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CHART-DEL-ICU: Chart-based Delirium Identification Instrument for the ICU

2021

An ICU adaptation of CHART-DEL for retrospective delirium identification from clinical records. It supports research and quality review, not real-time individual diagnosis.

At a glance

Purpose
Retrospective ascertainment
Population
Critically ill adults
Setting
Intensive care
Time
retrospective chart abstraction; variable

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

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

Read the full paper ↗

Original paper

  • Principal sourceKrewulak KD, Hiploylee C, Ely EW, Stelfox HT, Inouye SK, Fiest KM. Adaptation and Validation of a Chart-Based Delirium Detection Tool for the ICU (CHART-DEL-ICU). Journal of the American Geriatrics Society. 2021;69(4):1027-1034. doi: 10.1111/jgs.16987. PMID: 33348428.

    This paper reports the principal validation of CHART-DEL-ICU. It is the main source for the method, its intended use and the evidence available at publication.

    Open PubMed ↗Download article PDF ↓

    Article PDF: CC BY-NC. This licence applies to the article PDF and does not grant rights to reproduce the tool.

No eligible DTA study identifiedRelated context
Classification

Classification

Retrospective ascertainmentDetailed phenomenological and/or neuropsychological assessmentUse in intensive care units

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Evidence

Diagnostic-accuracy evidenceNo eligible DTA study identified

Reported sensitivity and specificity

66.0%
Sensitivity
82.1%
Specificity

Against prospective reference assessment at the inclusive chart threshold; performance improved when combined with routine ICU screens.

More evidence and citation details
Full name
Chart-based Delirium Identification Instrument for the ICU
Related profiles
CHART-DEL
Evidence summary
single-DTA
Citation
Krewulak KD, Hiploylee C, Ely EW, Stelfox HT, Inouye SK, Fiest KM Adaptation and Validation of a Chart-Based Delirium Detection Tool for the ICU (CHART-DEL-ICU) Journal of the American Geriatrics Society. 2021;69(4):1027-1034. PMID 33348428
Download RIS ↗ Download BibTeX ↗

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
CHART-DEL-ICU adaptation reported in 2021
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.