Comparison of the effectiveness of delirium evaluation tools in intensive care patients: pre-deliric versions 1 and 2, E-pre-deliric and ICDSC

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dc.authoridKUCUK, ONUR/0000-0001-5534-7579
dc.authorwosidKUCUK, ONUR/JMQ-5485-2023
dc.contributor.authorKucuk, O.
dc.contributor.authorMemis, D.
dc.contributor.authorInal, M. T.
dc.contributor.authorTuran, F. N.
dc.contributor.authorMemis, I.
dc.date.accessioned2024-06-12T10:59:14Z
dc.date.available2024-06-12T10:59:14Z
dc.date.issued2023
dc.departmentTrakya Üniversitesien_US
dc.description.abstractOBJECTIVE: This study's objective was to compare the effectiveness of the delirium prediction model (predeliric) and the early prediction model (E-predeliric) in delirium prediction in an intensive care unit (ICU) according to the Intensive Care Delirium Screening Checklist (ICD-SC). Our aim was to determine these models' us-ability and cut-off values for ICU patients. PATIENTS AND METHODS: We classified the studied patients based on their highest ICDSC scores (tested twice daily) during ICU hospitaliza-tion. ICDSC scores of 4 or higher indicated positive results for delirium, whereas a score of 0 represented a negative result. We recorded the patients' demographic and clinical details and characteristics and calculated their E-predeliric and predeliric version 1 and version 2 scores. To evaluate the effectiveness of the models, we used receiver operating characteristic (ROC) curve analysis. RESULTS: Two hundred fifty patients (55.6% males, mean age 60.6 +/- 18.7 years) participated in this study. Their mean Acute Physiology and Chronic Health Evaluation II (APACHE-II) score was 17.0 +/- 9.1. Delirium was more common in men, patients of older ages, those with high APACHE-II scores, those who had undergone urgent admissions, those with histories of trauma, those with high urea or creatinine values and those who had undergone sedation or mechanical ventilation. Compared to patients who did not develop delirium, those who did had longer ICU stays and hospital stays, as well as greater mortality risk. The cutoff values for the patients' pre-deliric version 1, predeliric version 2 and E-pre-deliric scores were 38% [area under ROC (AUROC)=1], 22% (AUROC=1) and 28% (AUROC=1), respectively. CONCLUSIONS: This study is the first to compare the pre-deliric and E-pre-deliric prediction models. These models' validity and reliability were acceptable. They were clinically use-ful, and we identified their cut-off values. These models provide options for early detection of delirium and are easily applicable in the ICU.en_US
dc.description.sponsorshipEthical Committee of the Trakya University Medical Faculty in Edirne, Turkey [TTF-BAEK 2017/263]en_US
dc.description.sponsorshipThe Ethical Committee of the Trakya University Medical Faculty in Edirne, Turkey (Chairperson Prof. UElfet Vatansever Ozbek) provided ethical approval for this study (TUTF-BAEK 2017/263) on 25 October 2017. All procedures followed were in accordance with the (institutional and national) ethical standards of the committee and the 1975 Declaration of Helsinki (revised in 2008) .en_US
dc.identifier.endpage10374en_US
dc.identifier.issn1128-3602
dc.identifier.issue21en_US
dc.identifier.pmid37975359en_US
dc.identifier.scopus2-s2.0-85177982140en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage10365en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20372
dc.identifier.volume27en_US
dc.identifier.wosWOS:001110624200004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical And Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDeliriumen_US
dc.subjectMortalityen_US
dc.subjectPre-Deliricen_US
dc.subjectE-Pre-Deliricen_US
dc.subjectCritical Careen_US
dc.subjectConfusion Assessment Methoden_US
dc.subjectMechanically Ventilated Patientsen_US
dc.subjectRisk-Factorsen_US
dc.subjectPostoperative Deliriumen_US
dc.subjectCam-Icuen_US
dc.subjectScreening Checklisten_US
dc.subjectUniten_US
dc.subjectOutcomesen_US
dc.subjectMortalityen_US
dc.titleComparison of the effectiveness of delirium evaluation tools in intensive care patients: pre-deliric versions 1 and 2, E-pre-deliric and ICDSCen_US
dc.typeArticleen_US

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