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Tytuł pozycji:

The diagnostic threshold of Cornell assessment of pediatric delirium in detection of postoperative delirium in pediatric surgical patients

Tytuł :
The diagnostic threshold of Cornell assessment of pediatric delirium in detection of postoperative delirium in pediatric surgical patients
Autorzy :
Hong Hong
Chao Guo
Zhi-Hua Liu
Bo-Jie Wang
Shu-Zhe Zhou
Dong-Liang Mu
Dong-Xin Wang
Pokaż więcej
Temat :
Cornell assessment of pediatric delirium
Chinese version
Pediatric delirium
Surgery
Threshold
Pediatrics
RJ1-570
Źródło :
BMC Pediatrics, Vol 21, Iss 1, Pp 1-8 (2021)
Wydawca :
BMC, 2021.
Rok publikacji :
2021
Kolekcja :
LCC:Pediatrics
Typ dokumentu :
article
Opis pliku :
electronic resource
Język :
English
ISSN :
1471-2431
Relacje :
https://doaj.org/toc/1471-2431
DOI :
10.1186/s12887-021-02538-x
Dostęp URL :
https://doaj.org/article/614bd1ac71184a4ea5376ab8dedaed7a
Numer akcesji :
edsdoj.614bd1ac71184a4ea5376ab8dedaed7a
Czasopismo naukowe
Abstract Background Cornell assessment of pediatric delirium (CAPD) showed advantage in diagnosis of pediatric delirium in Chinese critically ill patients. But its performance in surgical patients is still unclear. The present study was designed to validate the diagnostic performance of CAPD in surgical pediatric patients. Methods This is a prospective validation study. Pediatric patients who underwent selective surgery and general anesthesia were enrolled. Primary outcome was the incidence of delirium within postoperative three days. CAPD Chinese version was used to evaluate if the patient had delirium one time per day. At the meantime, a psychiatrist employed Diagnostic and Statistical Manual of Mental Disorders fifth edition to diagnose delirium, which was the “gold standard”, and the result was considered as reference standard. Sensitivity, specificity and area under receiver operating characteristic (ROC) curve were calculated to investigate the performance of CAPD. Results A total of 170 patients were enrolled. Median age was 4 years old. As diagnosed by psychiatrist, 23 (13.5 %) patients experienced at least one episode of delirium during the follow-up period. When diagnostic threshold was set at 9, CAPD showed the optimal sensitivity (87.0 %, 95 %CI 65.3 %-96.6 %) and specificity (98.0 %, 95 %CI 93.7 %-99.5 %) in comparison with other diagnostic thresholds. ROC analysis showed that CAPD was a good delirium assessment instrument with area under curve of 0.911 (95 % CI 0.812 to 1.000, P

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