title: [Development of Korean Intensive Care Delirium Screening Tool (KICDST)].
abstract: OBJECTIVE
  This study was done to develop of the Korean intensive care delirium screening tool (KICDST).
  
  
  METHODS
  The KICDST was developed in 5 steps: Configuration of conceptual frame, development of preliminary tool, pilot study, reliability and validity test, development of final KICDST. Reliability tests were done using degree of agreement between evaluators and internal consistency. For validity tests, CVI (Content Validity Index), ROC (Receiver Operating Characteristics) analysis, known group technique and factor analysis were used.
  
  
  RESULTS
  In the reliability test, the degree of agreement between evaluators showed .80~1.00 and the internal consistency was KR-20=.84. The CVI was .83~1.00. In ROC analysis, the AUC (Area Under the ROC Curve) was .98. Assessment score was 4 points. The values for sensitivity, specificity, correct classification rate, positive predictive value, and negative predictive value were found to be 95.0%, 93.7%, 94.4%, 95.0% and 93.7%, respectively. In the known group technique, the average delirium screening tool score of the non-delirium group was 1.25±0.99 while that of delirium group was 5.07±1.89 (t=-16.33, p<.001). The factors were classified into 3 factors (cognitive change, symptom fluctuation, psychomotor retardation), which explained 67.4% of total variance.
  
  
  CONCLUSIONS
  Findings show that the KICDST has high sensitivity and specificity. Therefore, this screening tool is recommended for early identification of delirium in intensive care patients.
authors.affiliation: Department of Nursing, Ajou University Medical Center·Nursing Research Institute, Ajou University, Suwon, Korea. rina@aumc.ac.kr.
authors.forename: Ae Ri Na
authors.initials: AR
authors.lastname: Nam
authors.affiliation: College of Nursing·Nursing Research Institute, Ajou University, Suwon, Korea.
authors.forename: Jee Won
authors.initials: JW
authors.lastname: Park
mesh_terms: D000368:Aged; D019540:Area Under Curve; D003422:Critical Care; D003693:Delirium / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011237:Predictive Value of Tests; D011594:Psychometrics; D012372:ROC Curve; D056910:Republic of Korea; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires
keywords: Delirium; Intensive Care; Reliability; Screening; Validity