The Thai version of the nursing delirium screening scale-Thai: Adaptation and validation study in postoperative patients
BackgroundThe Nursing Delirium Screening Scale (Nu-DESC) is an effective instrument for assessing postoperative delirium (POD). This study translated the Nu-DESC into Thai (“Nu-DESC-Thai”), validated it, and compared its accuracy with the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-...
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.956435/full |
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| author | Pawit Somnuke Peleen Limprapassorn Varalak Srinonprasert Varalak Srinonprasert Titima Wongviriyawong Patumporn Suraarunsumrit Ekkaphop Morkphrom Unchana Sura-amonrattana Harisd Phannarus Duangcheewan Choorerk Finn M. Radtke Onuma Chaiwat Onuma Chaiwat |
| author_facet | Pawit Somnuke Peleen Limprapassorn Varalak Srinonprasert Varalak Srinonprasert Titima Wongviriyawong Patumporn Suraarunsumrit Ekkaphop Morkphrom Unchana Sura-amonrattana Harisd Phannarus Duangcheewan Choorerk Finn M. Radtke Onuma Chaiwat Onuma Chaiwat |
| author_sort | Pawit Somnuke |
| collection | DOAJ |
| description | BackgroundThe Nursing Delirium Screening Scale (Nu-DESC) is an effective instrument for assessing postoperative delirium (POD). This study translated the Nu-DESC into Thai (“Nu-DESC-Thai”), validated it, and compared its accuracy with the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5).MethodsThe translation process followed the International Society for Pharmacoeconomics Outcome Research guidelines. Recruited participants were ≥ 70 years old, fluent in Thai, and scheduled for surgery. The exclusion criteria were cancellation or postponement of an operation, severe visual or auditory impairment, and patients with a Richmond Agitation Sedation Scale score of –4 or less before delirium assessment. Post-anesthesia care unit (PACU) nurses and residents on wards each used the Nu-DESC to assess delirium in 70 participants (i.e., 140 assessments) after the operation and after patient arrival at wards, respectively. Geriatricians confirmed the diagnoses using video observations and direct patient contact.ResultsThe participants’ mean age was 76.5 ± 4.6 years. The sensitivity and specificity of the Nu-DESC-Thai at a threshold of ≥ 2 were 55% (95% CI, 31.5–76.9%) and 90.8% (84.2–95.3%), respectively, with an area under a receiver operating characteristic curve (AUC) of 0.73. At a threshold of ≥ 1, the sensitivity and specificity were 85% (62.1–96.8%) and 71.7% (62.7–79.5%), respectively (AUC, 0.78). Adding 1 point for failing backward-digit counting (30–1) to the Nu-DESC-Thai and screening at a threshold of ≥ 2 increased its sensitivity to 85% (62.1–96.8%) with the same specificity of 90.8% (84.2–95.3%).ConclusionThe Nu-DESC-Thai showed good validity and reliability for postoperative use. Its sensitivity was inadequate at a cutoff ≥ 2. However, the sensitivity improved when the threshold was ≥ 1 or with the addition of backward counting to Nu-DESC-Thai and screening at a threshold of ≥ 2. |
| first_indexed | 2024-04-12T03:14:43Z |
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| id | doaj.art-dafba553beb9483f97b1d3f0a0558b86 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-12T03:14:43Z |
| publishDate | 2022-09-01 |
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| series | Frontiers in Medicine |
| spelling | doaj.art-dafba553beb9483f97b1d3f0a0558b862022-12-22T03:50:14ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-09-01910.3389/fmed.2022.956435956435The Thai version of the nursing delirium screening scale-Thai: Adaptation and validation study in postoperative patientsPawit Somnuke0Peleen Limprapassorn1Varalak Srinonprasert2Varalak Srinonprasert3Titima Wongviriyawong4Patumporn Suraarunsumrit5Ekkaphop Morkphrom6Unchana Sura-amonrattana7Harisd Phannarus8Duangcheewan Choorerk9Finn M. Radtke10Onuma Chaiwat11Onuma Chaiwat12Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDepartment of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Geriatric Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandFaculty of Medicine, Integrated Perioperative Geriatric Excellent Research