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Related Experiment Videos

Arabic intensive care delirium screening checklist's validity and reliability: A multicenter study.

Nada S Al-Qadheeb1, Lama H Nazer2, Tharwat M Aisa3

  • 1Department of Critical Care, Hafer Albatin Central Hospital, Hafer Albatin, Saudi Arabia.

Journal of Critical Care
|September 3, 2019
PubMed
Summary

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The Arabic Intensive Care Delirium Screening Checklist (ICDSC) is a valid and reliable tool for detecting delirium in critically ill Arabic-speaking patients. This screening tool demonstrates high accuracy and consistency in intensive care unit settings.

Area of Science:

  • Critical Care Medicine
  • Psychiatry
  • Medical Translation & Adaptation

Background:

  • Delirium is a common complication in critically ill patients, impacting outcomes.
  • Existing screening tools may not be suitable for non-English speaking populations.
  • The Intensive Care Delirium Screening Checklist (ICDSC) is a widely used tool for delirium assessment.

Purpose of the Study:

  • To develop and validate an Arabic translation of the Intensive Care Delirium Screening Checklist (ICDSC).
  • To assess the reliability and validity of the Arabic ICDSC in critically ill patients.

Main Methods:

  • A multicentered study involving adult ICU patients.
  • Rigorous back-to-back translation methods were used for Arabic adaptation.
  • Concurrent validity was assessed against psychiatric evaluations; reliability was measured using Kappa coefficients and Cronbach's alpha.
Keywords:
ArabicDeliriumDelirium screening checklistIntensive care unitReliabilityValidity

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Main Results:

  • The Arabic ICDSC demonstrated strong diagnostic accuracy with an area under the ROC curve of 0.9413.
  • Sensitivity was 70% and specificity was 99% for delirium detection.
  • The tool showed acceptable internal consistency (Cronbach's α = 0.63) and excellent interrater agreement (κ = 0.85).

Conclusions:

  • The Arabic ICDSC is a valid and reliable instrument for screening delirium in Arabic-speaking ICU patients.
  • Further research is recommended to assess generalizability in mechanically ventilated patients and applicability in diverse Arabic critical care settings.