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Verifying the Japanese version of the Preschool Confusion Assessment Method for the ICU (psCAM-ICU)

Yujiro Matsuishi1,2, Haruhiko Hoshino1,2, Nobutake Shimojo1

  • 1Department of Emergency and Critical Care Medicine Faculty of Medicine University of Tsukuba Tsukuba Ibaraki Japan.

Acute Medicine & Surgery
|July 16, 2019
PubMed

Insights

This study validated the Japanese version of the Pediatric Confusion Assessment Method for the Intensive Care Unit (psCAM-ICU) for diagnosing pediatric delirium. The Japanese psCAM-ICU demonstrated high sensitivity, specificity, and reliability in pediatric intensive care settings.

Area of Science:

  • Pediatric Intensive Care Medicine
  • Neuroscience
  • Psychiatry

Background:

  • Pediatric delirium is prevalent (20-44%) in pediatric intensive care units (PICUs).
  • Validated delirium assessment tools like the psCAM-ICU exist in English.
  • No validated Japanese tools are available for pediatric delirium assessment.

Purpose of the Study:

  • To verify the Japanese translation of the Preschool Confusion Assessment Method for the Intensive Care Unit (psCAM-ICU).
  • To assess the validity and reliability of the Japanese psCAM-ICU in a Japanese pediatric intensive care setting.

Main Methods:

  • Patients aged 6 months to 5 years in a Japanese PICU were assessed (May 2017-Feb 2019).
  • Delirium was evaluated by three medical workers and verified against DSM-5 criteria by psychiatrists.
  • Criterion validity (sensitivity, specificity) and reliability (Cohen's κ) were assessed.

Main Results:

  • 56 assessments were conducted on 19 pediatric patients.
  • The positive delirium rate was 54%.
  • The Japanese psCAM-ICU demonstrated high sensitivity (0.90) and specificity (0.93), with excellent reliability (κ=0.92).

Conclusions:

  • The Japanese translation of the psCAM-ICU is a valid and reliable tool.
  • This tool can aid in diagnosing pediatric delirium in Japanese-speaking PICU settings.
  • Facilitates improved delirium detection and management in Japanese pediatric patients.
Abstract

Keywords:
DeliriumJapanese versionpediatric deliriumpsCAM‐ICUvalidation

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