2011, Article / Letter to editor (American Journal of Respiratory Critical Care Care Medicine, vol. 184, iss. 3, (2011), pp. 340-344)Delirium is often unrecognized in ICU patients and associated with poor outcome. Screening for ICU delirium is recommended by several medical organizations to improve early diagnosis and treatment. The Confusion Assessment Method for the ICU (CAM-ICU) has high sensitivity and specificity for delirium when administered by research nurses. However, test characteristics of the CAM-ICU as performed in routine practice are unclear.
2010, Article / Letter to editor (Intensive Care Medicine, vol. 36, iss. suppl. 2, (2010), pp. s341)Delirium is a frequent disorder in the ICU associated with poor outcome. Several organizations, including the SCCM and the APA, therefore recommend standard screening for delirium to improve early diagnosis and treatment. The CAM-ICU is the most frequently used delirium detection tool in the Netherlands. Numerous studies to validate the CAM-ICU always yielded excellent sensitivity and specificity, but were all performed by a limited number of research nurses.