Table 2.
Sensitivity, Specificity and Kappa for FAM-CAM Questions (first record/dyad, N=52)
FAM-CAM Questions | Sensitivity % (95% CI)* | Specificity % (95% CI)** | Kappa (95% CI) |
---|---|---|---|
Original CAM Algorithm: Acute | 88 (7/8) | 98 (43/44) | 0.85 |
Onset + Fluctuation + Inattention + Disorganized thinking or Altered consciousness | (47, 99) | (86, 100) | (0.65, 1.00) |
Added: Disorientation | 75 (6/8) (42, 100) | 98 (43/44) (85, 100) | 0.77 (0.51, 1.00) |
Added: Perceptual Disturbances | 50 (4/8) | 100 (44/44) | 0.63 |
(Hallucinations) | (40, 100) | (80, 98) | (0.30, 0.95) |
Added: “Inappropriate behavior” | 38 (3/8) (10, 74) | 100 (44/44) (90, 100) | 0.50 (0.14, 0.86) |
Added: Disorientation + Perceptual | 13 (1/8) | 100 (44/44) | 0.19 |
Disturbances (Hallucinations) + “Inappropriate behavior” | (<1, 53) | (90, 100) | (−0.13, 0.52) |
NOTE: CAM=Confusion Assessment Method; FAM-CAM=Family Confusion Assessment Method;
Sensitivity=proportion screened as delirious using the FAM-CAM among those screened as delirious using the CAM;
Specificity=proportion screened as not delirious using the FAM-CAM among those not screened as delirious using the CAM.