CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severity

Detalhes bibliográficos
Autor(a) principal: Fagundes, Jorge Alberto de Oliveira
Data de Publicação: 2012
Outros Autores: Tomasi, Cristiane Damiani, Giombelli, Vinicius Rene, Alves, Sarah Cascaes, Macedo, Roberta Candal de, Topanotti, Maria Fernanda Locks, Bristot, Maria de Lourdes Ugioni, Brasil, Pedro Emmanuel Alvarenga Americano do, Soares, Márcio, Salluh, Jorge, Dal-Pizzol, Felipe, Ritter, Cristiane
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/36712
Resumo: Universidade do Extremo Sul Catarinense. Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, Brasil.
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spelling Fagundes, Jorge Alberto de OliveiraTomasi, Cristiane DamianiGiombelli, Vinicius ReneAlves, Sarah CascaesMacedo, Roberta Candal deTopanotti, Maria Fernanda LocksBristot, Maria de Lourdes UgioniBrasil, Pedro Emmanuel Alvarenga Americano doSoares, MárcioSalluh, JorgeDal-Pizzol, FelipeRitter, Cristiane2019-10-25T13:18:21Z2019-10-25T13:18:21Z2012FAGUNDES, Jorge Alberto de Oliveira et al. CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severity. Plos One, v. 7, n. 11, p. 1-7, Nov. 2012.1932-6203https://www.arca.fiocruz.br/handle/icict/3671210.1371/journal.pone.0051010engPublic Library of ScienceCAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severityinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade do Extremo Sul Catarinense. Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, Brasil.Universidade do Extremo Sul Catarinense. Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, Brasil / Hospital São José. Intensive Care Unit. Criciúma, SC, Brazil.Universidade do Extremo Sul Catarinense. Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, Brasil / Hospital São José. Intensive Care Unit. Criciúma, SC, Brazil.Universidade do Extremo Sul Catarinense. Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, Brasil / Hospital São José. Intensive Care Unit. Criciúma, SC, Brazil.Universidade do Extremo Sul Catarinense. Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, Brasil / Hospital São José. Intensive Care Unit. Criciúma, SC, Brazil.Universidade do Extremo Sul Catarinense. Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, Brasil / Hospital São José. Intensive Care Unit. Criciúma, SC, Brazil.Universidade do Extremo Sul Catarinense. Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, Brasil / Hospital São José. Intensive Care Unit. Criciúma, SC, Brazil.D’or Institute of Research and Education. Rio de Janeiro, RJ, Brazil / Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, Brasil.D’or Institute of Research and Education. Rio de Janeiro, RJ, Brazil / Instituto Nacional do Câncer. Programa de Pós-Graduação em Oncologia. Rio de Janeiro, RJ, Brasil.D’or Institute of Research and Education. Rio de Janeiro, RJ, Brazil / Instituto Nacional do Câncer. Programa de Pós-Graduação em Oncologia. Rio de Janeiro, RJ, Brasil.Universidade do Extremo Sul Catarinense. Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, Brasil / Hospital São José. Intensive Care Unit. Criciúma, SC, Brazil.Universidade do Extremo Sul Catarinense. Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, Brasil / Hospital São José. Intensive Care Unit. Criciúma, SC, Brazil.Introduction: Delirium is a prevalent condition in patients admitted to intensive care units (ICU) associated with worse outcomes. The principal aim of the present study was compare the agreement between two tools for delirium assessment in medical and surgical patients admitted to the ICU. Methods: Consecutive adult surgical and medical patients admitted to the ICU for more than 24 hours between March 2009 and September 2010 were included. Delirium was evaluated twice a day using the Intensive Care Delirium Screening Checklist (ICDSC) and Confusion Assessment Method adapted to the Intensive Care Unit (CAM-ICU). The kappa (k) and AC1 coefficients were calculated as a measure of agreement between the CAM-ICU and ICDSC. Results: A total of 595 patients were enrolled in the study. There were 69 (12%) emergency surgical, 207 (35%) elective surgical and 319 (54%) medical patients. Delirium incidence evaluated by the ICDSC, but not by the CAM-ICU, was similar among the three groups. Overall agreement between CAM-ICU and ICDSC was moderate (k = 0.5) to substantial (AC1 = 0.71). In medical patients the agreement between the two instruments was moderate (k = 0.53) to substantial (AC1 = 0.76). The agreement