{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T22:11:32Z","timestamp":1747174292624,"version":"3.40.5"},"reference-count":30,"publisher":"Hogrefe Publishing Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pflege"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:p> Zusammenfassung. Hintergrund: Zahlreiche Instrumente zur Erkennung eines postoperativen Delirs sind verf\u00fcgbar. Leitlinien empfehlen die Benutzung des 4 A\u2019s Test (4AT). Allerdings gibt es kaum Evidenz zur Validit\u00e4t und Reliabilit\u00e4t des deutschsprachigen 4AT. Fragestellung\/Ziel: Die Zielsetzung war, die Interrater-Reliabilit\u00e4t des deutschsprachigen 4AT zur Erkennung eines postoperativen Delirs bei allgemeinchirurgischen und orthop\u00e4disch-traumatologischen Patient_innen und die \u00dcbereinstimmungsvalidit\u00e4t mit der Delirium Observation Screening (DOS)-Skala zu \u00fcberpr\u00fcfen. Methoden: Die Arbeit ist Teil einer prospektiven Kohortenstudie. Die Stichprobe bestand aus 202 station\u00e4ren Patient_innen (\u2265 65 Jahre), die einem chirurgischen Eingriff unterzogen wurden. Die Interrater-Reliabilit\u00e4t des 4AT (Intraklassenkoeffizient) wurde bei 33 Patient_innen durch zwei Krankenpfleger_innen \u00fcberpr\u00fcft. Die \u00dcbereinstimmungsvalidit\u00e4t zwischen der DOS und dem 4AT wurde anhand des Korrelationskoeffizienten nach Pearson berechnet. Ergebnisse: Die Interrater-Reliabilit\u00e4t f\u00fcr den 4AT-Gesamtwert und der dichotomisierte Gesamtwert lagen bei 0,92 (95%-KI: 0,84\u20130,96) und 0,98 (95%-KI: 0,95\u20130,98). Die Korrelation zwischen DOS und 4AT betrug 0,54 (p &lt; 0,001). Schlussfolgerungen: Der 4AT kann als Screening-Instrument zur postoperativen Delirerkennung durch das Krankenpflegepersonal bei \u00e4lteren, allgemeinchirurgischen und orthop\u00e4disch-traumatologischen Patient_innen eingesetzt werden. Allerdings besteht bei positiven 4AT-Ergebnissen die Notwendigkeit eines weiterf\u00fchrenden Assessments durch Pflegeexpert_innen oder \u00c4rzt_innen. <\/jats:p>","DOI":"10.1024\/1012-5302\/a000939","type":"journal-article","created":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T08:01:38Z","timestamp":1683100898000},"page":"189-197","source":"Crossref","is-referenced-by-count":1,"title":["Interrater Reliabilit\u00e4t und                \u00dcbereinstimmungsvalidit\u00e4t des 4AT zur Erfassung des postoperativen                Delirs"],"prefix":"10.1024","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1218-5191","authenticated-orcid":true,"given":"Chiara","family":"Muzzana","sequence":"first","affiliation":[{"name":"Landesfachhochschule f\u00fcr Gesundheitsberufe Claudiana, Bozen,                   Italien"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco","family":"Mantovan","sequence":"additional","affiliation":[{"name":"Landesfachhochschule f\u00fcr Gesundheitsberufe Claudiana, Bozen,                   Italien"},{"name":"S\u00fcdtiroler Sanit\u00e4tsbetrieb, Krankenhaus Bruneck, Bruneck,                   Italien"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Waltraud","family":"Tappeiner","sequence":"additional","affiliation":[{"name":"Landesfachhochschule f\u00fcr Gesundheitsberufe Claudiana, Bozen,                   Italien"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Niederbacher","sequence":"additional","affiliation":[{"name":"S\u00fcdtiroler Sanit\u00e4tsbetrieb, Krankenhaus Bruneck, Bruneck,                   Italien"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus Karl","family":"Huber","sequence":"additional","affiliation":[{"name":"S\u00fcdtiroler Sanit\u00e4tsbetrieb, Krankenhaus Bruneck, Bruneck,                   Italien"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0319-4766","authenticated-orcid":true,"given":"Dietmar","family":"Ausserhofer","sequence":"additional","affiliation":[{"name":"Landesfachhochschule f\u00fcr Gesundheitsberufe Claudiana, Bozen,                   Italien"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu021"},{"key":"c2","volume":"19","author":"Chaiwat