Inouye et al used a simple clinical score to monitor the severity of delirium in hospitalized patients. This can be used to follow its course and response to interventions. The authors are from Yale University.
Parameters:
(1) inattention
(2) disorganized thinking
(3) altered level of consciousness
(1) symptom fluctuation
Parameter
Finding
Points
inattention
absent
0
mild
1
marked
2
disorganized thinking
absent
0
mild
1
marked
2
altered level of consciousness
absent
0
mild
1
marked
2
symptom fluctuation
absent
0
present
1
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 7
• The higher the score the worse the delirium.
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