Martinez et al developed a score for predicting delirium in a patient admitted to a medical ward in the hospital. This can help to identify a patient who may benefit from more aggressive management. The authors are from Donostia University Hospital in San Sebastian, Spain.
Patient selection: >= 18 years of age, admitted to a medical ward
Parameters:
(1) age in years
(2) number of activities of daily living (ADL) with impairment
(3) drug risk score
drug risk score =
= (number of types of antidepressants) + (number of types of antidementia agents) + (number of types of anticonvulsants) + (2 * (number of types of antipsychotic drugs))
Parameter
Finding
Points
age in years
<= 85 years
0
> 85 years
1
number of ADL impairments
< 5
0
>= 5
1
drug score
0 or 1
0
>= 2
1
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
• The higher the score the greater the risk for delirium.
Total Score
Delirium
0
4%
1
14-23%
2 or 3
43-64%
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