<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-671X</journal-id>
<journal-title><![CDATA[Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Medicina Interna]]></abbrev-journal-title>
<issn>0872-671X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-671X2022000300005</article-id>
<article-id pub-id-type="doi">10.24950/rspmi.682</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The Confusion Assessment Method for Intensive Care Unit: A Large Cohort Validation Study in the Emergency Department of a Tertiary Hospital]]></article-title>
<article-title xml:lang="pt"><![CDATA[A Escala Confusion Assessment Method for Intensive Care Unit: Estudo de Validação numa Grande Coorte no Serviço de Urgência de um Hospital Terciário]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mariz]]></surname>
<given-names><![CDATA[José António]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3 "/>
<xref ref-type="aff" rid="Af4"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pires]]></surname>
<given-names><![CDATA[Olga]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[Amândia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bessa]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3 "/>
<xref ref-type="aff" rid="Af7"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correia]]></surname>
<given-names><![CDATA[Luís]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morgado]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3 "/>
<xref ref-type="aff" rid="Af7"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[Nuno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3 "/>
<xref ref-type="aff" rid="Af8"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Nadine Correia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A8"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,University of Minho - Campus Gualtar School of Medicine Life and Health Sciences Research Institute (ICVS)]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ICVS - Instituto de Investigação em Ciências da Vida e da Saúde/3B&#8217;s - PT Government Associate Laboratory  ]]></institution>
<addr-line><![CDATA[Braga/Guimarães ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Clinical Academic Center - Braga (2CA-B)  ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital de Braga Emergency Department ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital de Braga Internal Medicine Department ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,University of Minho, Campus Gualtar School of Medicine ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Hospital de Braga Psychiatry Department ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,University of Minho School of Medicine ACMP5 - Associação Centro de Medicina P5 (P5)]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>29</volume>
<numero>3</numero>
<fpage>5</fpage>
<lpage>13</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-671X2022000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-671X2022000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-671X2022000300005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The Confusion Assessment Method for Intensive Care Unit (CAM-ICU) is of great potential value in the emergency department (ED). However, there is still uncertainty about its diagnostic accuracy and reliability, with studies warranting larger cohorts. In one of the largest and most heterogeneous cohorts considered to date, the aim was to validate and explore the applicability of the CAM-ICU (European Portuguese) as a delirium screening and diagnostic tool in the ED setting of a main hospital referral centre.  Methods:  Data were randomly and prospectively recorded in a convenience sample of patients with 18 years or older admitted to the ED of Hospital de Braga (Braga, Portugal). Delirium status was primarily assessed using the CAM-ICU. For the validation aspect, the reference standard was a psychiatric evaluation, conducted within 3 hours of the CAM-ICU by a psychiatrist blind to the finding, using the DSM-5 diagnostic criteria, without external interference on the regular proceedings in the ED on the timing, number and operationalization of psychiatric evaluations in the setting.  Results:  After exclusion/inclusion criteria, of the 592 patients evaluated, 19.8% were diagnosed with delirium using the CAM-ICU. The reference standard was applied to 81 patients. The CAM-ICU presented a sensitivity of 95.2% (95% CI= 74.1 to 99.8) and specificity of 88.3% (95% CI= 76.8 to 94.8). CAM-ICU showed an accuracy of 90.1% with the reference standard.  Conclusion:  The CAM-ICU (Portuguese version) is practical, valid and reliable instrument for the assessment of delirium in the real setting of an ED showing sensibility, specificity and accuracy for delirium diagnosis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A escala Confusion Assessment Method for Intensive Care Unit (CAM-ICU) apresenta um grande potencial de aplicação no Serviço de Urgência (SU). No entanto, existem ainda incertezas relativas à sua acurácia e fiabilidade, requerendo estudos com maiores coortes. Numa das maiores e mais heterogéneas coortes conhecidas até o momento, aqui o objetivo foi validar e explorar a aplicabilidade da CAM-ICU (versão Português Europeu) como ferramenta de rastreio e diagnóstico de delirium no SU de um hospital terciário.  Métodos:  Os dados foram colhidos aleatoriamente e prospectivamente numa amostra de conveniência em doentes adultos admitidos no SU do Hospital de Braga. O delirium foi primeiramente avaliado usando a CAM-ICU. Para a validação, o padrão de referência foi a avaliação psiquiátrica, efetuada em intervalo de 3 horas da CAM-ICU, por psiquiatra oculto ao seu resultado, usando os critérios de diagnósticos da DSM-5, sem interferência nos procedimentos do SU relativa à operacionalização das avaliações psiquiátricas.  Resultados:  Após aplicar os critérios de exclusão/inclusão, dos 592 doentes avaliados, 19,8% foram diagnosticados com delirium usando a CAM-ICU. O padrão de referência foi aplicado a 81 doentes. A CAM-ICU apresentou uma sensibilidade de 95,2% (IC 95% = 74,1 a 99,8) e especificidade de 88,3% (IC 95% = 76,8 a 94,8). A CAM-ICU mostrou uma acurácia de 90,1% em relação ao padrão de referência.  Conclusão:  A CAM-ICU (versão Portuguesa) é um instrumento prático, válido e fiável para a avaliação de delirium em ambiente real de SU, mostrando uma sensibilidade, especificidade e acurácia para o diagnóstico de delirium.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Delírio/diagnóstico]]></kwd>
<kwd lng="pt"><![CDATA[Índice de Gravidade de Doença]]></kwd>
<kwd lng="pt"><![CDATA[Serviço de Urgência Hospitalar]]></kwd>
<kwd lng="pt"><![CDATA[Unidades de Cuidados Intensivos]]></kwd>
<kwd lng="en"><![CDATA[Delirium/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Emergency Service, Hospital]]></kwd>
<kwd lng="en"><![CDATA[Intensive Care Units]]></kwd>
<kwd lng="en"><![CDATA[Severity of Illness Index.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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