文献类型：期刊文献

英文题名：Diagnostic Accuracy of Screening Tools for Delirium in Adults Receiving Care in Intensive Care Units: A Systematic Review and Network Meta-Analysis

作者：Li, Ning[1];Zhou, Zhiying[1];Yao, Tingting[1];Xu, Xiaoyan[2]

第一作者：李宁

通信作者：Xu, XY[1]

机构：[1]Gansu Univ Chinese Med, Sch Nursing, Lanzhou, Gansu, Peoples R China;[2]Gansu Univ Chinese Med, Affiliated Hosp, Lanzhou, Gansu, Peoples R China

第一机构：甘肃中医药大学护理学院

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Affiliated Hosp, Lanzhou, Gansu, Peoples R China.|[10735b845793de6ae2b30]甘肃中医药大学第二附属医院;[10735]甘肃中医药大学;

年份：2026

卷号：28

期号：2

外文期刊名：NURSING & HEALTH SCIENCES

收录：;Scopus(收录号：2-s2.0-105037648134);WOS:【SSCI(收录号:WOS:001755012500001)，SCI-EXPANDED(收录号:WOS:001755012500001)】；

基金：This work was supported by the Gansu Provincial Administration of Traditional Chinese Medicine Project (GZKG-2024-51), the Gansu Province Natural Science Foundation Project (22JR5RA608), and the Lanzhou City Science and Technology Plan Project (2022-5-110).

语种：英文

外文关键词：delirium; intensive care unit; network meta-analysis; sensitivity; specificity

摘要：Delirium is a common, critical condition in adults receiving care in intensive care units, requiring effective screening tools for early detection. To systematically compare the diagnostic performance of delirium screening tools for adults receiving care in ICUs, we conducted a comprehensive search across nine databases up to August 1, 2025, followed by a network meta-analysis of diagnostic test accuracy. Fifty studies involving 6042 patients were included. The S-PTD demonstrated optimal diagnostic performance, with high pooled sensitivity (0.922) and specificity (0.977). The CAM-ICU showed outstanding specificity (0.949), whereas the DDS exhibited poor sensitivity (0.302). In conclusion, the CAM-ICU and ICDSC are widely used; the S-PTD performs excellently but requires validation in adults receiving mechanical ventilation, and the 4AT exhibits balanced accuracy but is unsuitable for adults receiving mechanical ventilation. The NEECHAM and DDS have limitations, particularly the DDS, which exhibits low sensitivity and may fail to accurately identify cases of delirium. High-quality validation studies and uniform DSM-5 use are recommended.Trial Registration: This study has been registered with PROSPERO (CRD42024534483)