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Predictive Value and Validation of NEECHAM Confusing Scale using DSM-IV Criteria for Delirium as Gold Standard
Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
2011 (English)In: International Journal of Older People Nursing, ISSN 1748-3743, Vol. 6, no 2, 133-42 p.Article in journal (Refereed) Published
Abstract [en]

Delirium is common among old patients in hospital, especially those who undergo hip surgery. Various instruments have been developed for detecting delirium. One of these, the NEECHAM Confusion Scale, is easy for nurses to administrate but needs to be tested further. The aim of the present study was to assess the validity and predictive value of the NEECHAM Confusion Scale. Methods: The study was conducted in an orthopaedic clinic in Sweden among 149 patients aged >65, who had undergone surgery for a hip fracture. The patients were observed daily regarding DSM-IV criteria for delirium. The NEECHAM Confusion Scale was performed upon admission and prior to discharge. Results: The incidence of DSM-IV related delirium was 24%. Patients who scored below 25p on the NEECHAM scale had a 12 times higher risk of developing DSM-IV related delirium. In relation to delirium, according DSM-IV, the sensitivity upon admission of NEECHAM scale was 0 and the specificity was 75%. On discharge it was 100% and 91% respectively. Conclusions: This study compliments the topics that NEECHAM Confusions Scale discriminates for delirium. It is a valid and reliable screening instrument for predicting delirium. However, there are views on whether its physiological measurements should be excluded or not. The instrument should be used within clinical practice to identify older patients who are at risk of contracting delirium and when considering prevention measures.

Place, publisher, year, edition, pages
2011. Vol. 6, no 2, 133-42 p.
Keyword [en]
Acute confusion, Delirium, Hip fracture, Neecham Confusion Scale, Instrument, Validation
Research subject
Hälsa och välfärd, Delirium - Validering av NEECHAMs prediktiva förmåga
Identifiers
URN: urn:nbn:se:du-4337OAI: oai:dalea.du.se:4337DiVA: diva2:520117
Available from: 2009-12-14 Created: 2009-12-14 Last updated: 2012-04-24Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf