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Autor Carolina Bernal Arbeláez
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Comentario :
Médica Psiquiatra, Hospital Pablo Tobón Uribe
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Documentos disponibles escritos por este autor (2)
Clasificado(s) por (Año de edición descendente) Refinar búsquedaValidation of the Delirium Diagnostic Tool-Provisional in intensive care units / Camila Valencia Arbeláez ; Carolina Bernal Arbeláez ; Muñoz Hincapie Nathaly ; Probert, Julia ; Yasuhiro, Kishi ; Yamaguchi, Takako ; Sepúlveda, Esteban ; Enriquez, Raquel ; Pérez, Paulina ; Pintor, Luis ; Franco, José G ; Trzepacz, Paula T
Título : Validation of the Delirium Diagnostic Tool-Provisional in intensive care units Tipo de documento : documento electrónico Autores : Camila Valencia Arbeláez, Autor ; Carolina Bernal Arbeláez, Autor ; Muñoz Hincapie Nathaly, Autor ; Probert, Julia, Autor ; Yasuhiro, Kishi, Autor ; Yamaguchi, Takako, Autor ; Sepúlveda, Esteban, Autor ; Enriquez, Raquel, Autor ; Pérez, Paulina, Autor ; Pintor, Luis, Autor ; Franco, José G, Autor ; Trzepacz, Paula T, Autor Fecha de publicación : 2025 Títulos uniformes : Medicine (Baltimore) Idioma : Inglés (eng) Palabras clave : cluster analysis; delirium screening; intensive care unit; sensitivity and specificity. Resumen : Shortcomings of intensive care units (ICU) delirium screening tools include not measuring its core features, not excluding stupor/coma and not being continuous measurement instruments. We validated the Delirium Diagnostic Tool-Provisional (DDT-Pro) that assesses all 3 core symptom domains for delirium and subsyndromal delirium (SSD) in the ICU. This is a multicenter validation following STARD guideline. Delirium reference standards were DSM-5 criteria, cluster analysis (CA) of the DDT-Pro scores and clinical validators for preestablished DDT-Pro ? 6 and ? 7 cutoffs (0-9 range) for delirium and SSD. DDT-Pro dimensionality and internal consistency reliability are reported. Of 127 patients, 29 (22.8%) had DSM-5 delirium. The area under the receiver-operator DDT-Pro curve was 90% with the ? 7 and ? 6 DDT-Pro cutoffs which had 82.7% and 80.3% accuracy at the most balanced sensitivity-specificity. The ? 6 cutoff specificity (85.7%) was higher, while ? 7 cutoff sensitivity (89.7%) was higher with NPV = 96.2%. According to CA, ?7 cutoff differentiated 100% of nondelirium patients from SSD and delirium, whereas DSM-5 misattributed SSD. Validation of an SSD group was supported by delirium severity gradients and various clinical validators. Cases in this CA also coincided exactly with nondelirium, SSD and delirium groups prespecified by DDT-Pro cutoffs from non-ICU samples. One factor explained 69.9% of the DDT-Pro variance, Cronbach ? = 0.79 (cohesive delirium dimension). Our findings indicate that the DDT-Pro has very good construct validity and discriminates ICU delirium against DSM-5, performing even more cleanly using agnostic CA for SSD and delirium diagnosis. Its continuous score structure discernment of S Mención de responsabilidad : Julia Probert, Camila Valencia, Carolina Bernal, Nathaly Muñoz, Yasuhiro Kishi, Takako Yamaguchi, Esteban Sepúlveda, Raquel Enriquez, Paulina Pérez, Luis Pintor, José G Franco, Paula T Trzepacz Referencia : Medicine (Baltimore) .2025 Jul 11;104(28):e43212 DOI (Digital Object Identifier) : 10.1097/MD.0000000000043212 PMID : 40660596 Derechos de uso : CC BY-NC-ND En línea : https://pubmed.ncbi.nlm.nih.gov/40660596/ Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Validation of the Delirium Diagnostic Tool-Provisional in intensive care units [documento electrónico] / Camila Valencia Arbeláez, Autor ; Carolina Bernal Arbeláez, Autor ; Muñoz Hincapie Nathaly, Autor ; Probert, Julia, Autor ; Yasuhiro, Kishi, Autor ; Yamaguchi, Takako, Autor ; Sepúlveda, Esteban, Autor ; Enriquez, Raquel, Autor ; Pérez, Paulina, Autor ; Pintor, Luis, Autor ; Franco, José G, Autor ; Trzepacz, Paula T, Autor . - 2025.
