CHART-DEL: Chart-based Delirium Identification Instrument
2005A 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.
Classification
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Tool and original sources
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Original paper
- Original paperInouye 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. Journal of the American Geriatrics Society. 2005;53(2):312-8. doi: 10.1111/j.1532-5415.2005.53120.x. PMID: 15673358.
This paper reports the original validation of CHART-DEL. It is the main source for the method, its intended use and the evidence available at publication.
At a glance
- Purpose
- Retrospective ascertainment
- Population
- Adult
- Setting
- General / acute hospital
- Time
- variable
- Score or threshold
- Chart-review algorithm
Format: A trained chart-review method for retrospective delirium ascertainment from existing clinical records. It is not a real-time bedside assessment. Use the current developer materials for the method, instructions and permissions.
- Strengths: Retrospective identification for QI/research; far better than ICD codes
- Limitations: Not for individual patient diagnosis
Evidence
Reported sensitivity and specificity
Vs CAM reference standard (n=919); not for individual diagnosis.
More evidence and citation details
- Full name
- Chart-based Delirium Identification Instrument
- Also known as
- CHART-DEL, chart-based delirium instrument, Chart-DEL
- Related profiles
- CHART-DEL-ICU
- Evidence summary
- single
- Reference standard
- Interviewer CAM
- Reliability
- Agreement 82%, κ 0.41
- Citation
- Inouye 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
Copyright and reuse
- Version
- Use the current version supplied by the resource page
- 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.