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CAC-A: Clinical Assessment of Confusion-A

1990

A 25-item nurse-observed measure of acute confusion across five behavioural dimensions. It has later delirium criterion-validity evidence, but its construct is broader than criterion-based delirium diagnosis.

Classification

Classification

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Tool and original sources

This record describes a method rather than a downloadable bedside form. The main source is linked below.

Original and selected diagnostic-accuracy papers

  • Original paperVermeersch PE. The clinical assessment of confusion-A. Applied nursing research : ANR. 1990;3(3):128-33. doi: 10.1016/s0897-1897(05)80132-6. PMID: 2400212.

    This is the original published source for CAC-A itself. It is the main source for the method, its intended use and the evidence available at publication.

  • Selected diagnostic-accuracy studyPompei P, Foreman M, Cassel CK, Alessi C, Cox D. Detecting delirium among hospitalized older patients. Archives of internal medicine. 1995;155(3):301-7. doi: 10.1001/archinte.1995.00430030095011. PMID: 7832602.

    This diagnostic-accuracy study evaluated CAC-A in four medical and surgical wards of a university teaching hospital against a DSM-III-R clinical assessment. It reported sensitivity of 36% and specificity of 95% in 432 hospitalised adults aged 65 years or older; 64 developed delirium.

Multiple DTA studies identifiedCore instrument family

At a glance

Purpose
Episodic assessment
Population
Adult
Setting
General / acute hospital
Time
approximately 5 min after observation
Items
25
Score or threshold
Higher totals indicate greater confusion; later studies have used five or more abnormal behaviours for case-finding

Format: CAC-A aggregates observed behaviours across five dimensions into a total in which higher values reflect more confusion. The complete behavioural statements should be obtained from the publication or NIDUS card rather than copied into this commentary.

Evidence

Evidence maturityMultiple DTA studies identified

Reported sensitivity and specificity

Headline metric source

Later validation or evaluation · 1995 — pmid:7832602

Denominator
Reported source unit: 432 (analysis unit not fully reconciled)
Reference standard
One of five clinician investigators (four geriatricians, one geriatric nurse specialist) applying operationalised DSM-III-R delirium criteria within 24 hours of referral
36%
Sensitivity
95%
Specificity

Earliest DTA evaluation identified in the current audit; see the linked source and methodological caveats.

More evidence and citation details
Full name
Clinical Assessment of Confusion-A
Also known as
CAC-A, Clinical Assessment of Confusion A
Related profiles
CAC-B
Evidence summary
single-DTA
Diagnostic-accuracy studies
2
Reference standard
One of five clinician investigators (four geriatricians, one geriatric nurse specialist) applying operationalised DSM-III-R delirium criteria within 24 hours of referral
Citation
Vermeersch PE The clinical assessment of confusion-A Applied nursing research : ANR. 1990;3(3):128-33. PMID 2400212
Copyright and reuse
Information checked
2026-07-19

Instrument-specific terms apply. See the access and copyright policy or send a correction.

Sources checked 2026-07-29. How profiles are prepared.