Obra : Medicine (Baltimore)
Idioma : Inglés (eng)
Palabras clave : cluster analysis; delirium screening; intensive care unit; sensitivity and specificity. Resumen : Shortcomings of intensive care units (ICU) delirium screening tools include not measuring its core features, not excluding stupor/coma and not being continuous measurement instruments. We validated the Delirium Diagnostic Tool-Provisional (DDT-Pro) that assesses all 3 core symptom domains for delirium and subsyndromal delirium (SSD) in the ICU. This is a multicenter validation following STARD guideline. Delirium reference standards were DSM-5 criteria, cluster analysis (CA) of the DDT-Pro scores and clinical validators for preestablished DDT-Pro ? 6 and ? 7 cutoffs (0-9 range) for delirium and SSD. DDT-Pro dimensionality and internal consistency reliability are reported. Of 127 patients, 29 (22.8%) had DSM-5 delirium. The area under the receiver-operator DDT-Pro curve was 90% with the ? 7 and ? 6 DDT-Pro cutoffs which had 82.7% and 80.3% accuracy at the most balanced sensitivity-specificity. The ? 6 cutoff specificity (85.7%) was higher, while ? 7 cutoff sensitivity (89.7%) was higher with NPV = 96.2%. According to CA, ?7 cutoff differentiated 100% of nondelirium patients from SSD and delirium, whereas DSM-5 misattributed SSD. Validation of an SSD group was supported by delirium severity gradients and various clinical validators. Cases in this CA also coincided exactly with nondelirium, SSD and delirium groups prespecified by DDT-Pro cutoffs from non-ICU samples. One factor explained 69.9% of the DDT-Pro variance, Cronbach ? = 0.79 (cohesive delirium dimension). Our findings indicate that the DDT-Pro has very good construct validity and discriminates ICU delirium against DSM-5, performing even more cleanly using agnostic CA for SSD and delirium diagnosis. Its continuous score structure discernment of S Mención de responsabilidad : Julia Probert, Camila Valencia, Carolina Bernal, Nathaly Muñoz, Yasuhiro Kishi, Takako Yamaguchi, Esteban Sepúlveda, Raquel Enriquez, Paulina Pérez, Luis Pintor, José G Franco, Paula T Trzepacz Referencia : Medicine (Baltimore) .2025 Jul 11;104(28):e43212 DOI (Digital Object Identifier) : 10.1097/MD.0000000000043212 PMID : 40660596 Derechos de uso : CC BY-NC-ND En línea : https://pubmed.ncbi.nlm.nih.gov/40660596/ Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD002383 AC-2025-066 Archivo digital Producción Científica Artículos científicos Disponible
Título : Síntomas depresivos, ansiosos e insomnio, y posibles factores asociados en personal de salud, en un Hospital General en Suramérica, durante la pandemia por COVID-19 en 2020 Otros títulos : Depressive and anxious symptoms and insomnia, and possible associated factors in health workers, in a General Hospital in South America, during the COVID-19 pandemic in 2020 Tipo de documento : documento electrónico Autores : Camila Valencia Arbeláez, ; Carolina Bernal Arbeláez, ; Diana Mercedes Ramírez Jiménez, ; John Jairo Zuleta Tobón, ; Carlos Enrique Yepes Delgado, Fecha de publicación : 2022 Títulos uniformes : Revista Chilena de Neuro-psiquiatría Idioma : Español (spa) Palabras clave : mental health; COVID-19 pandemic Resumen : Background: pandemic due to novel coronavirus COVID-19 has impacted on the mental health of health care workers all around the world. Material and Methods: this is a cross sectional study in which questionnaires PHQ-9 for depression, GAD-7 for anxiety, ISI-7 for insomnia were virtually and self administered by 876 health