ObjectiveTo identify scales that can establish a quantitative assessment of delirium
symptoms in critically ill patients through a systematic review. MethodsStudies that evaluated delirium stratification scales in patients hospitalized in
intensive care units were selected in a search performed in the MedLine database.
Validation studies of these scales and their target patient populations were
analyzed, and we identified the examiner and the signs and symptoms evaluated. In
addition, the duration of the application and the sensitivity and specificity of
each scale were assessed. ResultsSix scales were identified: the Delirium Detection Score, the Cognitive Test of
Delirium, the Memorial Delirium Assessment Scale, the Intensive Care Delirium
Screening Checklist, The Neelon and Champagne Confusion Scale and the Delirium
Rating Scale-Revised-98. ConclusionThe scales identified allow the stratification and monitoring of critically ill
patients with delirium. Among the six scales, the most studied and best suited for
use in the intensive care units was the Intensive Care Delirium Screening
Checklist.
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