BACKGROUND: Early detection, prevention, and treatment of @entity933 after cardiac surgery are important for quick postoperative recovery. The Confusion Assessment Method (CAM) may be an easy-to-use instrument for detecting @entity933 in clinical practice. OBJECTIVES: To compare the congruent validity of the CAM with the results from repeated assessments by using a combination of the @entity75 Scale and the Mini-Mental State Examination according to the Diagnostic and Statistical Manual of @entity146 (Fourth Edition, Text Revision) criteria for @entity933 . METHODS: @entity1 aged 70 years or older undergoing cardiac surgery were assessed on postoperative days 1 and 4, and the 2 diagnostic methods were compared. The sensitivity and specificity of the CAM were examined. The reference method allowed categorization of @entity933 into subgroups of psychomotor activities and psychiatric symptom profiles, which were compared with the CAM results. RESULTS: @entity260 was diagnosed in 78 of 141 @entity1 (55.3%). According to the CAM, 59 @entity1 (41.8%) were categorized as delirious, 53 correctly. Thus, the sensitivity was 68% and the specificity was 90%, indicating false-negative rather than false-positive observations. CONCLUSION: @entity1 with @entity2146 and mixed @entity716 were more likely to have @entity933 detected via the CAM than were @entity1 with less obvious clinical manifestations of @entity933 . Repetitive cognitive testing and psychogeriatric experience are probably necessary to improve the results obtained with the CAM.

Validation of the Confusion Assessment Method in Detecting @entity260 in Cardiac Surgery XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity146 :: ('MESH:D001523', 'Disease') :: ['Mental Disorders'] @entity75 :: ('MESH:D001927', 'Disease') :: ['Organic Brain Syndrome'] @entity260 :: ('MESH:D011183', 'Disease') :: ['Postoperative delirium'] @entity2146 :: ('MESH:D011595', 'Disease') :: ['psychomotor hyperactivity'] @entity716 :: ('MESH:D011605', 'Disease') :: ['psychotic-emotional symptoms'] @entity933 :: ('MESH:D003693', 'Disease') :: ['delirium']
@entity1 :: (9606,Species) :: ['Patients']
