ICU意识模糊评估法中的数字法评估注意缺损的灵敏度和特异度评价

The sensitivity and specificity of using a numeric sequence of Confusion Assessment Method for the ICU to assess patient inattention

目的研究应用ICU意识模糊评估法中的数字法评估注意缺损的敏感性和特异性。方法选取某三级甲等医院呼吸科ICU、普通外科ICU、心脏科CCU符合入选条件的患者74例,分别用ICU意识模糊评估法中的图片册A和数字法对患者的注意缺损情况进行检查。结果数字法与图片册A的一致性系数(Kappa值)为0.907。以图片册A评估结果为标准,数字法评估注意缺损的灵敏度和特异度分别为100.00%和94.20%。结论数字法与图片法具有良好的相关性和一致性,ICU意识模糊评估法中应用数字法评估注意缺损适用于我国ICU患者。

Objective To determine the sensitivity and specificity of a numeric sequence from ICU confusion assessment method to assess patient inattention in ICU populations. Methods A total of 74 participants from RICU, SICU, and CCU were recruited from a 3 A - level hospital. Each participant was assessed using pictures and numeric sequences from ICU confusion assessment method. Results The Kappa Value was 0. 907 between numeric sequences and pictures volum A. Given the picture volum A resuhs as the standard, the sensitivity and specificity of numeric sequences were 100.00% and 94.20%, respectively. Conclusion The numeric sequence has a high correlation and consistency with pictures volum A. It can be used to assess patient inattention in detecting ICU delirium in China.