Valoración de la concordancia entre la escala CAM-ICU y la nursing delirium screening scale en el postoperatorio de cirugía cardiaca en una unidad de críticos

• Autores: A. Alcoba Pérez, S. Ciria Poza, C. Carracedo Catalán, A. García Fernández, José Miguel Marcos Vidal
• Localización: Enfermería intensiva, ISSN 1130-2399, Vol. 25, Nº. 3, 2014, págs. 100-106
• Idioma: español
• DOI: 10.1016/j.enfi.2014.03.003
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• Dialnet Métricas: 3 Citas
• Resumen

  • Objetivo Evaluar la concordancia entre la escala de valoración del delirio CAM-ICU y la Nursing Delirium Screening Scale (NDSS) en el postoperatorio de cirugía cardíaca.

    Material y métodos Estudio prospectivo en hospital terciario con selección consecutiva de pacientes postoperados de cirugía cardiaca. Durante la estancia en la Unidad de Críticos se administraron las escalas CAM-ICU y NDSS por el mismo investigador. Se realizó estadística descriptiva de variables demográficas y factores de riesgo preoperatorios de delirio. La concordancia se evaluó mediante el índice Kappa.

    Resultados Se incluyeron 106 pacientes, realizándose 214 valoraciones. La incidencia de delirio con la escala CAM-ICU fue del 8,4%, y en la NDSS del 16,8%. La concordancia expresada por el índice Kappa fue de 0,541.

    Conclusiones La concordancia entre la escala CAM-ICU y la NDSS en el postoperatorio de cirugía cardiaca y durante la estancia en la Unidad de Críticos es baja. Actualmente se recomienda la utilización de la CAM-ICU en este contexto, no debiendo sustituirse por la NDSS

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