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DYNAMIC-ICU: DYNAMIC-ICU delirium prediction rule

2019

A seven-predictor dynamic ICU rule for estimating the risk of developing delirium during admission. It is a prevention and monitoring aid, not a current-delirium screen.

At a glance

Purpose
Future-risk prediction
Population
Adult
Setting
Intensive care
Time
calculated from clinical information and updated as exposures change; minutes not reported
Items
7
Score or threshold
Low 0-9; moderate 10-17; high 18-33

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.

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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.

Official information and permissions ↗

Original paper

  • Principal sourceFan H, Ji M, Huang J, Yue P, Yang X, Wang C, et al. Development and validation of a dynamic delirium prediction rule in patients admitted to the Intensive Care Units (DYNAMIC-ICU): A prospective cohort study. International journal of nursing studies. 2019;93:64-73. doi: 10.1016/j.ijnurstu.2018.10.008. PMID: 30861455.

    This paper reports the development and initial validation of DYNAMIC-ICU. It is the main source for the method, its intended use and the evidence available at publication.

    Open PubMed ↗
No eligible DTA study identifiedRelated context
Classification

Classification

Future-risk predictionUse in intensive care unitsMonitoring for new onset delirium

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Evidence

Diagnostic-accuracy evidenceNo eligible DTA study identified

Reported sensitivity and specificity

not applicable
Sensitivity
not applicable
Specificity

AUROC 0.900 in the held-out same-study validation cohort.

More evidence and citation details
Full name
DYNAMIC-ICU delirium prediction rule
Evidence summary
development-validation
Citation
Fan H, Ji M, Huang J, Yue P, Yang X, Wang C, Ying W Development and validation of a dynamic delirium prediction rule in patients admitted to the Intensive Care Units (DYNAMIC-ICU): A prospective cohort study International Journal of Nursing Studies. 2019;93:64-73. PMID 30861455
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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
Original seven-predictor 0-33 DYNAMIC-ICU rule reported in 2019
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.