Graph for Discordance between ICDSC and CAM-ICU-7 blog post

Discordance between ICDSC and CAM-ICU-7 as measures of delirium severity in the ICU

Karla D. Krewulak PhD and Kirsten M. Fiest PhD Department of Critical Care Medicine, University of Calgary, Calgary, AB, Canada Determination of delirium presence or absence may no longer be sufficient when tools exist to measure a delirium score which may be used to estimate delirium severity. Measurement of delirium severity has been identified as […]

Delirium severity: how do (or should) we conceptualise and measure it?

Contributed by Zoë Tieges, PhD, Psychology Research Fellow, Geriatric Medicine, Usher Institute, The University of Edinburgh Severity grading of delirium in research and clinical practice may have important value in monitoring clinical course and recovery, in providing prognostic information for risk stratification, in informing treatment, and as endpoints in clinical trials. Fine-grained measures of delirium […]

New Systematic Review of Instruments for Identification of Delirium

Contributed by Benjamin K. I. Helfand, MSc, MD/PhD (candidate), University of Massachusetts Medical School Delirium affects approximately 3 million older Americans annually, accounting for over $164 billion in healthcare expenditures.1 Delirium disproportionately affects our older population (over age 65) with major public health implications. Development of delirium is associated with prolonged hospitalization, cognitive decline, and […]

Screening for delirium with the Confusion Assessment Method (CAM)

Contributed by Sharon K. Inouye, M.D., MPH; Richard N. Jones, ScD; Edward R. Marcantonio, M.D., SM Overview. The Confusion Assessment Method (CAM) was published in 19901 in a highly cited article in the Annals of Internal Medicine as the first brief, standardized method for identification of delirium at the bedside. It provided a standardized rating […]