title: [Assessment of concordance between CAM-ICU scale and nursing delirium scale in postoperative period of ICU patients after cardiac surgery].
abstract: OBJECTIVE
  To evaluate concordance between the scale of delirium assessment CAM-ICU and the Nursing Delirium Screening Scale (NDSS) in postoperative cardiac surgery.
  
  
  METHODS
  Prospective study in tertiary hospital with consecutive selection of patients after cardiac surgery. During the stay in the Intensive Care Unit, CAM-ICU and NDSS were administered by the same researcher. For demographic and preoperative risk factors of delirium, descriptive statistical analysis was performed. Concordance was assessed using kappa index.
  
  
  RESULTS
  106 patients were included, performing 214 evaluations. Incidence of delirium with the CAM-ICU scale was of 8.4%, and of 16.8% with NDSS. The concordance expressed by the index Kappa was of 0.541.
  
  
  CONCLUSIONS
  The concordance between the CAM-ICU scale and the NDSS in the postoperative cardiac surgery and during the stay in the Intensive Care Unit is low. Currently, the use of the CAM-ICU was recommended in this context, but it must not be replaced for the NDSS.
authors.affiliation: Unidad de Reanimación Postquirúrgica, Complejo Asistencial Universitario de León, León, España; Servicio de Anestesiología y Reanimación, Complejo Asistencial Universitario de León , León, España. Electronic address: alcobap@hotmail.com.
authors.forename: Á
authors.initials: Á
authors.lastname: Alcoba Pérez
authors.affiliation: Unidad de Reanimación Postquirúrgica, Complejo Asistencial Universitario de León, León, España; Servicio de Anestesiología y Reanimación, Complejo Asistencial Universitario de León , León, España.
authors.forename: S
authors.initials: S
authors.lastname: Ciria Poza
authors.affiliation: Unidad de Reanimación Postquirúrgica, Complejo Asistencial Universitario de León, León, España; Servicio de Anestesiología y Reanimación, Complejo Asistencial Universitario de León , León, España.
authors.forename: C
authors.initials: C
authors.lastname: Carracedo Catalán
authors.affiliation: Unidad de Reanimación Postquirúrgica, Complejo Asistencial Universitario de León, León, España; Servicio de Anestesiología y Reanimación, Complejo Asistencial Universitario de León , León, España.
authors.forename: A
authors.initials: A
authors.lastname: García Fernández
authors.affiliation: Unidad de Reanimación Postquirúrgica, Complejo Asistencial Universitario de León, León, España; Servicio de Anestesiología y Reanimación, Complejo Asistencial Universitario de León , León, España.
authors.forename: J M
authors.initials: JM
authors.lastname: Marcos Vidal
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures; D003693:Delirium / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D009733:Nursing Diagnosis; D011183:Postoperative Complications / Q000175:diagnosis*; D011446:Prospective Studies
keywords: Cardiac surgery; Cirugía cardiaca; Cuidados intensivos; Delirio; Delirium; Enfermería; Intensive care; Nursing; Periodo postoperatorio; Postoperative period