Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Predictive value and validation of the NEECHAM Confusion Scale using DSM-IV criteria for delirium as gold standard
Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Högskolan Dalarna, Avdelningen för omvårdnad.
Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. (Omvårdnad)
2010 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 6, no 2, 133-142 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:Delirium is common among older people in hospital and various instruments have been developed for detecting delirium. One of these, the NEECHAM Confusion Scale, is easy for nurses to administrate but needs to be tested further.

AIMS AND OBJECTIVES:The aim of the present study was to assess the validity and predictive value of the NEECHAM Confusion Scale.

METHODS:The study was conducted among 149 patients aged ≥ 65, who had undergone surgery for a hip fracture. The patients were observed daily using DSM-IV criteria for delirium. The NEECHAM Confusion Scale was performed upon admission and prior to discharge.

RESULTS:The incidence of DSM-IV related delirium was 24%. Patients who scored below 25 points on the NEECHAM scale had a 12 times higher risk of developing DSM-IV related delirium. During admission, the sensitivity of NEECHAM was zero because all patients with DSM-IV delirium were excluded, the specificity was 75%. On discharge, it was 100% and 91% respectively.

CONCLUSIONS:This study adds to the body of knowledge that NEECHAM discriminates for delirium. It is a valid and reliable screening instrument for predicting delirium. The instrument can be used for clinical practice to identify patients who are at risk of contracting delirium and when considering prevention measures.

Place, publisher, year, edition, pages
2010. Vol. 6, no 2, 133-142 p.
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-10311DOI: 10.1111/j.1748-3743.2010.00232.xPubMedID: 21539718OAI: oai:DiVA.org:kau-10311DiVA: diva2:493842
Available from: 2012-02-08 Created: 2012-02-08 Last updated: 2015-12-28Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Johansson, Inger
By organisation
Department of Nursing
In the same journal
International Journal of Older People Nursing
Nursing

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 75 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf