Using the Nursing Delirium Screening Scale in Assessing Postoperative Delirium: A Meta-Regression
Research in Nursing & Health
Ho, M. H., Choi, E. P. H., et al. (2022).
Research in Nursing & Health, 45(1), 23-33.
<div>This systematic review investigates the diagnostic accuracy of the nursing delirium screening scale (Nu-DESC) in assessing postoperative delirium. Of note, although speech-language pathologists (SLPs) do not diagnose delirium, SLPs may administer delirium screening tools as part of a multidisciplinary effort to prevent and manage delirium.</div>
University of Wollongong (Australia)
From January 2005 to June 2020
<div>Cohort studies, including prospective, cross‐sectional, case‐control, and retrospective designs</div>
11
<div>Studies showed the following psychometrics for the Nu-DESC when used to detect postoperative delirium in hospitalized adults:</div>
<div>
<ul>
<li>pooled sensitivity of 0.73;</li>
<li>pooled specificity of 0.93;</li>
<li>positive likelihood ratio of 10.2;</li>
<li>negative likelihood ratio of 0.29;</li>
<li>pooled diagnostic odds ratio of 35; and</li>
<li>area under the curve of 0.94.</li>
</ul>
<div>Limitations to this review included heterogeneity of reference standards used by the included studies as well as limited regions of study.</div>
</div>
