Valor de una herramienta de cribado de una sola pregunta en el despistaje de delirium por parte de enfermería en pacientes con cáncer en un servicio de oncología

Abstract

IntroductionThe role of nursing in the process of delirium screening is fundamental. Few studies analyze the validity of the single question tool. ObjectivesTo 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. MethodologyCross-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. Results42 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. ConclusionA single question tool would be useful in the delirium screening.