Confusion_Assessment_Method_for_the_ICU_CAM_ICU v.1
Establishes ability to detect delirium in high risk settings.
Used to detect delirium in high risk settings.
The CAM-ICU should be used daily on all patients admitted to the ICU even if they are mechanically ventilated. The CAM-ICU score is a validated and commonly used score to help monitor patients for the development or resolution of delirium. It is an adaptation of the Confusion Assessment Method (CAM) score for use in ICU patients. Since the first step of the score consists of identifying an “acute change from mental status baseline”, it may be difficult to use in patients in whom the neurologic baseline is unknown. If a patient’s neurologic baseline changes during the course of his hospitalization (such as a new CVA for example), then the new baseline should be used for any new assessment. In order for the CAM-ICU score to be accurate, patients should not be sedated, or have a RASS of 0. The patient is CAM-ICU positive (patient has delirium) if: -RASS ≥ -3, AND -Acute onset change in mental status or fluctuating course in mental status, AND -more than 2 errors in letters attention test, AND -Either RASS is not 0, OR combined number of errors to questions and commands >1
1. Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: the confusion assessment method: a new method for detection of delirium. Annals of internal medicine. 1990 Dec 15;113(12):941-8.
OBSERVATION.confusion_assessment_method_for_the_icu_cam_icu.v0
