AWOL_Score_for_Delirium_guideline v.1
Delirium is characterized by fluctuating disturbances in cognition and consciousness and is a common complication of hospitalization in medical and surgical patients.It is estimated that one‐third of hospital‐acquired delirium cases could be prevented with appropriate interventions. AWOL Variables and Points: A: Age<80 years=0 ≥80 years=1 W: Correctly spells “world” backward: Yes=0, No=1 O: Oriented to city, state, county, hospital name, and floor: Yes=0, No=1 L: Nursing illness severity assessment: Not ill=0, Mildly ill=0, Moderately ill=1, Severely ill=1, Moribund=1. Formula= Addition of the selected points. AWOL Score & Risk of delirium during hospitalization: 0= 2% 1= 4% 2= 14% 3=20% 4=64%
The AWOL characterizes medical patients' risk for delirium at the time of hospital admission and could be used for clinical stratification and in trials of delirium prevention.
The AWOL tool can be used for adult medical inpatients of all ages at high-risk for developing delirium during hospitalization. It can be completed by a nurse.
AWOL is not indicated in intensive care unite (ICU) and surgical patients. AWOL can not be used to predict incident delirium.
Primary Reference: Douglas VC, Hessler CS, Dhaliwal G, et al. The AWOL tool: derivation and validation of a delirium prediction rule. J Hosp Med. 2013;8(9):493‐499. doi:10.1002/jhm.2062 Validation: Brown EG, Josephson SA, Anderson N, Reid M, Lee M, Douglas VC. Predicting inpatient delirium: The AWOL delirium risk-stratification score in clinical practice. Geriatr Nurs. 2017;38(6):567‐572. doi:10.1016/j.gerinurse.2017.04.006
OBSERVATION.basic_demographic.v1, OBSERVATION.awol_score_for_delirium.v0, EVALUATION.awol_score_for_delirium.v0
