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

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.
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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。
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