A comparison of the CAM-ICU and the NEECHAM Confusion ... 2025

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Compared to expert assessments, the CAM-ICU had a sensitivity of 83% [95% confidence interval 7194], a specificity of 100% [100100], a PPV of 100% [100100] and a NPV of 91% [8497]. To measure the inter-observer reliability of the CAM-ICU, 98 patients were assessed by a second investigator.
The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is a tool specifically designed to assess for delirium in the context of ICU patients, including those on mechanical ventilation. CAM-ICU can be administered by non-specialists to give a dichotomous delirium present/absent result.
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For CAM-ICU, the pooled sensitivity and specificity were 0.81 (95% CI: 0.81-0.81) and 0.94 (95% CI: 0.94-0.94), and the hierarchical SROC curve was 0.96 (95% CI: 0.93-0.97).
What it measures: The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is a tool used to assess delirium among patients in the intensive care unit. It is an adaptation of the CAM which was originally developed to allow non-psychiatrists to assess delirium at bedside.
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The CAM-ICU Flowsheet investigators had sensitivities of 88% (95% confidence interval, 69%-98%) and 92% (74%-99%), specificities of 100% (85%-100%), very high interrater reliability (, 0.96; 0.87-1.00), and needed 50 seconds (interquartile range, 40-120 seconds) in patients with delirium vs 45 seconds (interquartile
Our results showed that the overall accuracy of the CAM-ICU is excellent, with pooled values for sensitivity and specificity of 80% and 95.9%, respectively. In addition, the pooled values for the sensitivity and specificity of the ICDSC were 74% and 81.9%, respectively.
Using the term ICU syndrome undermines both actions. Delirium occurs in at least 40% of patients in high-dependency units and ICUs. Its hallmark features are a reduced level of consciousness, disturbed cognition (memory, orientation, and language), and perceptual disturbances, with rapid onset and a fluctuating course.

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