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Article: Using the nursing delirium screening scale in assessing postoperative delirium: A meta‐regression

TitleUsing the nursing delirium screening scale in assessing postoperative delirium: A meta‐regression
Authors
KeywordsDiagnostic tests
Nursing assessment
Postoperative care
Screening
Surgical nursing
Issue Date2022
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/33706
Citation
Research in Nursing & Health, 2022, v. 45 n. 1, p. 23-33 How to Cite?
AbstractThe nursing delirium screening scale (Nu-DESC) was developed for the rapid assessment of delirium, but little is known regarding the performance of the Nu-DESC in assessing postoperative delirium. The purpose of this systematic review and meta-analysis was to review and summarize the evidence of the diagnostic accuracy of the Nu-DESC in assessing postoperative delirium. The EMBASE, MEDLINE, Cochrane Library, CINAHL, and a Chinese e-Journal database were searched from the period of the inception of the Nu-DESC to June 18, 2020. Participants were adult (age ≥ 18 years) postoperative patients who received any type of surgery and any method of anesthesia. The quality assessment of diagnostic accuracy studies-2 was employed to assess the risk of bias among the selected studies, and meta-regression analyses were used to detect sources of between-study heterogeneity. Eleven studies involving 2062 postoperative patients in surgical settings were included. The Nu-DESC revealed a pooled sensitivity of 0.73 (95% confidence interval, 0.44–0.90) and a specificity of 0.93 (0.87–0.96). The area under the summary receiver operating characteristics curve was 0.94 (0.91–0.96), which also confirmed the accuracy of the Nu-DESC. Covariates, including the region of study and the standard reference used, were identified as possible sources of heterogeneity in the meta-regression. The findings of this review can update existing clinical guidelines for postoperative delirium. On the basis of its satisfactory diagnostic performance, we suggest that the Nu-DESC could be considered for nurses and allied health professionals for assessing postoperative delirium. However, because of the heterogeneity, the result of this meta-analysis should be considered with caution.
Persistent Identifierhttp://hdl.handle.net/10722/307972
ISSN
2023 Impact Factor: 2.1
2023 SCImago Journal Rankings: 0.712
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHo, MH-
dc.contributor.authorChoi, EPH-
dc.contributor.authorChiu, HY-
dc.contributor.authorShen Hsiao, ST-
dc.contributor.authorTraynor, V-
dc.date.accessioned2021-11-12T13:40:36Z-
dc.date.available2021-11-12T13:40:36Z-
dc.date.issued2022-
dc.identifier.citationResearch in Nursing & Health, 2022, v. 45 n. 1, p. 23-33-
dc.identifier.issn0160-6891-
dc.identifier.urihttp://hdl.handle.net/10722/307972-
dc.description.abstractThe nursing delirium screening scale (Nu-DESC) was developed for the rapid assessment of delirium, but little is known regarding the performance of the Nu-DESC in assessing postoperative delirium. The purpose of this systematic review and meta-analysis was to review and summarize the evidence of the diagnostic accuracy of the Nu-DESC in assessing postoperative delirium. The EMBASE, MEDLINE, Cochrane Library, CINAHL, and a Chinese e-Journal database were searched from the period of the inception of the Nu-DESC to June 18, 2020. Participants were adult (age ≥ 18 years) postoperative patients who received any type of surgery and any method of anesthesia. The quality assessment of diagnostic accuracy studies-2 was employed to assess the risk of bias among the selected studies, and meta-regression analyses were used to detect sources of between-study heterogeneity. Eleven studies involving 2062 postoperative patients in surgical settings were included. The Nu-DESC revealed a pooled sensitivity of 0.73 (95% confidence interval, 0.44–0.90) and a specificity of 0.93 (0.87–0.96). The area under the summary receiver operating characteristics curve was 0.94 (0.91–0.96), which also confirmed the accuracy of the Nu-DESC. Covariates, including the region of study and the standard reference used, were identified as possible sources of heterogeneity in the meta-regression. The findings of this review can update existing clinical guidelines for postoperative delirium. On the basis of its satisfactory diagnostic performance, we suggest that the Nu-DESC could be considered for nurses and allied health professionals for assessing postoperative delirium. However, because of the heterogeneity, the result of this meta-analysis should be considered with caution.-
dc.languageeng-
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/33706-
dc.relation.ispartofResearch in Nursing & Health-
dc.subjectDiagnostic tests-
dc.subjectNursing assessment-
dc.subjectPostoperative care-
dc.subjectScreening-
dc.subjectSurgical nursing-
dc.titleUsing the nursing delirium screening scale in assessing postoperative delirium: A meta‐regression-
dc.typeArticle-
dc.identifier.emailHo, MH: mhbho@hku.hk-
dc.identifier.emailChoi, EPH: ephchoi@hku.hk-
dc.identifier.authorityHo, MH=rp02925-
dc.identifier.authorityChoi, EPH=rp02329-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/nur.22194-
dc.identifier.pmid34730848-
dc.identifier.scopuseid_2-s2.0-85118484847-
dc.identifier.hkuros330358-
dc.identifier.volume45-
dc.identifier.issue1-
dc.identifier.spage23-
dc.identifier.epage33-
dc.identifier.isiWOS:000714100200001-
dc.publisher.placeUnited States-

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