of patients admitted to an intensive care unit (ICU) will develop delirium. However, delirium is under-recognized by bedside clinicians without the use of delirium screening tools, such as the Intensive Care Delirium Screening Checklist (ICDSC) or the Confusion Assessment Method for the ICU (CAM-ICU). The CAM-ICU was updated in 2014 to improve its use by clinicians throughout the world. It has never been validated compared to the new reference standard, the Diagnostic and Statistical Manual of Mental Disorders 5th version (DSM-5). We made a prospective psychometric study in a 16-bed medical-surgical ICU of a French academic hospital, to measure the diagnostic performance of the 2014 updated CAM-ICU compared to the DSM-5 as the reference standard. We included consecutive adult patients with a Richmond Agitation Sedation Scale (RASS) ≥ -3, without preexisting cognitive disorders, psychosis or cerebral injury. Delirium was independently assessed by neuropsychological experts using an operationalized approach to DSM-5, by investigators using the CAM-ICU and the ICDSC, by bedside clinicians and by ICU patients. The sensitivity, specificity, positive and negative predictive values were calculated considering neuropsychologi...Continue Reading

Associated Clinical Trials

References

Jun 11, 1994·BMJ : British Medical Journal·D G Altman, J M Bland
Jul 9, 1994·BMJ : British Medical Journal·D G Altman, J M Bland
Dec 22, 1993·JAMA : the Journal of the American Medical Association·J R Le GallF Saulnier
Jun 30, 2001·Intensive Care Medicine·N BergeronY Skrobik
Nov 8, 2002·American Journal of Respiratory and Critical Care Medicine·Curtis N SesslerR K Elswick
Jun 12, 2003·JAMA : the Journal of the American Medical Association·E Wesley ElyGordon R Bernard
Apr 9, 2005·Journal of the American Geriatrics Society·Ziad S NasreddineHoward Chertkow
Apr 21, 2006·Critical Care Medicine·Gerald ChanquesJean-Jacques Eledjam
May 16, 2006·Annales Françaises D'anesthèsie Et De Rèanimation·G ChanquesJ-J Eledjam
Apr 8, 2009·Intensive Care Medicine·Peter E SpronkJohannes H Rommes
Apr 23, 2009·Critical Care Medicine·Maarten M J van EijkArjen J C Slooter
Dec 24, 2009·Critical Care Medicine·Alawi LuetzClaudia D Spies
Apr 14, 2011·Stroke; a Journal of Cerebral Circulation·Constance Flamand-RozeChristian Denier
Nov 15, 2011·The British Journal of Psychiatry : the Journal of Mental Science·David MeagherMaeve Leonard
May 9, 2012·Critical Care : the Official Journal of the Critical Care Forum·Bart Van RompaeyPhilippe G Jorens
May 23, 2012·Critical Care Medicine·Ary Serpa NetoArjen J Slooter
Dec 28, 2012·Critical Care Medicine·Juliana BarrUNKNOWN American College of Critical Care Medicine
Jan 1, 2013·Annals of Intensive Care·Rodrigo Bernardo SerafimJosé Rodolfo Rocco
Apr 20, 2013·Critical Care : the Official Journal of the Critical Care Forum·Audrey de JongGérald Chanques
Aug 8, 2013·Intensive Care Medicine·Matthias HaenggiJukka Takala
Oct 4, 2013·The New England Journal of Medicine·P P PandharipandeUNKNOWN BRAIN-ICU Study Investigators
Jan 15, 2014·American Journal of Respiratory and Critical Care Medicine·Valerie J PageDaniel F McAuley
Jan 16, 2014·American Journal of Respiratory and Critical Care Medicine·Shruti B PatelJohn P Kress
May 13, 2014·The Lancet. Respiratory Medicine·James C JacksonUNKNOWN Bringing to light the Risk Factors And Incidence of Neuropsychological dysfunction in ICU survivors (BRAIN-ICU) study invest
Sep 18, 2014·Critical Care Medicine·Biren B KamdarDale M Needham
Jan 21, 2015·International Psychogeriatrics·Dimitrios AdamisGeraldine McCarthy
Feb 6, 2015·Critical Care Medicine·Ann M ParkerDale M Needham
Jun 5, 2015·BMJ : British Medical Journal·Jorge I F SalluhRobert D Stevens
Nov 11, 2015·Annals of Intensive Care·Cédric RafatDidier Dreyfuss
Nov 12, 2015·BioMed Research International·Helle SvenningsenPoul Videbech
Aug 12, 2016·Critical Care Medicine·Annemiek E WoltersDieuwke S Veldhuijzen
Sep 4, 2016·Annals of Intensive Care·Catharina E van EwijkArmand R J Girbes

❮ Previous
Next ❯

Citations

Mar 23, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Taylor L PowellTam N Pham
Feb 4, 2019·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Uta HerdenLutz Fischer
May 22, 2019·The European Respiratory Journal·Maria TafelmeierMichael Arzt
Jan 18, 2020·Nursing in Critical Care·Mosopefoluwa S OduyaleSandrine Claus
Apr 26, 2020·Critical Care Medicine·Kirsten M FiestHenry T Stelfox
Jul 22, 2020·BMJ Open Quality·Sarah Jordan Reif, A Joseph Layon
Jul 3, 2019·Annals of Intensive Care·Katharina ToftAlexa Hollinger
Mar 6, 2021·JACC. Cardiovascular Interventions·Maria I KörberRoman Pfister
Jun 2, 2021·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Maria I KörberRoman Pfister
Aug 18, 2021·Intensive Care Medicine·Joanna L StollingsE Wesley Ely
Sep 29, 2021·Renal Failure·Henrique Tadashi KatayamaUNKNOWN BraSIS study group Investigators

❮ Previous
Next ❯

Methods Mentioned

BETA
Sedation

Clinical Trials Mentioned

NCT02760446

Software Mentioned

SAS
CAM
ICU
RASS

Related Concepts

Related Feeds

Cavernous Hemangioma

Cavernous hemangioma is a blood vessel defect or benign tumor that leads to leakage of blood to the surrounding tissues. This can occur in several organs including the brain, which can lead to seizures. Discover the latest research on cavernous hemangiomas here.

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.