The DOI matches its Crossref record.
Intensive Care Delirium Screening Checklist: evaluation of a new screening tool
Abstract
Objective Delirium in the intensive care unit is poorly defined. Clinical evaluation is difficult in the setting of unstable, often intubated patients. A screening tool may improve the detection of delirium.Method We created a screening checklist of eight items based on DSM criteria and features of delirium: altered level of consciousness, inattention, disorientation, hallucination or delusion, psychomotor agitation or retardation, inappropriate mood or speech, sleep/wake cycle disturbance, and symptom fluctuation. During 3 months, all patients admitted to a busy medical/surgical intensive care unit were evaluated, and the scale score was compared to a psychiatric evaluation.Results In 93 patients studied, 15 developed delirium. Fourteen (93%) of them had a score of 4 points or more. This score was also present in 15 (19%) of patients without delirium, 14 of whom had a known psychiatric illness, dementia, a structural neurological abnormality or encephalopathy. A ROC analysis was used to determine the sensitivity and specificity of the screening tool. The area under the ROC curve is 0.9017. Predicted sensitivity is 99% and specificity is 64%.Conclusion This study suggests that the Intensive Care Delirium Screening Checklist can easily be applied by a clinician or a nurse in a busy critical care setting to screen all patients even when communication is compromised. The tool can be utilized quickly and helps to identify delirious patients. Earlier diagnosis may lead to earlier intervention and better patient care.
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“Similarly, delirium was assessed for each patient twice daily by nurses or physicians until ICU discharge by using the Intensive Care Delirium Screening Checklist (ICDSC) score [22] (Additional data file 3).”
From Nicotine withdrawal and agitation in ventilated critically ill patients (2010) · cites this paper as [22]
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Devlin, J. W., Skrobik, Y. K., Gélinas, C., Needham, D. M., Slooter, A. J. C., Pandharipande, P. P., Watson, P. L., Weinhouse, G. L., Nunnally, M., Rochwerg, B. N., et al. (2018) · Critical Care Medicine · doi:10.1097/ccm.0000000000003299 · Cited by 4,280
Self-citationBarr, J., Fraser, G. L., Puntillo, K., Ely, E. W., Gélinas, C., Dasta, J. F., Davidson, J. E., Devlin, J. W., Kress, J. P., Joffe, A. M., et al. (2012) · Critical Care Medicine · doi:10.1097/ccm.0b013e3182783b72 · Cited by 3,896
“Delirium is a syndrome characterized by the acute onset of cerebral dysfunction with a change or fluctuation in baseline mental status, inattention, and either disorganized thinking or an altered level of consciousness (307-313).”
BackgroundMethodInfluentialSelf-citationEly, E. W., Inouye, S. K., Bernard, G. R., Gordon, S., Francis, J., May, L., Truman, B., Speroff, T., Gautam, S., Margolin, R., et al. (2001) · JAMA · doi:10.1001/jama.286.21.2703 · Cited by 3,210
Delirium as a Predictor of Mortality in Mechanically Ventilated Patients in the Intensive Care Unit
Ely, E. W. (2004) · JAMA · doi:10.1001/jama.291.14.1753 · Cited by 3,073
Jacobi, J., Fraser, G. L., Coursin, D. B., Riker, R. R., Fontaine, D. K., Wittbrodt, E. T., Chalfin, D. B., Masica, M. F., Bjerke, H. S., Coplin, W. M., et al. (2002) · Critical Care Medicine · doi:10.1097/00003246-200201000-00020 · Cited by 1,876
Metadata
- Authors
- Bergeron, N., Dubois, M.-J., Dumont, M., Dial, S., & Skrobik, Y.
- Affiliations
- Hôpital Maisonneuve-Rosemont (CA)
- McGill University (CA)
- Corresponding author
- Skrobik, Y.
- Venue
- Intensive Care Medicine
- Published
- 2001-04-20
- Volume
- 27
- Issue
- 5
- Pages
- 859-864
- ISSN
- 0342-4642 (ISSN-L)
- 1432-1238
- OpenAlex
- W2143617649
- Cited by
- 1,487
- References
- 0
- Citations by year
- 2026: 78 · 2025: 85 · 2024: 96 · 2023: 94 · 2022: 80 · 2021: 96 · 2020: 110 · 2019: 78 · 2018: 70 · 2017: 79 · 2016: 66 · 2015: 64 · 2014: 60 · 2013: 74 · 2012: 73
- FWCI
- 6.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Intensive Care Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Health Sciences › Medicine › Clinical Neurology › Alcoholism and Thiamine Deficiency
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Keywords
- delirium, intensive care unit, delirium screening, screening checklist, intensive care, altered level of consciousness, psychomotor agitation, sleep-wake disturbances, sensitivity and specificity, early diagnosis
- MeSH terms
- Adult, Aged, Aged, 80 and over, Critical Care, Delirium, Female, Humans, Male, Middle Aged, Prospective Studies, Surveys and Questionnaires, ROC Curve, Sensitivity and Specificity, Critical Illness, APACHE
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