care workers laboring in hospital Pablo Tobón Uribe in Medellin city. Results: from 876 participants (29.2% physicians, 21.2% nurses and 49.5% technical nurses), 357 (40.8%) developed depressive symptoms, 300 (34.2%) anxious symptoms and 317 (36.2%) insomnia. Symptoms of depression, anxiety and insomnia were more frequently found in those who did not have basic needs satisfied and in those who felt stigmatized due to being health personal. Besides, depressive symptoms were more frequent in women, anxious symptoms in people younger than 44 years old and insomnia in divorced people. Conclusions: the frequency of mental health problems in health care workers is significant, these findings bring to light the needs for mental health attention in nurses and doctors during COVID-19 pandemic and the research of strategies to mitigate the risk on this population. Feeling stigmatized and not having basic needs satisfied were associated with symptoms of anxiety, depression and insomnia. Mención de responsabilidad : Camila Valencia A., Carolina Bernal A., Diana Mercedes Ramírez J., John Jairo Zuleta T., Carlos Enrique Yepes D. En línea : https://www.sonepsyn.cl/uploads/60-4-7.pdf Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Síntomas depresivos, ansiosos e insomnio, y posibles factores asociados en personal de salud, en un Hospital General en Suramérica, durante la pandemia por COVID-19 en 2020 = Depressive and anxious symptoms and insomnia, and possible associated factors in health workers, in a General Hospital in South America, during the COVID-19 pandemic in 2020 [documento electrónico] / Camila Valencia Arbeláez, ; Carolina Bernal Arbeláez, ; Diana Mercedes Ramírez Jiménez, ; John Jairo Zuleta Tobón, ; Carlos Enrique Yepes Delgado, . - 2022.
Obra : Revista Chilena de Neuro-psiquiatría
Idioma : Español (spa)
Palabras clave : mental health; COVID-19 pandemic Resumen : Background: pandemic due to novel coronavirus COVID-19 has impacted on the mental health of health care workers all around the world. Material and Methods: this is a cross sectional study in which questionnaires PHQ-9 for depression, GAD-7 for anxiety, ISI-7 for insomnia were virtually and self administered by 876 health care workers laboring in hospital Pablo Tobón Uribe in Medellin city. Results: from 876 participants (29.2% physicians, 21.2% nurses and 49.5% technical nurses), 357 (40.8%) developed depressive symptoms, 300 (34.2%) anxious symptoms and 317 (36.2%) insomnia. Symptoms of depression, anxiety and insomnia were more frequently found in those who did not have basic needs satisfied and in those who felt stigmatized due to being health personal. Besides, depressive symptoms were more frequent in women, anxious symptoms in people younger than 44 years old and insomnia in divorced people. Conclusions: the frequency of mental health problems in health care workers is significant, these findings bring to light the needs for mental health attention in nurses and doctors during COVID-19 pandemic and the research of strategies to mitigate the risk on this population. Feeling stigmatized and not having basic needs satisfied were associated with symptoms of anxiety, depression and insomnia. Mención de responsabilidad : Camila Valencia A., Carolina Bernal A., Diana Mercedes Ramírez J., John Jairo Zuleta T., Carlos Enrique Yepes D. En línea : https://www.sonepsyn.cl/uploads/60-4-7.pdf Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001981 AC-2022-125 Archivo digital Producción Científica Artículos científicos Disponible
