Delirium in the intensive care unit

Table 2 The Intensive Care Delirium Screening Checklist

Checklist Item	Description
Altered level of consciousness^a
A	No response
B	Response to intense and repeated stimulation
C	Response to mild or moderate stimulation
D	Normal wakefulness
E	Exaggerated response to normal stimulation
Inattentiveness	Difficulty following instructions or easily distracted
Disorientation	To time, place, or person
Hallucination-delusion-psychosis	Clinical manifestation or suggestive behavior
Psychomotor agitation or retardation	Agitation requiring use of drugs or restraints, or slowing
Inappropriate speech or mood	Related to events or situation, or incoherent speech
Sleep/wake cycle disturbance	Sleeping <4 hours/day, waking at night, sleeping all day
Symptom fluctuation	Symptoms above occurring intermittently
Total score	0 to 8

^aIf A or B, then no other items are assessed that day. Data are from Bergeron and coworkers [8].

ISSN: 1364-8535