CHART-DEL — Chart-based Delirium Identification Instrument

2005

A validated method for identifying delirium retrospectively from the medical record, for quality-improvement and research where prospective assessment is impossible. Far more sensitive than administrative (ICD) codes, but not intended for individual patient diagnosis.

Diagnostic assessment (episodic)Single validation study

74%

Sensitivity*

83%

Specificity*

n=919

Sample

Full nameChart-based Delirium Identification Instrument

Also known asCHART-DEL, chart-based delirium instrument, Chart-DEL

PurposeDiagnostic assessment (episodic)

PopulationAdult

SettingGeneral / acute hospital

Items—

Administrationvariable

EvidenceSingle validation study

Reference typeOriginal validation study

Reference standardInterviewer CAM

Validation samplen = 919

Cut-off / scoringChart-review algorithm

ReliabilityAgreement 82%, κ 0.41

Strengths＋ Retrospective identification for QI/research; far better than ICD codes

Limitations− Not for individual patient diagnosis

ReferenceInouye SK, Leo-Summers L, Zhang Y, Bogardus ST, Leslie DL, Agostini JV. A chart-based method for identification of delirium: validation compared with interviewer ratings using the confusion assessment method. J Am Geriatr Soc. 2005;53(2):312-8. PMID 15673358

Download RIS Download BibTeX DOI ↗ Original validation study ↗Official source ↗

* Where shown, sensitivity/specificity are from the cited validation cohort and are not pooled estimates. Citation metadata was checked against PubMed or the publisher DOI record; a checked reference does not imply validation, study quality or endorsement. See the Methodology.