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D-Scale: Delirium Scale

1973

A historical 58-item, 13-domain clinician-rated research scale described in 1973. Its source paper did not validate delirium detection.

At a glance

Purpose
Contextual, historical or service record
Population
Adult
Time
variable
Items
58

Format: The instrument records 58 scored items or observations. It is a detailed research assessment instrument for adult use in the setting described in the source study. The stated administration time is 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.

Start here

Tool and original sources

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

Original paper

  • Original paperLowy FH, Engelsmann F, Lipowski ZJ. Study of cognitive functioning in a medical population. Comprehensive psychiatry. 1973;14(4):331-8. doi: 10.1016/0010-440x(73)90025-4. PMID: 4724659.

    This is the original published source for D-Scale. It is the main source for the method, its intended use and the evidence available at publication.

Historical development/source study onlyHistorical context
Classification

Classification

A tool may belong to more than one category. Select a linked category to see other relevant profiles.

Evidence

Diagnostic-accuracy evidenceHistorical development/source study only

Reported sensitivity and specificity

;
Sensitivity
;
Specificity

Development/descriptive study (n=65); no participants were diagnosed with delirium and no diagnostic-accuracy validation was performed.

More evidence and citation details
Full name
Delirium Scale
Also known as
D-Scale
Evidence summary
historical-source-only
Citation
Lowy FH, Engelsmann F, Lipowski ZJ. Study of cognitive functioning in a medical population. Compr Psychiatry. 1973;14(4):331-8. PMID 4724659

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
Historical 58-item description (1973); complete item set not published in the source paper
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.