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🧠 How do #delirium tools perform in the real world?

🔥 Systematic review

🏥 N=500,000, 22 studies

🛠️ CAM, 4AT, DOSS, bCAM, NuDESC

Free 🔗

Led by @rosespenfold agsjournals.onlinelibrary.wiley.com/share/AEFJJFQS…
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📚 Lots of #delirium tools have been published

🔬 Many have good sensitivity & specificity in diagnostic test accuracy studies

🏥 Some are used in clinical practice

‼️ But good sens/spec does not guarantee good performance in routine practice

@KingsIoPPN @TheLancetPsych @NeuroCov @Tim_R_Nicholson @tompollak @rcpsych 1/

Trying to understand the case definition section here.

"altered mental status (defined as an acute alteration in
personality, behaviour, cognition, or consciousness) ... "

altered mental status then divided into: @KingsIoPPN @TheLancetPsych @NeuroCov @Tim_R_Nicholson @tompollak @rcpsych 2/

(a) (encephalopathy, encephalitis—
defined as encephalopathy with evidence of inflammation
in the CNS [CSF white cell count >5 cells per µL, protein
>0·45 g/dL, or MRI consistent with inflammation],
seizures [clinical or electroencephalographic evidence],

and ...