Diagnostic test accuracy of the Nursing Delirium Screening Scale: A systematic review and meta-analysis护理谵妄筛查量表的诊断测试准确性:系统评估和荟萃分析
- Other Titles
- 护理谵妄筛查量表的诊断测试准确性:系统评估和荟萃分析
- Authors
- Jeong, Eunhye; Park, Jinkyung; Lee, Juneyoung
- Issue Date
- Oct-2020
- Publisher
- WILEY
- Keywords
- delirium; meta-analysis; nurses; nursing; Nursing Delirium Screening Scale; sensitivity; specificity; systematic review
- Citation
- Journal of Advanced Nursing, v.76, no.10, pp 2510 - 2521
- Pages
- 12
- Indexed
- SCIE
SSCI
SCOPUS
- Journal Title
- Journal of Advanced Nursing
- Volume
- 76
- Number
- 10
- Start Page
- 2510
- End Page
- 2521
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/33569
- DOI
- 10.1111/jan.14482
- ISSN
- 0309-2402
1365-2648
- Abstract
- Aims
To evaluate the diagnostic test accuracy of the Nursing Delirium Screening Scale through a systematic review and meta-analysis.
Design
A systematic review with meta-analysis.
Data sources
Articles were searched systematically in the MEDLINE, EMBASE, PsycINFO, and CINAHL databases up to April 2019.
Review methods
Data extraction and quality assessment were conducted using the Quality Assessment of the Diagnostic Accuracy Studies-2 tool. Pooled sensitivities, specificities, likelihood ratio, and diagnostic odds ratio for the tool were estimated and its hierarchical summary receiver-operating characteristic curve was derived through a bivariate model meta-analysis.
Results
Eleven studies with a total of 2,245 patients were included in this review. The pooled estimates of sensitivity and specificity of the Nursing Delirium Screening Scale were 68.6% (95% confidence interval; 55.3%, 79.5%) and 89.4% (83.3%, 93.5%), respectively. The pooled estimate of the area under the hierarchical summary receiver-operating characteristic curve was 0.88.
Conclusion
Use of the Nursing Delirium Screening Scale provides moderate to high sensitivity and high specificity. This review supports the Nursing Delirium Screening Scale as a validate tool of screening for delirium.
Impact
With the best evidence of the accuracy of the Nursing Delirium Screening Scale, we recommend nursing leaders to use this easy-to-use and validated tool for daily screening of delirium in any hospital setting, which possibly contribute to an early detection of delirium and, ultimately, assist to obtain an accurate estimation of prevalence of delirium.
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- Appears in
Collections - 1. Basic Science > Department of Biostatistics > 1. Journal Articles
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