Diagnostic Test Accuracy of the Nursing Delirium Screening Scale: A Systematic Review and Meta-Analysis
Journal of Advanced Nursing
Jeong, E., Park, J., et al. (2020).
Journal of Advanced Nursing, 76(10), 2510-2521.
<div>This systematic review and meta-analysis investigates the accuracy of the Nursing Delirium Screening Scale (Nu-DESC) for screening delirium.</div>
No funding received
Not stated
<div>Prospective cohort studies</div>
11
<div>Meta-analysis of 11 studies reported the following psychometrics for the Nu-DESC when used to identify delirium in hospitalized adults:</div>
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<ul>
<li>pooled sensitivity = 68.6%;</li>
<li>pooled specificity = 89.4%;</li>
<li>pooled estimate of the area under the hierarchical summary receiver-operating characteristic curve = 0.88;</li>
<li>81.1% of both positive predictive value and negative predictive value observed with a prevalence of about 40%;</li>
<li>with cut-off value >1, the pooled sensitivity was 54.5% and the pooled specificity was 93.6%; and</li>
<li>with a cut-off value >0, the pooled sensitivity was 77.3% and the pooled specificity was 92.8%.</li>
</ul>
<div>Limitations to this review included potential for publication bias as well as the small number of included studies.</div>
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