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The Confusion Assessment Method (CAM) is a diagnostic tool developed to allow physicians and nurses to identify delirium in the healthcare setting. [1] It was designed to be brief (less than 5 minutes to perform) and based on criteria from the third edition-revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R).
A research study of 400 adult patients emerging from general anesthesia in the PACU were assessed for delirium using the Confusion Assessment Method for the ICU (CAM-ICU) found rates of emergence delirium of 31% at PACU admission with rates declining to 8% by 1 hour. [11]
A large, high quality (STARD-compliant) diagnostic randomized controlled trial comparing the 4AT and the Confusion Assessment Method (CAM) found that the 4AT had higher sensitivity and similar specificity to the CAM. [38]
The two most widely used are the Confusion Assessment Method for the ICU (CAM-ICU) [70] and the Intensive Care Delirium Screening Checklist (ICDSC). [71] Translations of these tools exist in over 20 languages and are used ICUs globally with instructional videos and implementation tips available. [69]
It is however mostly used in mechanically ventilated patients in order to avoid over and under-sedation. Obtaining a RASS score is the first step in administering the Confusion Assessment Method in the ICU (CAM-ICU), [4] a tool to detect delirium in intensive care unit patients. The RASS is one of many sedation scales used in medicine.
The CAM has been shown to be the most commonly used tool to assess for delirium. [ 9 ] [ 14 ] [ 15 ] Additionally, a meta-analysis looking at the accuracy and usefulness of the various testing methods reported that the MMSE was the most commonly used tool to evaluate major neurocognitive disorder, while the MoCA appeared to be the most useful ...
The Abbreviated Mental Test score (AMTS) is a 10-point test for rapidly assessing elderly patients for the possibility of dementia.It was first used in 1972, [1] [2] and is now sometimes also used to assess for mental confusion (including delirium) and other cognitive impairments.
Psychosis screening and assessment tools (5 P) Pages in category "Mental disorders screening and assessment tools" The following 84 pages are in this category, out of 84 total.