Detection of delirium in palliative care unit patients: A prospective descriptive study of the Delirium Observation Screening Scale administered by bedside nurses

Palliative Medicine

Volumn 28, Issue 1, 2014, Pages 79-86

  Detroyer, Elke ^a,b   Clement, Paul M ^c   Baeten, Nele ^a   Pennemans, Michèle ^a   Decruyenaere, Marleen ^c   Vandenberghe, Joris ^c   Menten, Johan ^c   Joosten, Etienne ^c   Milisen, Koen ^a,c  

^a UNIVERSITY OF LEUVEN   (Belgium)

^b Katholieke Hogeschool Limburg   (Belgium)

^c UNIVERSITY HOSPITALS LEUVEN   (Belgium)

Author keywords

Delirium; Delirium Observation Screening Scale; palliative care; psychometrics; sensitivity and specificity; validation studies

Indexed keywords

AGED; ARTICLE; BRAIN CANCER; BREAST CANCER; CHRONIC OBSTRUCTIVE LUNG DISEASE; CHRONIC PANCREATITIS; CLINICAL ARTICLE; COLORECTAL CANCER; CONCURRENT VALIDITY; CRONBACH ALPHA COEFFICIENT; DELIRIUM; DELIRIUM OBSERVATION SCREENING SCALE; ESOPHAGUS CANCER; FEMALE; HEMATOLOGIC MALIGNANCY; HUMAN; INTERNAL CONSISTENCY; LIVER CANCER; LUNG CANCER; MALE; NEUROENDOCRINE TUMOR; NURSE; PALLIATIVE THERAPY; PANCREAS CANCER; PREDICTIVE VALUE; PROSPECTIVE STUDY; PSYCHOMETRY; SENSITIVITY AND SPECIFICITY; ALGORITHM; CASE CONTROL STUDY; CHRONIC DISEASE; HOSPITAL SUBDIVISIONS AND COMPONENTS; MASS SCREENING; MENTAL HEALTH; NEOPLASMS; NURSING; OBSERVATION; OUTCOME ASSESSMENT; PROCEDURES; QUESTIONNAIRE; REPRODUCIBILITY; SOCIAL CLASS; STANDARDS; STATISTICS AND NUMERICAL DATA; VALIDATION STUDY;

AGED; ALGORITHMS; CASE-CONTROL STUDIES; CHRONIC DISEASE; DELIRIUM; FEMALE; HOSPITAL UNITS; HUMANS; MALE; MASS SCREENING; MENTAL STATUS SCHEDULE; NEOPLASMS; OBSERVATION; OUTCOME ASSESSMENT (HEALTH CARE); PALLIATIVE CARE; PROSPECTIVE STUDIES; PSYCHOMETRICS; QUESTIONNAIRES; REPRODUCIBILITY OF RESULTS; SOCIAL CLASS;

EID: 84890901596     PISSN: 02692163     EISSN: 1477030X     Source Type: Journal    
DOI: 10.1177/0269216313492187     Document Type: Article

References (38)

