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. Author manuscript; available in PMC: 2018 Apr 1.
Published in final edited form as: Crit Care Clin. 2017 Apr;33(2):225–243. doi: 10.1016/j.ccc.2016.12.005

Figure 5.

Figure 5

Figure 5

(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.