Effect of delirium motoric subtypes on administrative documentation of delirium in the surgical intensive care unit.
This study compares the proportions of surgical intensive care unit (ICU) patients with delirium detected using the Confusion Assessment Method for the ICU (CAM-ICU) who received administrative documentation for delirium using International Classification of Diseases, Ninth Revision, Clinical Modifi...
| Publicado en: | Journal of Clinical Monitoring & Computing Vol. 31; no. 3; pp. 631 - 641 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122654562&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 122654562 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13871307 OHC jtl: Journal of Clinical Monitoring & Computing issn: 13871307 maglogo: N pubinfo: dt: Jun2017 vid: 31 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 122654562 122654562 NLM27108353 122654562 10.1007/s10877-016-9873-1 NLM27108353 122654562 ppf: 631 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Effect of delirium motoric subtypes on administrative documentation of delirium in the surgical intensive care unit. aug: au: Bui, Lan Pham, Vy Shirkey, Beverly Swan, Joshua Bui, Lan N Pham, Vy P Shirkey, Beverly A Swan, Joshua T affil: Department of Pharmacy , Houston Methodist Hospital , 6565 Fannin Street DB1-09 Houston 77030 USA sug: subj: Movement Disorders Diagnosis Documentation Standards Delirium Diagnosis Psychological Tests Standards Delirium Classification International Classification of Diseases Standards Critical Care Standards International Relations Movement Disorders Classification Adult Aged Sensitivity and Specificity Retrospective Design Middle Age Young Adult Practice Guidelines Aged, 80 and Over Male Reproducibility of Results Female Human Clinical Assessment Tools Scales Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Aged, 80 & over Male Female ab: This study compares the proportions of surgical intensive care unit (ICU) patients with delirium detected using the Confusion Assessment Method for the ICU (CAM-ICU) who received administrative documentation for delirium using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes, stratified by delirium motoric subtypes. This retrospective cohort study was conducted at a surgical ICU from 06/2012 to 05/2013. Delirium was assessed twice daily and was defined as having ≥1 positive CAM-ICU rating. Delirious patients were categorized into hyperactive/mixed and hypoactive subtypes using corresponding Richmond Agitation Sedation Scales. Administrative documentation of delirium was defined as having ≥1 of 32 unique ICD-9-CM codes. Proportions were compared using Pearson's Chi-square test. Of included patients, 40 % (423/1055) were diagnosed with delirium, and 17 % (183/1055) had an ICD-9-CM code for delirium. The sensitivity and specificity of ICD-9-CM codes for delirium were 36 and 95 %. ICD-9-CM codes for delirium were available for 42 % (95 % CI 35-48 %; 105/253) of patients with hyperactive/mixed delirium and 27 % (95 % CI 20-34 %; 46/170) of patients with hypoactive delirium (relative risk = 1.5; 95 % CI 1.2-2.0; p = 0.002). ICD-9-CM codes yielded a low sensitivity for identifying patients with CAM-ICU positive delirium and were more likely to identify hyperactive/mixed delirium compared with hypoactive delirium. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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