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Pilot study on the European Portuguese version of the Confusion Assessment Method

Published online by Cambridge University Press:  20 June 2014

Sónia Martins ,
Patrícia Moldes ,
João Pinto-de-Sousa ,
Filipe Conceição ,
José Artur Paiva ,
Mário R. Simões  and
Lia Fernandes Open the ORCID record for Lia Fernandes [Opens in a new window]
Sónia Martins
Affiliation:
Research and Education Unit on Aging, UNIFAI, University of Porto, Portugal
Patrícia Moldes
Affiliation:
Clinic of Psychiatry and Mental Health, CHSJ, Porto, Portugal
João Pinto-de-Sousa
Affiliation:
Department of Surgery, Faculty of Medicine, University of Porto, Portugal
Filipe Conceição
Affiliation:
UCISU, Intensive Medicine Service, CHSJ, Porto, Portugal
José Artur Paiva
Affiliation:
Intensive Care and Emergency Autonomous Management Unit, CHSJ. Faculty of Medicine, University of Porto, Portugal
Mário R. Simões
Affiliation:
Psychological Assessment Laboratory, CINEICC, Faculty of Psychology and Educational Sciences, University of Coimbra, Portugal
Lia Fernandes*
Affiliation:
UNIFAI/CINTESIS Research Unit, Faculty of Medicine, University of Porto. Clinic of Psychiatry and Mental Health, CHSJ, Porto, Portugal
*
Lia Fernandes, Faculty of Medicine, University of Porto, Al. Hernâni Monteiro, 4200–319 Porto, Portugal. Tel: +00351222052525;Fax: +00351225513601 E-mail: lfernandes@med.up.pt
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Abstract

Objective

To present the pilot study on the European Portuguese validation of the Confusion Assessment Method (CAM).

Methods

The translation process was carried out according to International Society Pharmacoeconomics and Outcomes Research guidelines with trained researchers and inter-rater reliability assessment. The study included 50 elderly patients, admitted (≥24 h) to two intermediate care units. Exclusion criteria were: Glasgow Coma Scale (total score ≤11), blindness/deafness, inability to communicate and not able to speak Portuguese. The sensitivity and specificity of CAM were assessed, with DSM-IV-TR criteria of delirium used as a reference standard.

Results

Findings revealed excellent inter-rater reliability (k>0.81), moderate sensitivity (73%) and excellent specificity (95%).

Conclusion

These preliminary results suggested that this version emerges as a promising diagnostic instrument for delirium.

Keywords

agedCAMdeliriumPortugalvalidation studies
Type
Rapid Communication
Information
Acta Neuropsychiatrica , Volume 26 , Issue 5 , October 2014 , pp. 321 - 324
Copyright
© Scandinavian College of Neuropsychopharmacology 2014 

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