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Psychometric properties of the Flemish translation of the NEECHAM Confusion Scale
BACKGROUND: Determination of a patient's cognitive status by use of a valid and reliable screening instrument is of major importance as early recognition and accurate diagnosis of delirium is necessary for effective management. This study determined the reliability, validity and diagnostic valu...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2005
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1079887/ https://www.ncbi.nlm.nih.gov/pubmed/15792498 http://dx.doi.org/10.1186/1471-244X-5-16 |
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author | Milisen, Koen Foreman, Marquis D Hendrickx, Annik Godderis, Jan Abraham, Ivo L Broos, Paul LO De Geest, Sabina |
author_facet | Milisen, Koen Foreman, Marquis D Hendrickx, Annik Godderis, Jan Abraham, Ivo L Broos, Paul LO De Geest, Sabina |
author_sort | Milisen, Koen |
collection | PubMed |
description | BACKGROUND: Determination of a patient's cognitive status by use of a valid and reliable screening instrument is of major importance as early recognition and accurate diagnosis of delirium is necessary for effective management. This study determined the reliability, validity and diagnostic value of the Flemish translation of the NEECHAM Confusion Scale. METHODS: A sample of 54 elderly hip fracture patients with a mean age of 80.9 years (SD = 7.85) were included. To test the psychometric properties of the NEECHAM Confusion Scale, performance on the NEECHAM was compared to the Confusion Assessment Method (CAM) and the Mini-Mental State Examination (MMSE), by using aggregated data based on 5 data collection measurement points (repeated measures). The CAM and MMSE served as gold standards. RESULTS: The alpha coefficient for the total NEECHAM score was high (0.88). Principal components analysis yielded a two-component solution accounting for 70.8% of the total variance. High correlations were found between the total NEECHAM scores and total MMSE (0.75) and total CAM severity scores (-0.73), respectively. Diagnostic values using the CAM algorithm as gold standard showed 76.9% sensitivity, 64.6% specificity, 13.5% positive and 97.5% negative predictive values, respectively. CONCLUSION: This validation of the Flemish version of the NEECHAM Confusion Scale adds to previous evidence suggesting that this scale holds promise as a valuable screening instrument for delirium in clinical practice. Further validation studies in diverse clinical populations; however, are needed. |
format | Text |
id | pubmed-1079887 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2005 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-10798872005-04-15 Psychometric properties of the Flemish translation of the NEECHAM Confusion Scale Milisen, Koen Foreman, Marquis D Hendrickx, Annik Godderis, Jan Abraham, Ivo L Broos, Paul LO De Geest, Sabina BMC Psychiatry Research Article BACKGROUND: Determination of a patient's cognitive status by use of a valid and reliable screening instrument is of major importance as early recognition and accurate diagnosis of delirium is necessary for effective management. This study determined the reliability, validity and diagnostic value of the Flemish translation of the NEECHAM Confusion Scale. METHODS: A sample of 54 elderly hip fracture patients with a mean age of 80.9 years (SD = 7.85) were included. To test the psychometric properties of the NEECHAM Confusion Scale, performance on the NEECHAM was compared to the Confusion Assessment Method (CAM) and the Mini-Mental State Examination (MMSE), by using aggregated data based on 5 data collection measurement points (repeated measures). The CAM and MMSE served as gold standards. RESULTS: The alpha coefficient for the total NEECHAM score was high (0.88). Principal components analysis yielded a two-component solution accounting for 70.8% of the total variance. High correlations were found between the total NEECHAM scores and total MMSE (0.75) and total CAM severity scores (-0.73), respectively. Diagnostic values using the CAM algorithm as gold standard showed 76.9% sensitivity, 64.6% specificity, 13.5% positive and 97.5% negative predictive values, respectively. CONCLUSION: This validation of the Flemish version of the NEECHAM Confusion Scale adds to previous evidence suggesting that this scale holds promise as a valuable screening instrument for delirium in clinical practice. Further validation studies in diverse clinical populations; however, are needed. BioMed Central 2005-03-25 /pmc/articles/PMC1079887/ /pubmed/15792498 http://dx.doi.org/10.1186/1471-244X-5-16 Text en Copyright © 2005 Milisen et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Milisen, Koen Foreman, Marquis D Hendrickx, Annik Godderis, Jan Abraham, Ivo L Broos, Paul LO De Geest, Sabina Psychometric properties of the Flemish translation of the NEECHAM Confusion Scale |
title | Psychometric properties of the Flemish translation of the NEECHAM Confusion Scale |
title_full | Psychometric properties of the Flemish translation of the NEECHAM Confusion Scale |
title_fullStr | Psychometric properties of the Flemish translation of the NEECHAM Confusion Scale |
title_full_unstemmed | Psychometric properties of the Flemish translation of the NEECHAM Confusion Scale |
title_short | Psychometric properties of the Flemish translation of the NEECHAM Confusion Scale |
title_sort | psychometric properties of the flemish translation of the neecham confusion scale |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1079887/ https://www.ncbi.nlm.nih.gov/pubmed/15792498 http://dx.doi.org/10.1186/1471-244X-5-16 |
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