Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Translation and validation of the Korean confusion assessment method for the intensive care uni | Heo et al. BMC Psychiatry 2011 11 94 http 1471-244X 11 94 BMC Psychiatry RESEARCH ARTICLE Open Access Translation and validation of the Korean confusion assessment method for the intensive care unit Eun Young Heo Byoung-Jo Lee Bong-Jin Hahm Eun Hee Song Han-A Lee Chul-Gyu Yoo Young Whan Kim Sung Koo Han Young-Soo Shim and Sang-Min Lee Abstract Background Delirium is a common problem and associated with poor outcomes in intensive care unit ICU patients. Diagnosis of delirium in ICU patients is limited and usually underdiagnosed by physicians. The Confusion Assessment Method for the Intensive Care Unit CAM-ICU is one of the most widely used screening methods for detection of ICU delirium. Our goal was to translate and validate the CAM-ICU for use in the Korean ICU setting. Methods Translation of the CAM-ICU was done according to the guidelines suggested by the Translation and Cultural Adaptation Group. For validation and interrater reliability assessment of the Korean CAM-ICU two nurses independently assessed delirium in ICU patients and the results were compared with the reference evaluation which was done by a psychiatrist using the Diagnostic and Statistical Manual of Mental Disorders IV DSM-IV . Results Twenty-two patients were evaluated by two nurses and one psychiatrist expert independently. During the study period we have continuously educated study nurses. Based on DSM-IV criteria 16 out of 22 patients developed delirium. The sensitivities of the two nurses evaluations using the Korean CAM-ICU were for nurse 1 and for nurse 2. Their specificities were and and their overall accuracy was and respectively. The Korean CAM-ICU was done with reasonable interrater reliability between nurse 1 and nurse 2 k p . Conclusions The Korean CAM-ICU showed good validity and could be incorporated into clinical practice in Korean ICUs. Trial registration ISRCTN ISRCTN50265663 Background Delirium is .
