CAM-ICU Delirium Diagnosis Tool

CAM-ICU Calculator

CAM-ICU Delirium Diagnosis Tool

Answer the following questions to assess for delirium using the CAM-ICU method.

Is there a change from baseline, or does the patient’s behavior fluctuate?

Did the patient have difficulty focusing or was easily distractible?

Is the patient anything other than “Alert” or “Calm” on the RASS scale?

Are the patient’s thoughts incoherent or does the patient have illogical or unpredictable responses?

The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is a specific diagnostic tool used by clinicians to quickly and accurately screen for delirium in critically ill patients, including those who are non-verbal or intubated. Unlike other tools that might assess general confusion, the CAM-ICU is tailored for the unique environment of the intensive care unit. It is based on a structured, four-feature assessment that can be completed in just a few minutes, making it highly practical for daily use. By systematically checking for features like acute mental status changes, inattention, disorganized thinking, and an altered level of consciousness, the tool provides a standardized way to identify delirium, which is crucial for improving patient outcomes.

References:

  • Ely EW, Inouye SK, et al. Delirium in mechanically ventilated patients: validity and reliability of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). JAMA. 2001;286(21):2703-2710.
  • Gusmao-Flores D, et al. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU): a systematic review and meta-analysis of its diagnostic accuracy. Crit Care. 2012;16(2):R115.

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