An Evaluation of the PRE-DELIRIC (PREdiction of DELIRium in ICu Patients) Delirium Prediction Model in Intensive Care Units in Türkiye
Objective:This methodological study was conducted in order to carry out the adaptation and validation of the “PRE-DELIRIC score” prediction of delirium model in Türkiye among patients hospitalized in the intensive care unit (ICU).Materials and Methods:The research involved 172 patients treated in th...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2023-09-01
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| Series: | Türk Yoğun Bakim Derneği Dergisi |
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http://www.turkishjic.org/archives/archive-detail/article-preview/an-evaluation-of-the-pre-delrc-prediction-of-delri/53133
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| _version_ | 1827806639777906688 |
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| author | Samet Sayılan Volkan Özen Betül Tosun Aylin Aydın Sayılan Nurten Özen |
| author_facet | Samet Sayılan Volkan Özen Betül Tosun Aylin Aydın Sayılan Nurten Özen |
| author_sort | Samet Sayılan |
| collection | DOAJ |
| description | Objective:This methodological study was conducted in order to carry out the adaptation and validation of the “PRE-DELIRIC score” prediction of delirium model in Türkiye among patients hospitalized in the intensive care unit (ICU).Materials and Methods:The research involved 172 patients treated in the intensive care units of a training and research hospital between October 2019 and April 2020. The study data were collected using (1) a data collection form to determine the participants’ descriptive characteristics, (2) the PRE-DELIRIC score, and (3) the Confusion Assessment Method for the ICU (CAM-ICU). Receiver operating characteristic (ROC) analysis and diagnostic screening tests were applied for the purpose of determining cut-off points for the groups. The scores’ sensitivity and specificity were calculated. Significance was evaluated at the p<0.05 level.Results:A statistically significant association was determined between the cut-off point obtained for the PRE-DELIRIC score (≥7.58%) and the study groups (p=0.003). Patients with PRE-DELIRIC scores of 7.58 or higher exhibited a 7.404-fold greater risk of being CAM-ICU-positive [odds ratio: 7.404; 95% confidence interval (CI): 1.638-33.469]. The area under the ROC curve was 64.9% (95% CI: 0.538-0.760), and the standard error was 5.6% (p=0.044).Conclusion:The PRE-DELIRIC score yielded reliable results in this study. It appears significant for patients with a likelihood of developing delirium within the ICU, and its use is recommended as a functional score that is easily applied and calculated. |
| first_indexed | 2024-03-11T21:44:55Z |
| format | Article |
| id | doaj.art-bec8e6753d534a65b0cebac1bde07273 |
| institution | Directory Open Access Journal |
| issn | 2146-6416 2147-267X |
| language | English |
| last_indexed | 2024-03-11T21:44:55Z |
| publishDate | 2023-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Yoğun Bakim Derneği Dergisi |
| spelling | doaj.art-bec8e6753d534a65b0cebac1bde072732023-09-26T10:48:06ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2023-09-0121316217010.4274/tybd.galenos.2022.4824313049054An Evaluation of the PRE-DELIRIC (PREdiction of DELIRium in ICu Patients) Delirium Prediction Model in Intensive Care Units in TürkiyeSamet Sayılan0Volkan Özen1Betül Tosun2Aylin Aydın Sayılan3Nurten Özen4 Kırklareli University Faculty of Medicine, Department of Internal Medicine, Kırklareli, Turkey Prof. Dr. Cemil Taşcıoğlu City Hospital, Clinic of Anesthesiology and Reanimation, İstanbul, Turkey Hasan Kalyoncu University Faculty of Health Sciences, Department of Nursing, Gaziantep, Turkey Kırklareli University Faculty of Health Sciences, Department of Nursing, Kırklareli, Turkey Demiroğlu Bilim University Florence Nightingale Hospital School of Nursing, İstanbul, Turkey Objective:This methodological study was conducted in order to carry out the adaptation and validation of the “PRE-DELIRIC score” prediction of delirium model in Türkiye among patients hospitalized in the intensive care unit (ICU).Materials and Methods:The research involved 172 patients treated in the intensive care units of a training and research hospital between October 2019 and April 2020. The study data were collected using (1) a data collection form to determine the participants’ descriptive characteristics, (2) the PRE-DELIRIC score, and (3) the Confusion Assessment Method for the ICU (CAM-ICU). Receiver operating characteristic (ROC) analysis and diagnostic screening tests were applied for the purpose of determining cut-off points for the groups. The scores’ sensitivity and specificity were calculated. Significance was evaluated at the p<0.05 level.Results:A statistically significant association was determined between the cut-off point obtained for the PRE-DELIRIC score (≥7.58%) and the study groups (p=0.003). Patients with PRE-DELIRIC scores of 7.58 or higher exhibited a 7.404-fold greater risk of being CAM-ICU-positive [odds ratio: 7.404; 95% confidence interval (CI): 1.638-33.469]. The area under the ROC curve was 64.9% (95% CI: 0.538-0.760), and the standard error was 5.6% (p=0.044).Conclusion:The PRE-DELIRIC score yielded reliable results in this study. It appears significant for patients with a likelihood of developing delirium within the ICU, and its use is recommended as a functional score that is easily applied and calculated. http://www.turkishjic.org/archives/archive-detail/article-preview/an-evaluation-of-the-pre-delrc-prediction-of-delri/53133 critical carepre-deliricdeliriummodel |
| spellingShingle | Samet Sayılan Volkan Özen Betül Tosun Aylin Aydın Sayılan Nurten Özen An Evaluation of the PRE-DELIRIC (PREdiction of DELIRium in ICu Patients) Delirium Prediction Model in Intensive Care Units in Türkiye Türk Yoğun Bakim Derneği Dergisi critical care pre-deliric delirium model |
| title | An Evaluation of the PRE-DELIRIC (PREdiction of DELIRium in ICu Patients) Delirium Prediction Model in Intensive Care Units in Türkiye |
| title_full | An Evaluation of the PRE-DELIRIC (PREdiction of DELIRium in ICu Patients) Delirium Prediction Model in Intensive Care Units in Türkiye |
| title_fullStr | An Evaluation of the PRE-DELIRIC (PREdiction of DELIRium in ICu Patients) Delirium Prediction Model in Intensive Care Units in Türkiye |
| title_full_unstemmed | An Evaluation of the PRE-DELIRIC (PREdiction of DELIRium in ICu Patients) Delirium Prediction Model in Intensive Care Units in Türkiye |
| title_short | An Evaluation of the PRE-DELIRIC (PREdiction of DELIRium in ICu Patients) Delirium Prediction Model in Intensive Care Units in Türkiye |
| title_sort | evaluation of the pre deliric prediction of delirium in icu patients delirium prediction model in intensive care units in turkiye |
| topic | critical care pre-deliric delirium model |
| url |
http://www.turkishjic.org/archives/archive-detail/article-preview/an-evaluation-of-the-pre-delrc-prediction-of-delri/53133
|
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