{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T17:58:24Z","timestamp":1775325504331,"version":"3.50.1"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100011645","name":"Kaohsiung Medical University Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011645","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Medical University","award":["KMUH111-1G02"],"award-info":[{"award-number":["KMUH111-1G02"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to evaluate the ability of the Confusion Assessment Method for Intensive Care Units 7-Item Scale (CAM-ICU-7) compared with the Intensive Care Delirium Screening Checklist (ICDSC) in assessing post-operative delirium (POD) and predicting adverse outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Patients &amp;gt;20 years undergoing elective cardiovascular surgery were recruited in this prospective cohort study in Taiwan. Emergence delirium was evaluated following discontinuing sedation, followed by POD assessments, conducted twice-daily until the patient was transferred to ward. All datasets were obtained from 84 patients and encompassed 833 assessments. The POD incidence was 48% and 45%, as detected using the ICDSC and CAM-ICU-7, respectively, whereas the incidence of concurrent POD and subsyndromal delirium (SSD) was 35% and 21%, respectively. It revealed high agreement for POD in the two tools (kappa = 0.84, P &amp;lt; 0.001) but moderate-to-poor for SSD (kappa = 0.21, P &amp;lt; 0.001). The ICDSC detected SSD better than the CAM-ICU-7. POD detected using both tools and concurrent POD and SSD detected using ICDSC predicted the intensive care unit (ICU) stay duration and the number of adverse events (P &amp;lt; 0.001). Concurrent POD and SSD detected using ICDSC predicted the hospital length of stay (P &amp;lt; 0.001), whereas POD detected using both tools predicted adverse event occurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>POD and concurrent POD and SSD are associated with adverse outcomes. The CAM-ICU-7 and ICDSC can both diagnose POD. The ICDSC outperforms CAM-ICU-7 in detecting SSD and predicting adverse outcomes, suggesting that it is a better tool for cardiovascular\u2013surgical patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvaf136","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T10:04:05Z","timestamp":1753351445000},"page":"1312-1321","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of the confusion assessment method for intensive care units seven-item scale for intensive care units and the intensive care delirium screening checklist in predicting adverse outcomes for patients undergoing cardiovascular surgery"],"prefix":"10.1093","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0390-8669","authenticated-orcid":false,"given":"Hsin-Shan","family":"Hsieh","sequence":"first","affiliation":[{"name":"Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University , No.100, Tzyou 1st Road, Sanmin Dist, Kaohsiung 807 ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6316-1002","authenticated-orcid":false,"given":"Pi-Ling","family":"Chou","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing, Kaohsiung Medical University , No.100, Shih-Chuan 1st Road, Sanmin Dist, Kaohsiung 807 ,","place":["Taiwan"]},{"name":"Nursing Department, Department of Medical Research, Kaohsiung Medical University Hospital , No.100, Tzyou 1st Road, Sanmin Dist, Kaohsiung 807 ,","place":["Taiwan"]},{"name":"Institute of Medical Science and Technology, National Sun Yat-sen University , No.100, Shih-Chuan 1st Road, Sanmin Dist, Kaohsiung 807 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