Center, Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Geriatric Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Geriatric Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Geriatric Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDivision of Geriatric Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDepartment of Preventive and Social Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDepartment of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandDepartment of Anaesthesia and Intensive Care, Nykoebing Hospital, University of Southern Denmark (SDU), Odense, DenmarkDepartment of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandFaculty of Medicine, Integrated Perioperative Geriatric Excellent Research Center, Siriraj Hospital, Mahidol University, Bangkok, ThailandBackgroundThe Nursing Delirium Screening Scale (Nu-DESC) is an effective instrument for assessing postoperative delirium (POD). This study translated the Nu-DESC into Thai (“Nu-DESC-Thai”), validated it, and compared its accuracy with the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5).MethodsThe translation process followed the International Society for Pharmacoeconomics Outcome Research guidelines. Recruited participants were ≥ 70 years old, fluent in Thai, and scheduled for surgery. The exclusion criteria were cancellation or postponement of an operation, severe visual or auditory impairment, and patients with a Richmond Agitation Sedation Scale score of –4 or less before delirium assessment. Post-anesthesia care unit (PACU) nurses and residents on wards each used the Nu-DESC to assess delirium in 70 participants (i.e., 140 assessments) after the operation and after patient arrival at wards, respectively. Geriatricians confirmed the diagnoses using video observations and direct patient contact.ResultsThe participants’ mean age was 76.5 ± 4.6 years. The sensitivity and specificity of the Nu-DESC-Thai at a threshold of ≥ 2 were 55% (95% CI, 31.5–76.9%) and 90.8% (84.2–95.3%), respectively, with an area under a receiver operating characteristic curve (AUC) of 0.73. At a threshold of ≥ 1, the sensitivity and specificity were 85% (62.1–96.8%) and 71.7% (62.7–79.5%), respectively (AUC, 0.78). Adding 1 point for failing backward-digit counting (30–1) to the Nu-DESC-Thai and screening at a threshold of ≥ 2 increased its sensitivity to 85% (62.1–96.8%) with the same specificity of 90.8% (84.2–95.3%).ConclusionThe Nu-DESC-Thai showed good validity and reliability for postoperative use. Its sensitivity was inadequate at a cutoff ≥ 2. However, the sensitivity improved when the threshold was ≥ 1 or with the addition of backward counting to Nu-DESC-Thai and screening at a threshold of ≥ 2.https://www.frontiersin.org/articles/10.3389/fmed.2022.956435/fulldeliriumDSM-5Nu-DESCpostoperativescreening test |
| spellingShingle | Pawit Somnuke Peleen Limprapassorn Varalak Srinonprasert Varalak Srinonprasert Titima Wongviriyawong Patumporn Suraarunsumrit Ekkaphop Morkphrom Unchana Sura-amonrattana Harisd Phannarus Duangcheewan Choorerk Finn M. Radtke Onuma Chaiwat Onuma Chaiwat The Thai version of the nursing delirium screening scale-Thai: Adaptation and validation study in postoperative patients Frontiers in Medicine delirium DSM-5 Nu-DESC postoperative screening test |
| title | The Thai version of the nursing delirium screening scale-Thai: Adaptation and validation study in postoperative patients |
| title_full | The Thai version of the nursing delirium screening scale-Thai: Adaptation and validation study in postoperative patients |
| title_fullStr | The Thai version of the nursing delirium screening scale-Thai: Adaptation and validation study in postoperative patients |
| title_full_unstemmed | The Thai version of the nursing delirium screening scale-Thai: Adaptation and validation study in postoperative patients |
| title_short | The Thai version of the nursing delirium screening scale-Thai: Adaptation and validation study in postoperative patients |
| title_sort | thai version of the nursing delirium screening scale thai adaptation and validation study in postoperative patients |
| topic | delirium DSM-5 Nu-DESC postoperative screening test |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.956435/full |
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