OBJECTIVE: @entity933 in the intensive care unit is poorly defined. Clinical evaluation is difficult in the setting of unstable, often intubated @entity1 . A screening tool may improve the detection of @entity933 . METHOD: We created a screening checklist of eight items based on DSM criteria and features of @entity933 : altered level of @entity1662 , inattention, disorientation, @entity1833 or delusion, @entity2146 , inappropriate mood or speech, sleep/wake cycle disturbance, and symptom fluctuation. During 3 months, all @entity1 admitted to a busy medical/surgical intensive care unit were evaluated, and the scale score was compared to a @entity146 evaluation. RESULTS: In 93 @entity1 studied, 15 developed @entity933 . Fourteen (93%) of them had a score of 4 points or more. This score was also present in 15 (19%) of @entity1 without @entity933 , 14 of whom had a known @entity146 , @entity303 , a structural @entity16 or @entity75 . A ROC analysis was used to determine the sensitivity and specificity of the screening tool. The area under the ROC curve is 0.9017. Predicted sensitivity is 99% and specificity is 64%. CONCLUSION: This study suggests that the Intensive Care @entity933 Screening Checklist can easily be applied by a clinician or a nurse in a busy critical care setting to screen all @entity1 even when communication is compromised. The tool can be utilized quickly and helps to identify delirious @entity1 . Earlier diagnosis may lead to earlier intervention and better @entity1 care.

Intensive Care XXXX Screening Checklist: evaluation of a new screening tool.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric', 'psychiatric illness'] @entity303 :: ('MESH:D003704', 'Disease') :: ['dementia'] @entity75 :: ('MESH:D001927', 'Disease') :: ['encephalopathy'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological abnormality'] @entity1833 :: ('MESH:D006212', 'Disease') :: ['hallucination'] @entity2146 :: ('MESH:D011595', 'Disease') :: ['psychomotor agitation or retardation'] @entity933 :: ('MESH:D003693', 'Disease') :: ['delirium', 'Delirium'] @entity1662 :: ('MESH:D003244', 'Disease') :: ['consciousness']
@entity933 :: (MESH:D003693,Disease) :: ['Delirium']