between the two tools in emergency surgical patients was also moderate (k = 0.53) to substantial (AC1 = 0.68). In elective surgical patients the agreement between the two instruments was low (k = 0.42) to substantial (AC1 = 0.74).Agreement rates seemed to be influenced by disease severity. The agreement rate in the general ICU population with APACHE II = ,14 was k = 0.57 and AC1 = 0.81, compared to k = 0.44 and AC1 = 0.59, in patients with more severe disease. This was even more different when the need for mechanical ventilation was used as a surrogate of disease severity. Conclusions: The agreement rates between CAM-ICU and ICDSC may vary between different groups of ICU patients and seems to be affected by disease severity.CAM-ICUICDSCICU patientsDisease severityinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/36712/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALve_Fagundes_Jorge_etal_INI_2012.pdfve_Fagundes_Jorge_etal_INI_2012.pdfapplication/pdf221521https://www.arca.fiocruz.br/bitstream/icict/36712/2/ve_Fagundes_Jorge_etal_INI_2012.pdf7cac8346201669b17a9e0e5ae76da7baMD52TEXTve_Fagundes_Jorge_etal_INI_2012.pdf.txtve_Fagundes_Jorge_etal_INI_2012.pdf.txtExtracted texttext/plain29335https://www.arca.fiocruz.br/bitstream/icict/36712/3/ve_Fagundes_Jorge_etal_INI_2012.pdf.txt8ead106446a36fb0ccb1d3dcb0613946MD53icict/367122019-10-29 09:20:00.98oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352019-10-29T12:20Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severity
title CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severity
spellingShingle CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severity
Fagundes, Jorge Alberto de Oliveira
CAM-ICU
ICDSC
ICU patients
Disease severity
title_short CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severity
title_full CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severity
title_fullStr CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severity
title_full_unstemmed CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severity
title_sort CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severity
author Fagundes, Jorge Alberto de Oliveira
author_facet Fagundes, Jorge Alberto de Oliveira
Tomasi, Cristiane Damiani
Giombelli, Vinicius Rene
Alves, Sarah Cascaes
Macedo, Roberta Candal de
Topanotti, Maria Fernanda Locks
Bristot, Maria de Lourdes Ugioni
Brasil, Pedro Emmanuel Alvarenga Americano do
Soares, Márcio
Salluh, Jorge
Dal-Pizzol, Felipe
Ritter, Cristiane
author_role author
author2 Tomasi, Cristiane Damiani
Giombelli, Vinicius Rene
Alves, Sarah Cascaes
Macedo, Roberta Candal de
Topanotti, Maria Fernanda Locks
Bristot, Maria de Lourdes Ugioni
Brasil, Pedro Emmanuel Alvarenga Americano do
Soares, Márcio
Salluh, Jorge
Dal-Pizzol, Felipe
Ritter, Cristiane
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Fagundes, Jorge Alberto de Oliveira
Tomasi, Cristiane Damiani
Giombelli, Vinicius Rene
Alves, Sarah Cascaes
Macedo, Roberta Candal de
Topanotti, Maria Fernanda Locks
Bristot, Maria de Lourdes Ugioni
Brasil, Pedro Emmanuel Alvarenga Americano do
Soares, Márcio
Salluh, Jorge
Dal-Pizzol, Felipe
Ritter, Cristiane
dc.subject.en.pt_BR.fl_str_mv CAM-ICU
ICDSC
ICU patients
Disease severity
topic CAM-ICU
ICDSC
ICU patients
Disease severity
description Universidade do Extremo Sul Catarinense. Instituto Nacional de Ciência e Tecnologia Translacional em Medicina. Unidade Acadêmica de Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde. Laboratório de Fisiopatologia Experimental. Criciúma, SC, Brasil.
publishDate 2012
dc.date.issued.fl_str_mv 2012
dc.date.accessioned.fl_str_mv 2019-10-25T13:18:21Z
dc.date.available.fl_str_mv 2019-10-25T13:18:21Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv FAGUNDES, Jorge Alberto de Oliveira et al. CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severity. Plos One, v. 7, n. 11, p. 1-7, Nov. 2012.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/36712
dc.identifier.issn.none.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0051010
identifier_str_mv FAGUNDES, Jorge Alberto de Oliveira et al. CAM-ICU and ICDSC agreement in medical and surgical ICU patients is influenced by disease severity. Plos One, v. 7, n. 11, p. 1-7, Nov. 2012.
1932-6203
10.1371/journal.pone.0051010
url https://www.arca.fiocruz.br/handle/icict/36712
dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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instacron_str FIOCRUZ
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