CAM是研究中最常用的工具,并且也常用于临床实践,尽管在这种情况下,其敏感性通常较低,特别是当在没有推荐的算法前认知测试和访谈的情况下使用时。简短的 CAM (bCAM) 是 CAM 的 2 分钟 4 项变体,专为急诊室使用而设计和验证。CAM的另一个变体,3D-CAM,是一个2-5分钟(中位数为3分钟...
CAM是研究中最常用的工具,并且也常用于临床实践,尽管在这种情况下,其敏感性通常较低,特别是当在没有推荐的算法前认知测试和访谈的情况下使用时。简短的 CAM (bCAM) 是 CAM 的 2 分钟 4 项变体,专为急诊室使用而设计和验证。CAM的另一个变体,3D-CAM,是一个2-5分钟(中位...
CAM-ICU评估首先应进行镇静深度评估,推荐使用Richmond躁动镇静分级(Richmond agitation sedation scale, RASS)。处于深度镇静或不能唤醒状态的患者不能进行谵妄评估;如果患者能够唤醒,则继续进行下一步CAM-ICU评估(表4)。 表4.CAM-ICU诊断流程 第一步:先使用RASS评估患者镇静深度,如果评分为-4或-5则停止谵妄评估,若...
Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) Intensive Care Delirium Screening Checklist (ICDSC) Delirium symptom severity can be assessed by the Delirium Detection Scale (DDS) and the Memorial Delirium Assessment Scale (MDAS). See Workup for more detail. Management The goal...
The article describes the project of the Clinical Scene Investigator (CSI) team of Lehigh Valley Health Network-Cedar Crest trauma neuro intensive care unit (TNICU) which focused on developing evidence-based strategies to identify and treat delirium. Topics discussed include project goals and ...
Diagnosing delirium in elderly Thai patients: utilization of the CAM algorithm. BMC Fam Pract. 2011;12:65.Wongpakaran N,WongpakaranT,Bookamana P,Pinyopornpanish M, Maneeton B, Lerttrakarnnon P, et al. Diagnosing delirium in elderly Thai patients: utilization of the CAM algorithm. BMC Fam...
In a comparative pilot study, the S-PTD performed "very well" against the Confusion Assessment Method (CAM) in identifying delirium and "equally well with hypoactive and hyperactive delirium," said Jose R. Maldonado, MD, professor of psychiatry, internal medicine, surgery and emergency medicine ...
CAM-ICU: Confusion Assessment Method for the ICU (CAM-ICU) CI: Confidence interval HR: Hazard ratio ICU: Intensive Care Unit IQR: Interquartile range MIMIC-IV: Medical Information Mart for Intensive Care-IV MIT: Massachusetts Institute of Technology PSM: Propensity score matching RASS...
For observer B, (a nurse) the sensitivity was 83% and the specificity was 96%.The Spanish version of the CAM-ICU is a valid, reliable, and reproducible instrument that can be satisfactorily applied to diagnose delirium in Spanish-speaking ICU patients....
et al. Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA.2001;286:2703-2710.http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&Dopt=r&uid=entrez/query.fcgi?cmd=Retrieve&db...