Tegories of delirium severity (normal, at-risk, mild to early, moderate to severe). In this study we investigated the diagnostic value of the NEECHAM referring to the CAM-ICU. Methods A consecutive sample of 106 patients in a mixed ICU (cardiac surgery (CS) 35 , noncardiac surgery (NCS) 26 , internal medicine (IM) 39 , age 62 ?14 years, male 63 ) was assessed after a stay in the ICU 24 hours. All patients with a Glasgow Coma Scale 10 and age 18 years were included. A nurse researcher simultaneously assessed both scales once daily in the morning. A total of 272 paired observations were made. Data were analyzed using the NEECHAM cut-off values of 26 (at-risk), 24 (mild delirium), and 19 (severe delirium). Results Using the CAM-ICU the overall prevalence was 15 . Prevalences in CS, NCS and IM were 9 , 14 and 21 , respectively. Using the NEECHAM scale, the overall prevalence was 33 (16.5 mild, 16.5 severe) PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20800871 and 36 , 21 and 38 for the three patient categories, respectively. Sensitivity was 100 , specificity was 79 , positive predictive value was 46 and negative predictive value was 100 . Using the cut-off value 19, sensitivity was 83 and specificity was 96 . All positive CAMICU patients were detected by the NEECHAM (85 severe, 15 mild). However, 21 of the CAM-ICU negative patients had a NEECHAM value that diagnoses delirium (4 severe, 17 mild). Consequently, 27 of the CS group (19 severe, 8 mild), 7 of the NCS group (7 mild) and 17 of the IM group (2 severe, 15 mild) were diagnosed to be delirious using the NEECHAM and not delirious using the CAM-ICU. Conclusion The NEECHAM delirium scale identified all cases of delirium that were detected by the CAM-ICU. Moreover, additional delirious patients were identified, especially in the CS group. In this pilot experience, the NEECHAM scale was a valuable screening tool for intensive care.P418 Approaches of Turkish anesthesiologists to delirium observed in intensive care unit patientsN Gokmen, L Iyilikci, S Kucukguclu, B Kuvaki, L Ciftci, A Gunerli Dokuz Eylul University, School of Medicine, Izmir, Turkey Critical Care 2007, 11(Suppl 2):P418 (doi: 10.1186/cc5578) Objective To determine attitudes and practices of the Turkish anesthesiologists and residents about delirium in the ICU. Methods An anonymous questionnaire consisting of 22 questions [1] was mailed to 258 anesthesiologists and residents. Results One hundred and fifty-four questionnaires were returned (60 response). Of the respondents, 57 were male and 61 were residents. One-half of MedChemExpress GSK3326595 respondents work in hospitals with more than 800 beds; 65 of respondents had an ICU facility of 7?2 beds. Seventy-two percent of the respondents had seen delirium in the ICU and also 70.2 of these respondents observed delirium in <25 of patients who were on mechanical ventilation. Although delirium was accepted a significant or very serious problem by 92.5 of the respondents, underdiagnosis was acknowledged by 74 . Routine screening for delirium was performed by 41.6 of the anesthesiologists and 88.1 of them were repeating daily. Clinical assessment was used in 76.7 of the screenings. Delirium was treated with haloperidol and benzodiazepine by 61.5 and 24 of the respondents. Of the respondents, 93.4 were not able to attend a meeting related to delirium and 67.6 did not read even an article about delirium. Conclusions Turkish anesthesiologists and residents consider delirium a relatively common and serious problem. However, they.