1. Centeno C, Sanz A, Bruera E. Delirium in advanced cancer patients. Palliat Med. 2004 ; 18: 184-194
2. Lawlor PG, Gagnon B, Mancini IL, et al. Occurrence, causes, and outcome of delirium in patients with advanced cancer: a prospective study. Arch Intern Med. 2000 ; 27: 786-794
3. Leonard M, Spiller J, Keen J, et al. Symptoms of depression and delirium assessed serially in palliative care inpatients. Psychosomatics. 2009 ; 50: 506-514
4. Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association ; 2000: 135-147.
5. Breibart W, Gibson C, Tremblay A. The delirium experience: delirium recall on delirium-related distress in hospitalized patients with cancer, their spouses/caregivers, and their nurses. Psychosomatics. 2002 ; 43: 183-194
6. Bruera E, Fainsinger RL, Miller MJ, et al. The assessment of pain intensity in patients with cognitive failure: a preliminary report. J Pain Symptom Manage. 1992 ; 7: 267-270
7. Milisen K, Steeman E, Foreman M. Early detection and prevention of delirium in older patients with cancer. Eur J Cancer Care. 2004 ; 13: 494-500
8. Morita T, Tei Y, Inoue S. Impaired communication capacity and agitated delirium in the final week of terminally ill cancer patients: prevalence and identification of research focus. J Pain Symptom Manage. 2003 ; 26: 827-834
9. Fang CK, Chen HW, Liu SI, et al. Prevalence, detection and treatment of delirium in terminal care. Jpn J Clin Oncol. 2008 ; 38: 56-63
10. Moyer D. Terminal delirium in geriatric patients with cancer at end of life. Am J Hosp Palliat Care. 2011 ; 28: 44-51
11. Adamis D, Sharma N, Whelan PJP, et al. Delirium scales: a review of current evidence. Aging Ment Health. 2010 ; 14: 543-555
12. Hjermstad MJ, Loge JH, Kaasa S. Methods for assessment of cognitive failure and delirium in palliative care patients: implications for practice and research. Palliat Med. 2004 ; 18: 494-506
13. Leonard M, Agar M, Mason C, et al. Delirium issues in palliative care settings. J Psychosom Res. 2008 ; 65: 289-298
14. Wong CL, Holroyd-Leduc J, Simel DL, et al. Does this patient have delirium? Value of bedside instruments. JAMA. 2010 ; 304: 779-786
15. Lemiengre J, Nelis T, Joosten E, et al. Detection of delirium by bedside nurses using the confusion assessment method. J Am Geriatr Soc. 2006 ; 54: 685-689
16. Ryan K, Leonard M, Guerin S, et al. Validation of the confusion assessment method in the palliative care setting. Palliat Med. 2009 ; 23: 40-45
17. Young RS, Arseven A. Diagnosing delirium. JAMA. 2010 ; 304: 2125-2126
18. Gagnon P, Allard P, Masse B, et al. Delirium in terminal cancer: a prospective study using daily screening, early diagnosis, and continuous monitoring. J Pain Symptom Manage. 2000 ; 19: 412-426
19. Lawlor PG, Nekolaichuk C, Gagnon B, et al. Clinical utility, factor analysis, and further validation of the Memorial Delirium Assessment Scale in patients with advanced cancer. Cancer. 2000 ; 88: 2859-2867
20. Milisen K, Foreman MD, Hendrickx A, et al. Psychometric properties of the Flemish translation of the NEECHAM Confusion Scale. BMC Psychiatry. 2005 ; 5: 16
21. Schuurmans MJ, Shortridge-Baggett LM, Duursma SA. The Delirium Observation Screening Scale: a screening instrument for delirium. Res Theory Nurs Pract. 2003 ; 17: 31-50
22. Koster S, Hensens AG, Oosterveld FGJ, et al. The DOS recognizes delirium early after cardiac surgery. Eur J Cardiovasc Nurs. 2009 ; 8: 309-314
23. Van Gemert LA, Schuurmans MJ. The Neecham Confusion Scale and the Delirium Observation Screening Scale: capacity to discriminate and ease of use in clinical practice. BMC Nurs. 2007 ; 6: 3
24. Scheffer AC, Van Munster BC, Schuurmans MJ, et al. Assessing severity of delirium by the Delirium Observation Screening Scale. Int J Geriatr Psychiatry. 2010 ; 26: 284-291
25. Inouye SK, Van Dyck CH, Alessi CA, et al. Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med. 1990 ; 113: 941-948
26. Inouye SK The Confusion Assessment Method (CAM): training manual and coding guide. New Haven, CT: Yale University School of Medicine ; 2003 :
27. McCusker J, Cole MG, Dendukuri N. The delirium index, a measure of the severity of delirium: new findings on reliability, validity, and responsiveness. J Am Geriatr Soc. 2004 ; 52: 1744-1749
28. Molloy DW, Alemayehu BS, Roberts R. Reliability of a standardized mini-mental state examination compared with the traditional mini-mental state examination. Am J Psychiatry. 1991 ; 148: 102-105
29. 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 (CAMICU). JAMA. 2001 ; 286: 2703-2710
30. Sim J, Wright CC. The kappa statistic in reliability studies: use, interpretation, and sample size requirements. Phys Ther. 2005 ; 85: 257-267
31. Byrt T, Bishop J, Carlin JB. Bias, prevalence and kappa. J Clin Epidemiol. 1993 ; 46: 423-429
32. Feinstein AR, Cicchetti DV. High agreement but low kappa: i. The problems of two paradoxes. J Clin Epidemiol. 1990 ; 43: 543-549
33. Trzepacz PT, Mittal D, Torres R, et al. Validation of the Delirium Rating Scale-revised-98: comparison with the delirium rating scale and the cognitive test for delirium. J Neuropsychiatry Clin Neurosci. 2001 ; 13: 229-242
34. Teodorczuk A, Reynish E, Milisen K. Improving recognition of delirium in clinical practice: a call for action. BMC Geriatr. 2012 ; 12: 55
35. Ewing G, Rogers M, Barclay S, et al. Recruiting patients into a primary care based study of palliative care: why is it so difficult?. Palliat Med. 2004 ; 18: 452-459
36. Deschodt M, Braes T, Flamaing J, et al. Preventing delirium in older adults with recent hip fracture through multidisciplinary geriatric consultation. J Am Geriatr Soc. 2012 ; 60: 733-739
37. Milisen K, Foreman MD, Abraham IL, et al. A nurse-led interdisciplinary intervention program for delirium in elderly hip-fracture patients. J Am Geriatr Soc. 2001 ; 49: 523-532
38. Thomas C, Kreisel SH, Oster P, et al. 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: 1471-1477