Confusion assessment method: A systematic review and meta-analysis of diagnostic accuracy

Neuropsychiatric Disease and Treatment

Volumn 9, Issue , 2013, Pages 1359-1370

  Shi, Qiyun ^a,b   Warren, Laura ^c   Saposnik, Gustavo ^b   MacDermid, Joy C ^a  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

^b ST MICHAEL'S HOSPITAL   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

Author keywords

Confusion assessment method; Delirium; Diagnostic accuracy; Meta analysis; Systematic review

Indexed keywords

ACUTE DISEASE; CHRONIC DISEASE; CLINICAL DECISION MAKING; CONFIDENCE INTERVAL; CONFUSION ASSESSMENT METHOD; CONFUSION ASSESSMENT METHOD FOR THE INTENSIVE CARE UNIT; DELIRIUM; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; DSM-IV; EMBASE; HOSPITAL PERSONNEL; HOSPITALIZATION; HUMAN; INFORMATION RETRIEVAL; MEDLINE; META ANALYSIS (TOPIC); NAMED INVENTORIES, QUESTIONNAIRES AND RATING SCALES; PSYCINFO; REVIEW; SCREENING; SENSITIVITY AND SPECIFICITY; SYSTEMATIC REVIEW; VALIDITY;

EID: 84884379573     PISSN: 11766328     EISSN: 11782021     Source Type: Journal    
DOI: 10.2147/NDT.S49520     Document Type: Review

References (43)

