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DDS: Delirium Detection Score

2005

An eight-item score developed to detect and quantify delirium in critically ill patients, with items adapted in part from sedation/withdrawal assessment.

Classification

Classification

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Tool and original sources

No direct copy is linked here. The original paper and a Google Images search are available below. Image results may be unofficial; check the version and source before use.

Original and selected diagnostic-accuracy papers

  • Original paperOtter H, Martin J, Bäsell K, von Heymann C, Hein OV, Böllert P, et al. Validity and reliability of the DDS for severity of delirium in the ICU. Neurocritical care. 2005;2(2):150-8. doi: 10.1385/NCC:2:2:150. PMID: 16159057.

    This paper reports the original validation of DDS. It reported sensitivity of 69% and specificity of 75% against the study reference standard.

  • Selected diagnostic-accuracy studyLuetz A, Heymann A, Radtke FM, Chenitir C, Neuhaus U, Nachtigall I, et al. Different assessment tools for intensive care unit delirium: which score to use?. Critical care medicine. 2010;38(2):409-18. doi: 10.1097/CCM.0b013e3181cabb42. PMID: 20029345.

    This diagnostic-accuracy study evaluated DDS in university-hospital ICU against an independent DSM-IV clinical assessment. It reported sensitivity of 30% and specificity of 91% in 156 surgical ICU patients aged 60 years or older.

  • Selected diagnostic-accuracy studyRadtke FM, Franck M, Schneider M, Luetz A, Seeling M, Heinz A, et al. Comparison of three scores to screen for delirium in the recovery room. British journal of anaesthesia. 2008;101(3):338-43. doi: 10.1093/bja/aen193. PMID: 18603528.

    This diagnostic-accuracy study evaluated DDS in post-anaesthesia recovery room against a DSM-IV clinical assessment. It reported sensitivity of 14% and specificity of 99% in 154 adult postoperative patients.

Multiple DTA studies identifiedCore instrument family

At a glance

Purpose
Measurement of delirium severity
Population
Adult
Setting
Intensive care
Time
variable
Items
8

Format: The instrument records 8 scored items or observations. This site classifies it under measurement of delirium severity and use in intensive care units. It is intended for adult use in Intensive care. The stated administration time is variable.

Evidence

Evidence maturityMultiple DTA studies identified

Reported sensitivity and specificity

Headline metric source

Original/source study · 2005 — pmid:16159057

Denominator
Not yet reconciled
Reference standard
Not recorded
69%
Sensitivity
75%
Specificity

Eight-item ICU severity score; AUC 0.80 against a sedation-agitation reference (n=1073).

More evidence and citation details
Full name
Delirium Detection Score
Also known as
DDS
Evidence summary
multi
Diagnostic-accuracy studies
4
Citation
Otter H, Martin J, Bäsell K, von Heymann C, Hein OV, Böllert P, Jänsch P, Behnisch I, Wernecke KD, Konertz W, Loening S, Blohmer JU, Spies C Validity and reliability of the DDS for severity of delirium in the ICU Neurocritical care. 2005;2(2):150-8. PMID 16159057
Copyright and reuse
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.