TY - JOUR
T1 - Ultrabrief Screens for Detecting Delirium in Postoperative Cognitively Intact Older Adults
AU - Yevchak Sillner, Andrea
AU - Ngo, Long
AU - Jung, Yoojin
AU - Inouye, Sharon K.
AU - Boltz, Marie
AU - Leslie, Douglas
AU - Marcantonio, Edward R.
AU - Fick, Donna M.
N1 - Funding Information:
Disclosures: The authors have nothing to disclose. Funding: This manuscript was supported by the following grants: R01AG030618 (Marcantonio, Fick)—Researching Efficient Approaches to Delirium Identification Study (READI); P01AG031720 (Marcantonio, Inouye)—Successful Aging after Elective Surgery Study (SAGES); National Institute on Aging grant K24AG035075 (Marcantonio); R24AG054259 (Marcantonio, Fick, Inouye)—Network for Investigation of Delirium across the US (NIDUS). Dr. Sillner reported an Early Career Award from the Gordon & Betty Moore Foundation payable to her institution.
Funding Information:
This manuscript was supported by the following grants: R01AG030618 (Marcantonio, Fick)?Researching Efficient Approaches to Delirium Identification Study (READI); P01AG031720 (Marcantonio, Inouye)?Successful Aging after Elective Surgery Study (SAGES); National Institute on Aging grant K24AG035075 (Marcantonio); R24AG054259 (Marcantonio, Fick, Inouye)?Network for Investigation of Delirium across the US (NIDUS). Dr. Sillner reported an Early Career Award from the Gordon & Betty Moore Foundation payable to her institution.
Publisher Copyright:
© 2020 Society of Hospital Medicine
PY - 2020/9
Y1 - 2020/9
N2 - The authors’ sought to develop an ultrabrief screen for postoperative delirium in cognitively intact patients older than 70 years undergoing major elective surgery. All possible combinations of one-, two- and three-item screens and their sensitivities, specificities, and 95% confidence intervals were calculated and compared with the delirium reference standard Confusion Assessment Method (CAM). Among the 560 participants (mean age, 77 years; 58% women), delirium occurred in 134 (24%). We considered 1,100 delirium assessments from postoperative days 1 and 2. The screen with the best overall performance consisted of three items: (1) Patient reports feeling confused, (2) Months of the year backward, and (3) “Does the patient appear sleepy?” with sensitivity of 92% and specificity of 72%. This brief, three-item screen rules out delirium quickly, identifies a subset of patients who require further testing, and may be an important tool to improve recognition of postoperative delirium.
AB - The authors’ sought to develop an ultrabrief screen for postoperative delirium in cognitively intact patients older than 70 years undergoing major elective surgery. All possible combinations of one-, two- and three-item screens and their sensitivities, specificities, and 95% confidence intervals were calculated and compared with the delirium reference standard Confusion Assessment Method (CAM). Among the 560 participants (mean age, 77 years; 58% women), delirium occurred in 134 (24%). We considered 1,100 delirium assessments from postoperative days 1 and 2. The screen with the best overall performance consisted of three items: (1) Patient reports feeling confused, (2) Months of the year backward, and (3) “Does the patient appear sleepy?” with sensitivity of 92% and specificity of 72%. This brief, three-item screen rules out delirium quickly, identifies a subset of patients who require further testing, and may be an important tool to improve recognition of postoperative delirium.
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U2 - 10.12788/jhm.3410
DO - 10.12788/jhm.3410
M3 - Article
C2 - 32853147
AN - SCOPUS:85090786508
SN - 1553-5606
VL - 15
SP - 544
EP - 547
JO - Journal of Hospital Medicine
JF - Journal of Hospital Medicine
IS - 9
ER -