[PDF] Instrument Confusion Assessment Method - NIDUS Delirium Network




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[PDF] Confusion Assessment Method (CAM)

Confusion Assessment Method (CAM) (Adapted from Inouye et al , 1990) Patient's Name: Date: Instructions: Assess the following factors Acute Onset

[PDF] The Confusion Assessment Method - Geriatric Assessment Tool Kit

The CAM was designed and validated to be scored based on observations made during brief but formal cognitive testing, such as brief mental status evaluations

[PDF] Delirium Screening Tool: Confusion Assessment Method (CAM)

Delirium Screening Tool: Confusion Assessment Method (CAM) Feature 1: Acute onset and fluctuating course • This feature is usually obtained from a family 

[PDF] The Confusion Assessment Method (CAM) Training Manual and

A briefer assessment, the Short Portable Mental Status Questionnaire or Modified Mini-Cog Test (Pg 24) is recommended for quick screening Generally, the 

[PDF] The Short Confusion Assessment Method (Short CAM) Training

Once you have performed the cognitive testing with a patient you may move on to scoring the CAM Reproduced by The American Geriatrics Society Inc with 

[PDF] Confusion Assessment Method (CAM) - Hospital Elder Life Program

8 sept 2014 · standard ratings of geriatric psychiatrists based on Questionnaire or Modified Mini-Cog Test (Pg 25) is recommended for quick screening 

[PDF] Instrument Confusion Assessment Method - NIDUS Delirium Network

7 déc 2020 · Cognitive testing To rate the CAM, you must perform brief (5-10 min) evaluated patients ?65 years old at Geriatric Assessment Center

[PDF] Brief Confusion Assessment Method (bCAM) - ED Delirium

15 oct 2015 · objective measures with prespecified cutoffs to test for inattention and disorganized thinking Like the CAM and CAM-ICU, the bCAM has four 

[PDF] Confusion Assessment Method (CAM)

The full version of the Confusion Assessment Method (CAM) Questionnaire/test, standard ratings of geriatric psychiatrists based on comprehensive 

[PDF] Instrument Confusion Assessment Method - NIDUS Delirium Network 40894_7CAM.pdf

ThisworkwascreatedbytheNIDUSMeasurementandHarmonizationCore(LeadersRichardN.Jones,ScDandDaleM.Needham,MD,

PhD),fundedbyNIAR24AG054259,andislicensedundertheCreativeCommonsAttributionͲNonCommercialͲShareAlike4.0

InternationalLicense.Toviewacopyofthislicense,visithttp://creativecommons.org/licenses/byͲncͲsa/4.0/.Requestedcitatio

n : NIDUSͲNetworkforInvestigationofDelirium:UnifyingScientists,https://deliriumnetwork.org/Page1of2

Instrument

ConfusionAssessmentMethod

NOTE:Thiscardispopulatedwithinformationfromtheinstrument'soriginalvalidationstudyonly.

AcronymCAM

PrimaryUseDeliriumScreening

Areaassessed(Numberof

questions)ShortForm-4questionspertaining tothefollowingcorefeatures:

AcuteOnset&FluctuatingCourse;

Inattention;DisorganizedThinking;

AlteredLevelofConsciousnessLongForm-10questions,includesthefollowing featuresinadditiontoShortForm:

Disorientation;

MemoryImpairment;Perceptual

Disturbances;PsychomotorAgitationand

Retardation;

AlteredSleepͲWakeCycle

DescriptionAninstrumenttoimproveidentificationandrecognitionofdelirium;astandardizedmethod toenablenonͲpsychiatricallytrainedclinicianstoidentifydeliriumquicklyandaccuratelyin clinical andresearchsettings.

Versions2(ShortandLongforms)

ScoringinformationDeliriumscoredas'present'(1)or'absent'(0)basedonquestionresponses;CAMis consideredpositivebasedontheCAMalgorithm:presenceofacuteonsetorfluctuating course-ANDͲinattentionͲANDEITHERͲdisorganizedthinkingoralteredlevelof consciousness. CognitivetestingToratetheCAM,youmustperformbrief(5Ͳ10min)formalcognitivetesting.Youcanuse any instrument,suchastheShortPortableMentalStatusQuestionnaireorMiniͲCogTest.

Estimatedtimetorate3Ͳ5minutesforcognitivetesting,followedby3minutesforratinginstrument(shortform);

5minutesforratinglongform

Require

trainedraterYes-trainedlayratersorclinicians

AdministertoPatient,inͲperson

How toobtainDetailedfreeinstructions(registrationrequired)athttp://hospitalelderlifeprogram.org LicensingFee*NonefornonͲprofitoreducationaluses LanguagesavailableEnglish,Arabic,Dutch,French,German,Italian,Polish,Portuguese,Spanish,Thai,Turkish

HighestCOSMIN**rating4.5/6

†

TestPerformance

CharacteristicsInouye1990[Site1:newlyevaluatedpatientsш65yearsoldatGeriatricAssessmentCenter andsixwardsatYaleͲNewHavenHospital,N=30;Site2:admittedpatientswithsame inclusioncriteriaasSite1toBernardMitchellHospitalatUniversityofChicago,N=26]. ReferenceStandard:Geriatricpsychiatristratingaftercom p rehensiveassessment. •Reliability(interͲobserver):presence/absenceofdelirium100%k=1.0;forratingallnine clinical features88%k=0.67;assessing4CAMfeatures93%K=0.81 •ConvergentValidity(ComparedtoMiniͲMentalStateExamination[MMSE]):Kappa (k)=0.64, storyrecallk=0.59,VisualAnalogScaleforConfusionk=0.82,digitspantestk=0.66 •Sensitivity/Specificity:1.00/0.95(Site1);0.94/0.90(Site2) •PositivePredictiveAccuracy:91%(Site1);94%(Site2)

