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CAM-ICU Flowsheet

2010

The CAM-ICU Flowsheet is the official flowchart presentation of the CAM-ICU bedside assessment for critically ill adults, including patients who cannot give a conventional verbal response.

Classification

Classification

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Original paper

  • Original validation paperGuenther U, Popp J, Koecher L, Muders T, Wrigge H, Ely EW, et al. Validity and reliability of the CAM-ICU Flowsheet to diagnose delirium in surgical ICU patients. Journal of critical care. 2010;25(1):144-51. doi: 10.1016/j.jcrc.2009.08.005. PMID: 19828283.

    This paper reports the original validation of CAM-ICU Flowsheet. It reported sensitivity of 88–92% and specificity of 100% against an independent DSM-IV clinical assessment.

No eligible DTA study identifiedVersion or adaptation

At a glance

Purpose
Episodic assessment
Population
Adult
Setting
Intensive care
Time
approximately 2 min in the original CAM-ICU validation
Score or threshold
Feature-based CAM-ICU classification; see the current authorised flowsheet.

Format: An official flowchart presentation of the CAM-ICU bedside assessment for critically ill adults. The tasks, feature wording, response options, thresholds and decision rule are not reproduced here.

Evidence

Evidence maturityNo eligible DTA study identified

Reported sensitivity and specificity

Headline metric source

Original/source study · 2010 — pmid:19828283

Denominator
54 patients; 54 paired assessments
Reference standard
Psychiatrist DSM-IV diagnosis
88–92%
Sensitivity
100%
Specificity

Original validation: two physician investigators assessed 54 surgical ICU patients; sensitivity was 88% and 92%, and specificity was 100% for both.

More evidence and citation details
Full name
CAM-ICU Flowsheet
Related profiles
CAM-ICU, CAM-ICU-7, CAM-ICU Plus
Evidence summary
multi-study
Reference standard
Psychiatrist DSM-IV diagnosis
Citation
Guenther U, Popp J, Koecher L, Muders T, Wrigge H, Ely EW, Putensen C Validity and reliability of the CAM-ICU Flowsheet to diagnose delirium in surgical ICU patients J Crit Care. 2010;25(1):144-151. PMID 19828283
Copyright and reuse
Version
Current CIBS flowsheet (2023 PDF when checked)
Rights holder
E. Wesley Ely, MD, MPH and Vanderbilt University
Licence
CLINICAL-IMPLEMENTATION-PERMISSION-NOT-OPEN-LICENCE
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.