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DEL-S — Delirium Severity Score

2022

A modern delirium-severity score (6-item short and 17-item long forms) developed with advanced psychometric methods; higher scores track longer stay, higher cost and greater mortality.

Severity measurementSingle validation study

Severity score; exposure–response with length of stay, cost and 1-year mortality (n=352).

Full nameDelirium Severity Score
Also known asDEL-S
PurposeSeverity measurement
PopulationAdult
SettingGeneral / acute hospital
Items
Administrationvariable
EvidenceSingle validation study
Reference typeOriginal validation study
Reference standardResearch delirium assessment
Validation samplen = 352
Cut-off / scoringShort 0–13; long 0–21
ReliabilityAdvanced psychometric (item-response) development
Strengths Fine-grained, outcome-linked severity
Limitations Newer; less external replication
ReferenceVasunilashorn SM, Fong TG, Helfand BKI, et al. Psychometric properties of a delirium severity score for older adults and association with hospital and posthospital outcomes. JAMA Netw Open. 2022;5(3):e226129. PMID 35357447

* 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.