Delirium diagnostic criteria: Difference between revisions
Ahmed Zaghw (talk | contribs) Created page with "__NOTOC__ {{Delirium}} {{CMG}}; {{AE}} {{AZ}} ==Diagnostic Criteria== ====Scoring Systems for the Diagnosis of Delirium in Critically Ill Patients==== ====Confusion Assessme..." |
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==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
====Scoring Systems for the Diagnosis of Delirium in Critically Ill Patients==== | ====Scoring Systems for the Diagnosis of Delirium in Critically Ill Patients==== | ||
*:'''Confusion Assessment Method for the ICU (CAM-ICU)''' | |||
The test should be done on a sufficiently awake patient (RASS score, -3 or more) | The test should be done on a sufficiently awake patient (RASS score, -3 or more) | ||
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If the RASS is 0 and the above two criteria are positive, test for disorganized thinking using 4 yes/no questions and a 2step command; >1 error means the patient is delirious; ≤1 error excludes delirium | If the RASS is 0 and the above two criteria are positive, test for disorganized thinking using 4 yes/no questions and a 2step command; >1 error means the patient is delirious; ≤1 error excludes delirium | ||
*:'''Intensive Care Delirium Screening Checklist (ICDSC)''' | |||
==References== | ==References== | ||
Revision as of 21:49, 13 February 2014
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Delirium Microchapters |
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Diagnosis |
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Treatment |
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Delirium On the Web |
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American Roentgen Ray Society Images of Delirium |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Zaghw, M.D. [2]
Diagnostic Criteria
Scoring Systems for the Diagnosis of Delirium in Critically Ill Patients
- Confusion Assessment Method for the ICU (CAM-ICU)
The test should be done on a sufficiently awake patient (RASS score, -3 or more)
The criteria
An acute change from mental status at base line or fluctuating mental status during the past 24 hr(must be true to be positive)
More than 2 errors on a 10point test of atten tion to voice or pictures (must be true to be positive)
If the RASS is not 0 and the above two criteria are positive, the patient is delirious
If the RASS is 0 and the above two criteria are positive, test for disorganized thinking using 4 yes/no questions and a 2step command; >1 error means the patient is delirious; ≤1 error excludes delirium
- Intensive Care Delirium Screening Checklist (ICDSC)