O.","year":"2019","journal-title":"BMC Anesthesiology"},{"journal-title":"The Journal of Thoracic and Cardiovascular Surgery","year":"2021","author":"Chang Y.","key":"c3"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.4103\/0253-7176.116232"},{"key":"c5","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnv100"},{"key":"c6","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4615"},{"key":"c7","unstructured":"Deutsche Gesellschaft f\u00fcr An\u00e4sthesiologie und Intensivmedizin\n                  (DGAI) & Deutsche Interdisziplin\u00e4re Vereinigung\n                  f\u00fcr Intensiv- und Notfallmedizin (DIVI) (2020).\n                     S3-Leitlinie Analgesie, Sedierung und Delirmanagement in der\n                     Intensivmedizin (DAS-leitlinie 2020). (https:\/\/www.awmf.org\/uploads\/tx_szleitlinien\/001-012l_S3_Analgesie-Sedierung-Delirmanagement-in-der-Intensivmedizin-DAS_2021-08.pdf)"},{"key":"c8","doi-asserted-by":"publisher","DOI":"10.1024\/1012-5302.20.4.191"},{"key":"c9","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20181018-02"},{"key":"c10","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16879"},{"key":"c11","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60688-1"},{"key":"c12","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02493-3"},{"key":"c13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.03.002"},{"key":"c14","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S97228"},{"key":"c15","doi-asserted-by":"publisher","DOI":"10.3310\/hta23400"},{"key":"c16","doi-asserted-by":"publisher","DOI":"10.1186\/s42269-022-00863-4"},{"key":"c17","unstructured":"National Institute for Health and Care Excellence [NICE].\n                  (2019). Delirium: prevention, diagnosis and\n                     management."},{"key":"c18","unstructured":"National Institute for Health and Care Excellence, [NICE].\n                  (2020). 2020 exceptional surveillance of delirium:\n                     prevention, diagnosis and management (NICE guideline CG103).\n                  www.nice.org.uk"},{"key":"c19","doi-asserted-by":"publisher","DOI":"10.1177\/1054773820961234"},{"key":"c20","volume-title":"Nursing Research: Principles and Methods \u2013 7th edition","author":"Polit D. F.","year":"2004","edition":"7"},{"volume-title":"Foundation of Clinical Research (Application to practice)","year":"2015","author":"Portney L. G.","key":"c21"},{"key":"c22","doi-asserted-by":"publisher","DOI":"10.1080\/21548331.2019.1709359"},{"key":"c23","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14682"},{"key":"c24","unstructured":"Scottish Intercollegiate Guidelines Network, [SIGN].\n                  (2019). Risk reduction and management of\n                     delirium. http:\/\/www.sign.ac.uk"},{"key":"c25","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-019-1367-9"},{"key":"c26","first-page":"CD005563","volume":"3","author":"Siddiqi N.","year":"2016","journal-title":"Cochrane Database Systematic Review"},{"key":"c27","doi-asserted-by":"publisher","DOI":"10.5472\/marumj.344822"},{"key":"c28","doi-asserted-by":"publisher","DOI":"10.1007\/s41999-021-00507-2"},{"key":"c29","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa224"},{"key":"c30","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4441"}],"container-title":["Pflege"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/1012-5302\/a000939","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T07:03:19Z","timestamp":1690182199000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/1012-5302\/a000939"}},"subtitle":["Eine Kohortenstudie"],"short-title":[],"issued":{"date-parts":[[2023,8]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1024\/1012-5302\/a000939"],"URL":"https:\/\/doi.org\/10.1024\/1012-5302\/a000939","relation":{},"ISSN":["1012-5302","1664-283X"],"issn-type":[{"type":"print","value":"1012-5302"},{"type":"electronic","value":"1664-283X"}],"subject":[],"published":{"date-parts":[[2023,8]]}}}