Evaluation of the PRE-DELIRIC (PREdiction of DELIRium in ICu patients) delirium prediction model in intensive care units in Turkey

IF 0.2 Q4 CRITICAL CARE MEDICINE
Samet Sayılan, V. Ozen, Betül Tosun, Aylin Aydin Sayilan, N. Ozen
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Abstract

Purpose: This methodological study was aimed to the Turkish adaptation and validation of the “PRE-DELIRIC Score” delirium prediction model in patients hospitalized in the ICU. Method: The study was conducted with patients who were treated in the ICUs of a training and research hospital between October 2019 and April 2020. The data were collected with (1) the Data Collection Form for the Descriptive Characteristics of the Subjects, (2) the PRE-DELIRIC Score, and (3) the Confusion Assessment Method for the ICU (CAM-ICU). The ROC analysis and diagnosis screening tests were used to determine the cut-off point according to the groups. The sensitivity and specificity characteristic of the score were calculated. Significance was evaluated at the p<0.05 level. Results: The study was completed with 172 patients. A statistically significant relationship was found between the cut-off point obtained for the PRE-DELIRIC Score (≥7.58%) and the groups (p= 0.003). The risk of being CAM-ICU positive was 7.404 times higher in patients with a PRE-DELIRIC Score of 7.58 or more (OR:7.404; 95% CI:1.638-33.469). Conclusion: The PRE-DELIRIC Score was evaluated in this study and the PRE-DELIRIC Score was found to be easy to administer with reliable results.
土耳其重症监护病房谵妄预测模型的评估(预测ICu患者谵妄)
目的:本方法学研究旨在对土耳其“谵妄前评分”谵妄预测模型在ICU住院患者中的适用性和有效性进行验证。方法:选取2019年10月至2020年4月在某培训研究型医院icu就诊的患者为研究对象。数据采用(1)受试者描述性特征数据收集表,(2)谵妄前评分,(3)ICU混淆评估法(CAM-ICU)收集。采用ROC分析和诊断筛选试验来确定分组的分界点。计算评分的敏感性和特异性特征。p<0.05为显著性水平。结果:172例患者完成研究。谵妄前评分的截断点(≥7.58%)与组间无统计学意义(p=0.003)。谵妄前评分为7.58及以上的住院患者CAM-ICU阳性的风险是前者的7.404倍(or:7.404;95%置信区间:1.638—-33.469)。结论:本研究对谵妄前评分进行了评估,发现谵妄前评分易于使用,结果可靠。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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