(A) Confusion Assessment Method for the ICU (CAM-ICU) (B) Intensive Care Delirium Screening checklist (ICDSC)
Copyright E. Wesley, MD, MPH and Vanderbilt University
Normal 0; Delirium4–8: Subsyndromal Delirium 1–3
Score your patient over the entire shift. Components don't all need to be present at the same time. Components 1 through 4 cannot be completed when the patient is deeply sedated or comatose (ie. SAS= 1 or 2; RASS = −4 or -5); Components 5 through 8 are based on observations throughout the entire shift. Information from the prior 24 hrs. should be obtained for components 7 and 8.
Adapted from Bergeron N, Dubois MJ, Dumont M, Dial S, Skrobik Y. Intensive Care Delirium Screening Checklist: evaluation of a new screening tool. Intensive Care Med. 2001 May;27(5):859–64; Ouimet S, Riker R, Bergeron N, Cossette M, Kavanagh B, Skrobik Y. Subsyndromal delirium in the ICU: evidence for a disease spectrum. Intens CareMed 2007;33:1007–13. Epub 2007 Apr 3; with permission.