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. 2018 Mar;30(1):71-79.
doi: 10.5935/0103-507x.20180013.

Translation and cross-cultural adaptation of the Pediatric Confusion Assessment Method for the Intensive Care Unit into Brazilian Portuguese for the detection of delirium in pediatric intensive care units

[Article in English, Portuguese]
Marizete Elisa Molon  1 , Roberta Esteves Vieira de Castro  2 , Flávia Andrea Krepel Foronda  3 , Maria Clara Magalhães-Barbosa  4 , Jaqueline Rodrigues Robaina  4 , Jefferson Pedro Piva  5 , Pedro Celiny Ramos Garcia  6 , Arnaldo Prata-Barbosa  4 , Elie Cheniaux  7 , Heidi A B Smith  8
Affiliations

Translation and cross-cultural adaptation of the Pediatric Confusion Assessment Method for the Intensive Care Unit into Brazilian Portuguese for the detection of delirium in pediatric intensive care units

[Article in English, Portuguese]
Marizete Elisa Molon et al. Rev Bras Ter Intensiva. 2018 Mar.

Abstract

Objective: To undertake the translation and cross-cultural adaption into Brazilian Portuguese of the Pediatric Confusion Assessment Method for the Intensive Care Unit for the detection of delirium in pediatric intensive care units, including the algorithm and instructions.

Methods: A universalist approach for the translation and cross-cultural adaptation of health measurement instruments was used. A group of pediatric critical care specialists assessed conceptual and item equivalences. Semantic equivalence was evaluated by means of a translation from English to Portuguese by two independent translators; reconciliation into a single version; back-translation by a native English speaker; and consensus among six experts with respect to language and content understanding by means of Likert scale responses and the Content Validity Index. Finally, operational equivalence was assessed by applying a pre-test to 30 patients.

Results: The back-translation was approved by the original authors. The medians of the expert consensus responses varied between good and excellent, except for the feature "acute onset" of the instructions. Items with a low Content Validity Index for the features "acute onset" and "disorganized thinking" were adapted. In the pre-test, the expression "signal with your head" was modified into "nod your head" for better understanding. No further adjustments were necessary, resulting in the final version for Brazilian Portuguese.

Conclusion: The Brazilian version of the Pediatric Confusion Assessment Method for the Intensive Care Unit was generated in agreement with the international recommendations and can be used in Brazil for the diagnosis of delirium in critically ill children 5 years of age or above and with no developmental cognitive disabilities.

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Conflict of interest statement

Conflicts of interest: None.

Figures

Figure 1
Figure 1
Pediatric Confusion Assessment Method for the Intensive Care Unit. RASS - Richmond Agitation-Sedation Scale; pCAM-ICU - Pediatric Confusion Assessment Method for the Intensive Care Unit; Y - yes; N - no. Adapted from: Smith HA, Boyd J, Fuchs DC, Melvin K, Berry P, Shintani A, et al. Diagnosing delirium in critically ill children: Validity and reliability of the Pediatric Confusion Assessment Method for the Intensive Care Unit. Crit Care Med. 2011;39(1):150-7.(7)
Figure 2
Figure 2
Worksheet for the administration of the Pediatric Confusion Assessment Method for the Intensive Care Unit. pCAM-ICU - Pediatric Confusion Assessment Method for the Intensive Care Unit; RASS - Richmond Agitation-Sedation Scale.
See this image and copyright information in PMC

References

    1. Salluh JI, Stevens RD. Increasing the awareness of delirium in critically ill patients. Rev Bras Ter Intensiva. 2013;25(2):75–76. - PMC - PubMed
    1. Salluh JI, Soares M, Teles JM, Ceraso D, Raimondi N, Nava VS, Blasquez P, Ugarte S, Ibanez-Guzman C, Centeno JV, Laca M, Grecco G, Jimenez E, Árias-Rivera S, Duenas C, Rocha MG, Delirium Epidemiology in Critical Care Study Group Delirium epidemiology in critical care (DECCA): an international study. Crit Care. 2010;14(6):R210–R210. - PMC - PubMed
    1. Traube C, Silver G, Reeder RW, Doyle H, Hegel E, Wolfe HA, et al. Delirium in Critically Ill Children: An International Point Prevalence Study. Crit Care Med. 2017;45(4):584–590. - PMC - PubMed
    1. Khan BA, Zawahiri M, Campbell NL, Fox GC, Weinstein EJ, Nazir A, et al. Delirium in hospitalized patients: implications of current evidence on clinical practice and future avenues for research--a systematic evidence review. J Hosp Med. 2012;7(7):580–589. - PMC - PubMed
    1. Maldonado JR. Acute Brain Failure: Pathophysiology, Diagnosis, Management, and Sequelae of Delirium. Crit Care Clin. 2017;33(3):461–519. - PubMed