Year 2018 / Volume 25 / Number 4

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Original

Value of a single-question screening tool for delirium screening by a nurse team in cancer patients at an oncology service

Med Paliat. 2018;25(4):214-221

Iratxe Sancho-Espinosa, Claudio Calvo-Espinós, Hugo Arasanz Esteban, Alejandra Lacalle Emboroujo y Estefanía Ruiz de Gaona Lana


ABSTRACT

Introduction: The role of nursing in the process of delirium screening is fundamental. Few studies analyze the validity of the single question tool.

Objectives: To verify the validity of the single question as a delirium screening tool in a Medical Oncology inpatient unit and analyze the factors linked to the presence of a positive screening.

Methodology: Cross-sectional descriptive study of the single question screening validity. Inclusion criteria: Older than 18 years old, with presence of a solid tumour and hospitalized for at least 3 days. The single question by the nursing team was compared with a gold standard through CAM and DMS-IV criteria by the medical team, measuring the relation to other variables.

Results: 42 patients included. Sixty-one-year-old male with a digestive tract location treated with palliative intention as the most frequent. Prevalence of 14% of delirium by CAM (26% positive screening), with high concordance, sensitivity, specificity and negative predictive value. Association with opioid usage.

Conclusion
A single question tool would be useful in the delirium screening.

Keywords: Delirium, Nursing assessment, Palliative care, Oncology service

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