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ORIGINAL ARTICLE
Year : 2016  |  Volume : 3  |  Issue : 2  |  Page : 68-71

Translation to serbian, transcultural adaptation and validation of the Confusion Assessment Method for the Intensive Care Unit (CAM- ICU)


1 Clinic for Psychiatric Disorders “Dr Laza Lazarevic” Urgent Psychiatry Service, Belgrade, Serbia
2 Clinic for Pharmacology, Toxicology and Clinical Pharmacology; Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
3 Clinic for Psychiatric Disorders “Dr Laza Lazarevic” Urgent Psychiatry Service, Belgrade; Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia

Correspondence Address:
Ivana Stašević Karlicic
Clinic for Psychiatric Disorders “Dr Laza Lazarević”, Višegradska 26, Belgrade
Serbia
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Source of Support: None, Conflict of Interest: None


DOI: 10.5530/ami.2016.2.15

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Aim: CAM- ICU is instrument for brief delirium screening in the intensive care unit (ICU) for ventilated and non-ventilated patients. The aim of this study was to translate, validate and evaluate the applicability of this instrument in the Serbian speaking area. Methods: Translation of the CAM-ICU was made according to International Society for Pharmacoeconomics and Outcomes Research guidelines. In this prospective cohort study, CAM-ICU was applied to 301 adult surgical ICUs by two different raters. We tested CAM-ICU for interrater reliability by correlation between them. The scale was validated by comparison with the reference evaluation, wich was done by a psychiatrist using the Diagnostic and Statistical Manual of Mental Disorders V (DSM-V). Interrater agreement was measured using weighted kappa (k) and correlation used Spearman´s test. Results: The Spearman correlation coefficient was highly significant for rater 1 (r=0.672, p<0.001) and for rater 2 (r=0.625, p<0.001). The inter-rater reliability expressed by the kappa coefficient between rater 1 and rater 2 was highly significant (k= 0.859, 95% CI, 0.910-0.99, p<0.001). Conclusion: CAM- ICU, the first validated instrument for early detection of delirium in the Serbian speaking area, is reliable, valid and easily applied in daily clinical practice.


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