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DelBox: Delirium Box (Edinburgh Delirium Test Box)

2011

A purpose-built handheld sustained-attention test and precursor of DelApp. It measures a cognitive component strongly affected in delirium but does not independently establish the syndrome.

Classification

Classification

Domain-specific or adjunctive measureCognitive tests designed for delirium

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Tool and original sources

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

Original and selected diagnostic-accuracy papers

  • Original paperBrown LJ, Fordyce C, Zaghdani H, Starr JM, MacLullich AM. Detecting deficits of sustained visual attention in delirium. Journal of neurology, neurosurgery, and psychiatry. 2011;82(12):1334-40. doi: 10.1136/jnnp.2010.208827. PMID: 20587493.

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

  • Selected diagnostic-accuracy studyGreen C, Hendry K, Wilson ES, Walsh T, Allerhand M, MacLullich AMJ, et al. A Novel Computerized Test for Detecting and Monitoring Visual Attentional Deficits and Delirium in the ICU. Critical care medicine. 2017;45(7):1224-1231. doi: 10.1097/CCM.0000000000002477. PMID: 28489649.

    This diagnostic-accuracy study evaluated DelBox in royal Infirmary of Edinburgh general ICU against CAM-ICU delirium assessment. It reported sensitivity of 100% and specificity of 92% in 30 selected ICU patients; 79 repeated assessments.

Multiple DTA studies identifiedRelated context

At a glance

Purpose
Domain-specific or adjunctive measure
Population
Adult
Time
~1 min
Score or threshold
Eight DelBox sustained visual-attention tasks (ROC range; task-specific thresholds not reported in accessible abstract)

Format: It is a cognitive test for delirium instrument for adult use in the setting described in the source study. The stated administration time is ~1 min. The published result is recorded using Eight DelBox sustained visual-attention tasks (ROC range; task-specific thresholds not reported in accessible abstract).

Evidence

Evidence maturityMultiple DTA studies identified

Reported metric context

Objective computerised sustained-attention testing; AUC 0.80–0.99 discriminating delirium from dementia and controls (n=20 delirium).

More evidence and citation details
Full name
Delirium Box (Edinburgh Delirium Test Box)
Also known as
DelBox, Edinburgh Delirium Test Box, EDTB
Related profiles
DelApp, DelApp-ICU
Evidence summary
single-discrimination-study
Diagnostic-accuracy studies
2
Reference standard
Confusion Assessment Method delirium diagnosis
Citation
Brown LJ, Fordyce C, Zaghdani H, Starr JM, MacLullich AM Detecting deficits of sustained visual attention in delirium Journal of neurology, neurosurgery, and psychiatry. 2011;82(12):1334-40. PMID 20587493
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.