1. Assessing delirium in acute geriatric wards Leiv Otto Watne Oslo University Hospital, Norway

2. Delirium - An acute change in cognition and attention -Common condition: - At admission (medical patients): 10 - 31% - Occurance rate per admission (medical patients) 11- 42 %. - Hip fracture patients: 4 - 53% - ICU patients: 50 - 80 % Siddiqi N, House AO, Holmes JD. Age Ageing. 2006 Jul;35(4):350-64. Bruce AJ, Int Psychogeriatr. 2007 Apr;19(2):197-214. Epub 2006 Sep 14. Jones, SF. Curr Opin Crit Care. 2012 Apr;18(2):146-51.

3. -Cork University Hospital, Irland: 407 acute adult inpatients beds -15th of May 2010 were all patients assessed for delirium -19,6 % had delirium Only 43,6% had delirium or one of its synonyms documented in the case notes!! Ryan DJ, BMJ Open. 2013 Jan 7;3

4. - Aim: ”to systematically review the evidence on the accuracy of bedside intstruments in diagnosing the presence of delirium” - Compared screening instruments to a ”golden standard” - Recommend: CAM, DRS-R98, MDAS Wong CL, JAMA. 2010 Aug 18;304(7)

5. From the original paper: - Can be completed in less than 5 minutes -Sensitivity 94-100 % -Specificity 90-95 % Inouye S, Ann Intern Med. 1990 Dec 15;113(12):941-8.

6. Assessing delirium in acute geriatric wards How to do it?!!

7. Delirium assessments For research: CAM, MDAS and/or DRS-R98 For clinical work: ?