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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.

At a glance

Purpose
Episodic assessment
Population
Adult
Setting
Intensive care
Time
median 50 seconds with delirium and 45 seconds without delirium in the 2010 flowsheet study
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.

Primary validation papers

0 identified diagnostic-accuracy papers

Other forms of validation are described in the evidence section. What is counted?

Large-scale clinical implementation

Not yet reviewed.

A focused implementation review has not yet been completed for this profile.

Training and instructions

Public training resources have not yet been confirmed in this review. Check the linked developer or original source for instructions.

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Tool and original sources

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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.

    Open PubMed ↗
No eligible DTA study identifiedVersion or adaptation
Classification

Classification

Episodic assessmentUse in intensive care units

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Evidence

Diagnostic-accuracy evidenceNo 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
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Primary validation studies

Distinct primary publications from the current diagnostic-accuracy audit. Reviews and repeated evaluations within one paper are not counted again. Overlapping cohorts have not all been reconciled. Read the counting rules and limitations.

No eligible diagnostic-accuracy paper is currently included in this audit. This does not mean the tool has never been validated. The source paper and other evidence on this profile may concern severity, reliability or another measurement purpose.

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.

Base clinical review: 2026-07-29. Instrument description source check: 2026-09-05. Scope and limitations.