Diagnostic Accuracy of the CAM-ICU and ICDSC in Detecting Intensive Care Unit Delirium: A Bivariate Meta-Analysis
International Journal of Nursing Studies
Chen, T. J., Chung, Y. W., et al. (2021).
International Journal of Nursing Studies, 113, 103782.
<div>This systematic review examines the diagnostic accuracy of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and the Intensive Care Delirium Screening Checklist (ICDSC) in detecting delirium in adults (ages 18 years or older) in intensive care units. 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>
Taipei Medical University Shuang Ho Hospital (Taiwan); Ministry of Science and Technology Taiwan
Database inception to April 26, 2019
<div>All studies assessing sensitivity and specificity of the CAM-ICU and ICDSC</div>
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<div>Both the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and the Intensive Care Delirium Screening Checklist (ICDSC) had adequate psychometric properties to accurately detect delirium in adults in intensive care units. The CAM-ICU had a pooled sensitivity and specificity of 0.84 and 0.95, respectively, and the ICDSC had a pooled sensitivity and specificity of 0.83 and 0.87, respectively. Limitations of the review included heterogeneity of participant characteristics and risk of bias across studies.</div>