1. Lipowski Z. Delirium in geriatric patients. In: Delirium: Acute Confusional States. New York: Oxford University Press; 1990.
2. Shi Q, Presutti R, Selchen D, Saposnik G. Delirium in acute stroke: a systematic review and meta-analysis. Stroke. 2012;43(3):645-649.
3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition: DSM-IV-TR. Washington. DC: American Psychiatric Association; 1994.
4. World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization; 1992.
5. Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med. 1990;113(12):941-948.
6. Trzepacz PT, Baker RW, Greenhouse J. A symptom rating scale for delirium. Psychiatry Res. 1988;23(1):89-97.
7. Radtke FM, Franck M, Oppermann S, et al. [The Intensive Care Delirium Screening Checklist (ICDSC)-translation and validation of intensive care delirium checklist in accordance with guidelines.]Anasthesiol Intensivmed Notfallmed Schmerzther. 2009;44(2):80-86. German.
8. Luetz A, Heymann A, Radtke FM, et al. Different assessment tools for intensive care unit delirium: which score to use? Crit Care Med. 2010; 38(2):409-418.
9. Higgins JP, Altman DG, Gotzsche PC, et al; Cochrane Bias Methods Group; Cochrane Statistical Methods Group. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.
10. Inouye SK, Foreman MD, Mion LC, Katz KH, Cooney Jr LM. Nurses' recognition of delirium and its symptoms: comparison of nurse and researcher ratings. Arch Intern Med. 2001;161(20):2467-2473.
11. Ely EW, Inouye SK, Bernard GR, et al. Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA. 2001;286(21): 2703-2710.
12. Ely EW, Margolin R, Francis J, et al. Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Crit Care Med. 2001;29(7): 1370-1379.
13. Whiting PF, Rutjes AW, Westwood ME, et al; QUADAS-2 Group. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011;155(8):529-536.
14. Reitsma JB, Glas AS, Rutjes AW, Scholten RJ, Bossuyt PM, Zwinderman AH. Bivariate analysis of sensitivity and specificity produces informative summary measures in diagnostic reviews. J Clin Epidemiol. 2005;58(10):982-990.
15. Moses LE, Shapiro D, Littenberg B. Combining independent studies of a diagnostic test into a summary ROC curve: data-analytic approaches and some additional considerations. Stat Med. 1993;12(14):1293-1316.
16. Sackett DL, Haynes RB, Guyatt CH, Tugwell P. The selection of diagnostic tests. In: Sackett DL, Haynes RB, Guyatt GH, Tugwell P, editors. Clinical Epidemiology. A Basic Science for Clinical Medicine. 2nd ed. Boston: Little, Brown and Company; 1991.
17. Review Manager (RevMan) [computer program]. Version 5.0: Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration; 2008.
18. Fabbri RM, Moreira MA, Garrido R, Almeida OP. Validity and reliability of the Portuguese version of the Confusion Assessment Method (CAM) for the detection of delirium in the elderly. Arq Neuropsiquiatr. 2001;59(2-A):175-179.
19. Gonzalez M, de Pablo J, Fuente E, et al. Instrument for detection of delirium in general hospitals: adaptation of the confusion assessment method. Psychosomatics. 2004;45(5):426-431.
20. Heo EY, Lee BJ, Hahm BJ, et al. Translation and validation of the Korean Confusion Assessment Method for the Intensive Care Unit. BMC Psychiatry. 2011;11:94.
21. Laurila JV, Pitkala KH, Strandberg TE, Tilvis RS. Confusion assessment method in the diagnostics of delirium among aged hospital patients: would it serve better in screening than as a diagnostic instrument? Int J Geriatr Psychiatry. 2002;17(12):1112-1119.
22. Leung JM, Leung VW, Leung CM, Pan PC. Clinical utility and validation of two instruments (the Confusion Assessment Method Algorithm and the Chinese version of Nursing Delirium Screening Scale) to detect delirium in geriatric inpatients. Gen Hosp Psychiatry. 2008;30(2):171-176.
23. Lin SM, Liu CY, Wang CH, et al. The impact of delirium on the survival of mechanically ventilated patients. Crit Care Med. 2004;32(11): 2254-2259.
24. Mitasova A, Kostalova M, Bednarik J, et al. Poststroke delirium incidence and outcomes: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Crit Care Med. 2012;40(2):484-490.
25. Radtke FM, Franck M, Schneider M, et al. Comparison of three scores to screen for delirium in the recovery room. Br J Anaesth. 2008;101(3): 338-343.
26. Radtke FM, Franck M, Schust S, et al. A comparison of three scores to screen for delirium on the surgical ward. World J Surg. 2010;34(3): 487-494.
27. Ryan K, Leonard M, Guerin S, Donnelly S, Conroy M, Meagher D. Validation of the confusion assessment method in the palliative care setting. Palliat Med. 2009;23(1):40-45.
28. van Eijk MM, van den Boogaard M, van Marum RJ, et al. Routine use of the confusion assessment method for the intensive care unit: a multicenter study. Am J Respir Crit Care Med. 2011;184(3):340-344.
29. Wongpakaran N, Wongpakaran T, Bookamana P, et al. Diagnosing delirium in elderly Thai patients: utilization of the CAM algorithm. BMC Fam Prac. 2011;12:65.
30. Gusmao-Flores D, Salluh JI, Dal-Pizzol F, et al. The validity and reliability of the Portuguese versions of three tools used to diagnose delirium in critically ill patients. Clinics (Sao Paulo). 2011;66(11): 1917-1922.
31. Thomas C, Kreisel SH, Oster P, Driessen M, Arolt V, Inouye SK. Diagnosing delirium in older hospitalized adults with dementia: adapting the confusion assessment method to international classification of diseases, tenth revision, diagnostic criteria. J Am Geriatr Soc. 2012;60(8):1471-1477.
32. Guenther U, Popp J, Koecher L, et al. Validity and reliability of the CAM-ICU Flowsheet to diagnose delirium in surgical ICU patients. J Crit Care. 2010;25(1):144-151.
33. Adamis D, Dimitriou C, Anifantaki S, et al. Validation of the Greek version of confusion assessment method for the intensive care unit (CAM-ICU). Intensive Crit Care Nurse. 2012;28(6):337-343.
34. Neufeld KJ, Hayat MJ, Coughlin JM, et al. Evaluation of two intensive care delirium screening tools for non-critically ill hospitalized patients. Psychosomatics. 2011;52(2):133-140.
35. Ryan DJ, O'Regan NA, Caoimh RO, et al. Delirium in an adult acute hospital population: predictors, prevalence and detection. BMJ Open. 2013;3(1).
36. Wang C, Wu Y, Yue P, et al. Delirium assessment using Confusion Assessment Method for the Intensive Care Unit in Chinese critically ill patients. J Crit Care. 2013;28(3):223-229.
37. Wei LA, Fearing MA, Sternberg EJ, Inouye SK. The Confusion Assessment Method: a systematic review of current usage. J Am Geriatr Soc. 2008;56(5):823-830.
38. Gusmao-Flores D, Figueira Salluh JI, Chalhub RA, Quarantini LC. The confusion assessment method for the intensive care unit (CAM-ICU) and intensive care delirium screening checklist (ICDSC) for the diagnosis of delirium: a systematic review and meta-analysis of clinical studies. Crit Care. 2012;16(4):R115.
39. Ramsay M, Savege T, Simpson B, Goodwin R. Controlled sedation with alphaxalone-alphadolone. Br Med J. 1974;2(5920):656-659.
40. Riker RR, Picard JT, Fraser GL. Prospective evaluation of the Sedation-Agitation Scale for adult critically ill patients. Crit Care Med. 1999;27(7):1325-1329.
41. Bergeron N, Dubois M-J, Dumont M, Dial S, Skrobik Y. Intensive Care Delirium Screening Checklist: evaluation of a new screening tool. Intensive Care Med. 2001;27(5):859-864.
42. Vasilevskis EE, Pandharipande PP, Girard TD, Ely EW. A screening, prevention, and restoration model for saving the injured brain in intensive care unit survivors. Crit Care Med. 2010;38(10):S683-S691.
43. Spronk PE, Riekerk B, Hofhuis J, Rommes JH. Occurrence of delirium is severely underestimated in the ICU during daily care. Intensive Care Med. 2009;35(7):1276-1280.