심장수술 환자의 섬망예측을 위한 PRE-Deliric 모델과 E-PRE-Deliric 모델의 타당도 비교|RISS 상세보기

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to analyze the validity of the PRE-DELIRIC model and E-PRE-DELIRIC model. Methods: Patients who underwent cardiac surgery at a tertiary hospital between January 2019 and December 2022 were included. The presence or absence of delirium was determined based on risk groups, and the sensitivity, specificity, positive predictive power, and negative predictive power were verified using the Youden index. Receiver operating characteristic curves were derived for the PRE-DELIRIC model and E-PRE-DELIRIC model, the area under the curve was calculated, and the 95% confidence interval (CI) was presented. Results: The incidence of delirium was 28.8%. The average scores of the PRE-DELIRIC model and E-PRE-DELIRIC model were 49.72±29.91 and 18.14±0.41, respectively. In the PRE-DELIRIC model, for which a cut-off point of 14.05 was established using the Youden index, the sensitivity, specificity, positive predictive power, and negative predictive power were 64.8%, 83.2%, 61.0%, and 85.4%, respectively. In the E-PRE-DELIRIC model, with a cut-off point of 64.01, the corresponding indicators were 73.1%, 51.5%, 37.8%, and 82.6%, respectively. The areas under the curve for the PRE-DELIRIC model and the E-PRE-DELIRIC model were 0.77 (95% CI, 0.74-0.82) and 0.65 (95% CI, 0.61-0.69), respectively. Conclusion: It may be helpful to use both the E-PRE-DELIRIC and PRE-DELIRIC models. The two prediction models are expected to help improve the quality of nursing for the early detection and prevention of delirium, enabling intensive observations and interventions for patients at high risk of delirium.

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참고문헌 (Reference)

1 Gao W, "Validation of E-PRE-DELIRIC in cardiac surgical ICU Delirium : a retrospective cohort study" 27 (27): 233-239, 2022

2 Paton L, "Utility of the PRE-DELIRIC delirium prediction model in a Scottish ICU cohort" 17 (17): 202-206, 2016

3 Chen X, "Risk predictive models for delirium in the intensive care unit : a systematic review and meta-analysis" 10 (10): 1467-1480, 2021

4 Lee A, "Risk prediction models for delirium in the intensive care unit after cardiac surgery : a systematic review and independent external validation" 118 (118): 391-399, 2017

5 Chen H, "Risk factors of postoperative delirium after cardiac surgery : a meta-analysis" 16 (16): 113-, 2021

6 김종란 ; 안정아, "Risk factors for delirium in trauma intensive care unit patients" 32 (32): 623-631, 2020

7 Greaves D, "Risk factors for delirium and cognitive decline following coronary artery bypass grafting surgery : a systematic review and meta-analysis" 9 (9): e017275-, 2020

8 Nahm Francis Sahngun, "Receiver operating characteristic curve : overview and practical use for clinicians" 75 (75): 25-36, 2022

9 Van den Boogaard M, "Recalibration of the delirium prediction model for ICU patients(PRE-DELIRIC) : a multinational observational study" 40 (40): 361-369, 2014

10 Zhang W, "Profiles of delirium and the clinical outcomes of patients who underwent coronary artery bypass grafting : a prospective study from China" 25 (25): 631-641, 2016