• Á Alcoba Pérez, S Ciria Poza, C Carracedo Catalán, A García Fernández, and J M Marcos Vidal.
• 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.
• Enferm Intensiva. 2014 Jul 1; 25 (3): 100-6.

ObjectiveTo evaluate concordance between the scale of delirium assessment CAM-ICU and the Nursing Delirium Screening Scale (NDSS) in postoperative cardiac surgery.Material And MethodsProspective 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.Results106 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.ConclusionsThe 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.Copyright © 2013 Elsevier España, S.L.U. y SEEIUC. All rights reserved.

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