Article Text

This article has a correction. Please see:

PDF
Confusion Assessment Method is the most appropriate tool to quickly detect delirium in hospitalised patients at the bedside

Statistics from Altmetric.com

Question

Question

Which bedside instruments are accurate for detecting delirium in hospitalised adults?

Outcomes

Sensitivity, specificity, positive likelihood ratio (LR+) and negative likelihood ratio (LR−).

Methods

Design

Systematic review

Data sources

MEDLINE (from 1950 to May 2010) and EMBASE (from 1980 to 2010). Additional articles were identified by searching the bibliographies of retrieved articles.

Study selection and analysis

Inclusion criteria were published English language studies conducted in hospitalised patients (not intensive care unit) and that included participants with and without delirium. Studies were prospectively designed and used an appropriate reference standard (DSM-III, DSM-III-R or DSM-IV) that was performed by a specialist physician (geriatrician neurologist or psychiatrist) and applied the same index test to >80% of patients. The review did not include studies of patients with mostly alcohol-related delirium or a paediatric population or studies where the index and reference tests were performed by the same individual.

Main results

Nine studies were included assessing 11 bedside instruments. The prevalence of delirium ranged from 9% …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.