The primary objective of this study is to test both the CAM-ICU and the ICSDS, using the DSM-IV criteria for delirium as golden standard. A secundary objective is to assess the value of the impression of the ICU physican whether or not a patient is…
ID
Source
Brief title
Condition
- Deliria (incl confusion)
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary study parameters are the diagnostic value of both screening
instruments (sensitivity, specificity and predictive value) as compared to the
gold standard, the DSM-IV criteria.
Secondary outcome
Secundary outcome parameters are the value of the impression of the ICU
physician (sensitivity, specificity and predictive value) as compared to the
gold standard, the DSM-IV criteria.
Background summary
Delirium in Intensive Care Unit (ICU) patients often goes unrecognized.
Delirium has serious consequences including increased length of stay and worse
outcome and can be treated. Different screening instruments are developed for
ICU nurses. Using different tools, the reported incidence of delirium during
ICU stay varies between 16 and 83%. It is uncertain whether the incidence
varies because of differences in case-mix or because of differences in
diagnostic value of the screening instruments. The Confussion Assessment Method
for the Intensive Care (CAM-ICU) and the Intensive Care Delirium Screening
Checklist (ICDSC) are mostly used in the ICU. These instruments have never been
tested within the same population.
Study objective
The primary objective of this study is to test both the CAM-ICU and the ICSDS,
using the DSM-IV criteria for delirium as golden standard. A secundary
objective is to assess the value of the impression of the ICU physican whether
or not a patient is delirious.
Study design
In this study, two screening instruments for delirium in ICU patients (CAM-ICU
and ICDSC) will be compared with a gold standard, a neuropsychiatric assessment
by a neurologist, psychiatrist or clinical geriatrician, using DSM-IV criteria
for delirium. In addition, the impression by the physcian will be compared with
the same gold standard.
Study burden and risks
There are no risks associated with screening for delirium; the burden is
minimal
Heidelberglaan 100
3584 CX
Nederland
Heidelberglaan 100
3584 CX
Nederland
Listed location countries
Age
Inclusion criteria
ICU-patients of the Univerity Medical Centre
Exclusion criteria
Patient who are deeply sedated ( Ramsayscore 5 or 6 )
Comatose patients (Glasgow Coma Score less than 8)
Patients who receive sedatives between evaluations with the various instruments
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL16002.041.07 |