Volume 15 Supplement 1
Assessment of delirium in intensive care using the CAM-ICU
© Shetty and Reid 2011
Published: 1 March 2011
Delirium remains a common but poorly diagnosed condition in the ICU . Delirium is an independent predictor of cognitive decline and mortality . The aims of this audit were: to measure the incidence of delirium in our unit; to consider the practicalities of using the CAM-ICU; whether a positive CAM-ICU test would change management; and the attitude of senior intensive care staff regarding the usefulness of CAM-ICU.
The CAM-ICU was used for 5 weeks in a mixed general ICU (14 beds) at Queen's Hospital, Romford. Patients were included into the study after 24 hours of admission; they were tested once daily. If the test was positive, a senior physician responsible for the patient's care was asked whether they would change the management of the patient. A survey was conducted to understand the attitude of intensive care consultants regarding the usefulness of the CAM-ICU test.
The incidence in our unit was lower than in other studies. Daily assessment with the CAM-ICU had no effect on management. It is possible to implement use of the CAM-ICU daily after a short period of training. There is a difference in attitude and practice in senior staff with regard to use of the CAM-ICU. As most cases are short lived and occurred in the first 48 hours, prevention should be emphasized before admission to critical care.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.