Validation of the delirium observation screening scale in a hospitalized older population

Katherine Gavinski; Ryan Carnahan; Michelle Weckmann

doi:10.1002/jhm.2580

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Validation of the delirium observation screening scale in a hospitalized older population

Journal article

Peer reviewed

Validation of the delirium observation screening scale in a hospitalized older population

Katherine Gavinski, Ryan Carnahan and Michelle Weckmann

Journal of hospital medicine, Vol.11(7), pp.494-497

07/2016

DOI: 10.1002/jhm.2580

PMCID: PMC4931982

PMID: 26970312

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Abstract

Delirium is challenging to diagnose in older populations. It is often reversible, and when detected, treatment can improve patient outcomes. Delirium detection currently relies on trained staff to conduct neurocognitive interviews. The Delirium Observation Screening Scale (DOS) is a screen designed to allow faster, easier identification of delirium. In this validation study, conducted at an academic tertiary care center, we attempted to determine the accuracy of the DOS as a delirium screening tool in hospitalized patients over 64 years old. We compared DOS results to a validated delirium diagnostic tool, the Delirium Rating Scale-Revised-98. We also assess the user-friendliness of the DOS by nurses via electronic survey. In 101 assessments of 54 patients, the DOS had sensitivity of 90% and specificity of 91% for delirium. The DOS is an accurate and easy way to screen for delirium in older inpatients. Journal of Hospital Medicine 2016;11:494-497. © 2016 Society of Hospital Medicine.

Inpatients

Psychiatric Status Rating Scales - statistics & numerical data

Humans

Sensitivity and Specificity

Female

Male

Surveys and Questionnaires

Aged

Delirium - diagnosis

Mass Screening - methods

Details

Title: Subtitle: Validation of the delirium observation screening scale in a hospitalized older population
Creators: Katherine Gavinski - University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa
Ryan Carnahan - Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa
Michelle Weckmann - Department of Family Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa
Resource Type: Journal article
Publication Details: Journal of hospital medicine, Vol.11(7), pp.494-497
DOI: 10.1002/jhm.2580
PMID: 26970312
PMCID: PMC4931982
NLM abbreviation: J Hosp Med
ISSN: 1553-5606
eISSN: 1553-5606
Publisher: Wiley; United States
Grant note: T35 HL007485 / NHLBI NIH HHS R18 HS022666 / AHRQ HHS
Language: English
Date published: 07/2016
Academic Unit: Psychiatry; Epidemiology; Family and Community Medicine; Injury Prevention Research Center
Record Identifier: 9983995135702771

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