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DRS: Delirium Rating Scale

1988

The original clinician-rated symptom scale that quantifies multiple parameters of delirium; forerunner of the DRS-R-98.

Classification

Classification

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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 paperTrzepacz PT, Baker RW, Greenhouse J. A symptom rating scale for delirium. Psychiatry research. 1988;23(1):89-97. doi: 10.1016/0165-1781(88)90037-6. PMID: 3363018.

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

  • Selected diagnostic-accuracy studyJanssen NJ, Tan EY, Staal M, Janssen EP, Leroy PL, Lousberg R, et al. On the utility of diagnostic instruments for pediatric delirium in critical illness: an evaluation of the Pediatric Anesthesia Emergence Delirium Scale, the Delirium Rating Scale 88, and the Delirium Rating Scale-Revised R-98. Intensive care medicine. 2011;37(8):1331-7. doi: 10.1007/s00134-011-2244-y. PMID: 21567109.

    This diagnostic-accuracy study evaluated DRS in paediatric ICU at a tertiary university medical centre against multidisciplinary clinical gold-standard diagnosis. It reported sensitivity of 91.7% and specificity of 100% in 182 non-electively admitted critically ill children aged 1-17 years; instrument-completable subset.

Multiple DTA studies identifiedCore instrument family

At a glance

Purpose
Measurement of delirium severity
Population
Adult
Setting
General / acute hospital
Time
variable
Items
10
Score or threshold
DRS ≥10

Format: The instrument records 10 scored items or observations. This site classifies it under measurement of delirium severity and detailed phenomenological and/or neuropsychological assessment. It is intended for adult use in General / acute hospital. The stated administration time is variable. The published result is recorded using DRS ≥10.

Evidence

Evidence maturityMultiple DTA studies identified

Reported sensitivity and specificity

Headline metric source

Later validation or evaluation · 1994 — pmid:8148634

Denominator
Reported source unit: 791 (analysis unit not fully reconciled)
Reference standard
DSM-III-R delirium diagnosis; rater independence and masking not confirmed from the accessible original record
94%
Sensitivity
82%
Specificity

Earliest DTA evaluation identified in the current audit; see the linked source and methodological caveats.

More evidence and citation details
Full name
Delirium Rating Scale
Also known as
DRS
Evidence summary
multi
Diagnostic-accuracy studies
5
Reference standard
DSM-III-R delirium diagnosis; rater independence and masking not confirmed from the accessible original record
Citation
Trzepacz PT, Baker RW, Greenhouse J A symptom rating scale for delirium Psychiatry research. 1988;23(1):89-97. PMID 3363018
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.