•NegativePredictiveAccuracy:100%(Site1);90%(Site2)*Feesandlicensinginformationiseffectiveasof2018,butissubjecttochangeovertime

**

COSMIN

isusedtorateastudy'sevaluationofasurveyortest'smeasurementproperties.COSMINdoesNOTratetheinstrumentitself,buthelps

readers

understandiftheycanhaveconfidenceintheresultsofstudiesevaluatingmeasurementpropertiesofsurveysandtests.Forexample,a

rigorousstudyevaluatingatestwithpoormeasurementpropertieswillreceivea"good"COSMINrating,whileapoorlyͲconductedstudyevaluatinga

testwithgoodmeasurementpropertieswillreceivea"poor"COSMINrating.SmallsamplesizecanimpactallCOSMINratings.Youmustconsiderboth

theCOSMINratingandtheresultsofstudiesprovidedwhenformingyouropinionaboutthattest.COSMINratingsshownarebasedsolelyonthe

instrument'soriginalvalidationstudy. †

COSMINbreakdown:contentvalidity:GOOD,effectindicators:GOOD,internalconsistency:NONE,interͲraterreliability:FAIR,constructvalidity:

NONE,externalvalidity:GOOD

Last updated on

ĐƚŽďĞƌϮ

7, 2020.
If you are aware of any updates required for this document, pleasenotifyusvia nidus@hsl.harvard.edu. LastupdatedonDecember7,2020.Ifyouareawareofanyupdatesrequiredforthisdocument,pleasenotifyusvia nidus@hsl.harvard.edu. This

workwascreatedbytheNIDUSMeasurementandHarmonizationCore(LeadersRichardN.Jones,ScDandDaleM.Needham,MD,

PhD),fundedbyNIAR24AG054259,andislicensedundertheCreativeCommonsAttributionͲNonCommercialͲShareAlike4.0

InternationalLicense.Toviewacopyofthislicense,visithttp://creativecommons.org/licenses/byͲncͲsa/4.0/.Requestedcitatio

n : NIDUSͲNetworkforInvestigationofDelirium:UnifyingScientists,https://deliriumnetwork.org/Page2of2

Reference:

InouyeSK,VanDyckCH,AlessiCA,BalkinS,SiegalAP,HorwitzRI.Clarifyingconfusion:TheConfusionAssessment

Method.

Anewmethodfordetectionofdelirium.AnnInternMed.1990;113:941Ͳ8.

Reviews:

Adamis,

D.,Sharma,N.,Whelan,P.J.P.,Macdonald,A.J.D.(2010).Deliriumscales:Areviewofcurrentevidence.

Aging&Men

tal Health,14(5):543Ͳ55.doi:10.1080/13607860903421011 De,J.,Wand,A.P.F.(2015).DeliriumScreening:ASystematicReviewofDeliriumScreeningToolsinHospitalized Patients.TheGerontologist,55(6):1079Ͳ1099.doi:10.1093/geront/gnv100 LaMantia,M.A.,Messina,F.C.,Hobgood,C.D.,Miller,D.K.(2014).ScreeningforDeliriumintheEmergency

Department:ASystematicReview.AnnalsofEmer

gen cyMedicine,63(5):551Ͳ60. doi:10.1016/j.annemergmed.2013.11.010 Leonard,M.M.,Nekolaichuk,C.,Meagher,D.J.,Barnes,C.,Gaudreau,J.D.,Watanabe,S.,...&Lawlor,P.G. (2014).Practicalassessmentofdeliriuminpalliativecare.Journalofpainandsymptommanagement,48(2),176Ͳ 190.

Mariz,J.,Castanho,T.C.,Teixeira,J.,Sousa,N.,Santos,N.C.(2016).DeliriumDiagnosticandScreeningInstruments

in

theEmergencyDepartment:AnUpͲtoͲDateSystematicReview.Geriatrics,1,22.doi:10.3390/geriatrics1030022

Shi,Q.,Warren,L.,Saposnik,G.,MacDermid,J.C.(2013).Confusionassessmentmethod:asystematicreviewand metaͲanalysisofdiagnosticaccuracy.N e uropsychiatrDisTreat,9:1359Ͳ70.doi:10.2147/NDT.S49520 VanVelthuijsen,E.L.,Zwakhalen,S.M.,Warnier,R.M.,Mulder,W.J.,Verhey,F.R.,Kempen,G.I.(2016).

Psychometricpropertiesandfeasibilityofinstrumentsforthedetectionofdeliriuminolderhospitalizedpatients:

asystematicreview.IntJGeriatrPsychiatry,31(9):974Ͳ89.doi:10.1002/gps.4441 Wei,L.A.,Fearing,M.A.,Sternberg,E.J.,Inouye,S.K.(2008).TheConfusionAssessmentMethod(CAM):A SystematicReviewofCurrentUsage.JAmGeriatrSoc,56(5):823Ͳ30.doi:10.1111/j.1532Ͳ5415.2008.01674.x Wong, C.L.,HolroydͲLeduc,J.,Simel,D.L.,&Straus,S.E.(2010).Doesthispatienthavedelirium?:valueof bedsideinstruments.Jama,304(7),779Ͳ786.
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