Table 1. Diagnosis of Delirium a,b.
DSM-IV-TR | CAM-ICU |
---|---|
Disturbed consciousness (eg, decreased ability to focus, sustain, or shift attention) | Feature 1: acute onset |
Changes in cognition (eg, memory deficit, language disturbance) or accounted for by preexisting dementia | Feature 2: inattention |
Disturbance develops over a short period of time and fluctuates | Feature 3: disorganized thinking |
Evidence supports that the disturbance is directly caused by the patient's general medical condition | Feature 4: altered level of consciousness |
a Abbreviations: CAM, Confusion Assessment Method; DSM-IV-TR, Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision; ICU, intensive care unit.
b The patient exhibited signs that fulfilled all four criteria as described by DSM-IV-TR (left column). The diagnosis was also confirmed (right column) by the CAM-ICU, which requires the presence of features 1 and 2, and of either 3 or 4.