| アブストラクト | AIMS: To synthesise the evidence on and to compare the diagnostic accuracy of the Nu-DESC and CAM in detecting postoperative delirium among hospitalised patients. DESIGN: Systematic review and diagnostic meta-analysis. DATA SOURCES: The PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, ProQuest Dissertations and Theses A&I, and PsycINFO databases were systematically searched from their inception to February 10, 2023. RESULTS: In total, 10 (n = 1950) and seven (n = 830) reports were included for the Nu-DESC and CAM, respectively. For Nu-DESC and CAM, the pooled sensitivities were 0.69 and 0.65, respectively, while the summary specificities were 0.99 for Nu-DESC and 0.92 for CAM. The pooled specificity differed significantly between the two tools (p < 0.001), despite comparable pooled sensitivities. The duration of stay in the intensive care unit significantly moderated the summary specificity of Nu-DESC (B = -0.0003, p = 0.009). Regarding CAM, the percentage of female participants showed a positive correlation with its pooled sensitivity (B = 0.005, p = 0.02). Furthermore, studies where clinical specialists served as assessors demonstrated a higher summary sensitivity than those assessed by nurses (0.87 vs. 0.25, p = 0.01). CONCLUSION: The sensitivities of the Nu-DESC and CAM for detecting postoperative delirium did not achieve optimal levels. Therefore, developing more accurate tools to detect postoperative delirium by integrating features from related risk factors or incorporating technology-based algorithms to enhance the screening capability is warranted. REPORTING METHOD: The study has adhered to PRISMA-DTA guideline. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. TRIAL REGISTRATION: The study protocol has been registered on PROSPERO (CRD42023398961). |
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| ジャーナル名 | Journal of clinical nursing |
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| 投稿日 | 2024/9/28 |
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| 投稿者 | Lin, Chia-Jou; Fick, Donna Marie; Traynor, Victoria; Chen, Yi-Chen; Hsiang, Hui-Fen; Chiu, Hsiao-Yean |
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| 組織名 | School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.;Ross and Carol Nese College of Nursing, The Pennsylvania State University,;University Park, Pennsylvania, USA.;School of Nursing, Faculty of Science, Medicine and Health, University of;Wollongong, New South Wales, Australia.;School of Nursing and Midwifery, Edith Cowan University, Western Australia,;Australia.;Department of Nursing, Taipei Medical University Hospital, Taipei, Taiwan.;Research Center of Sleep Medicine, College of Medicine, Taipei Medical;University, Taipei, Taiwan.;Research Center of Sleep Medicine, Taipei Medical University Hospital, Taipei,;Taiwan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/39334567/ |
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