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NH-CAM: Nursing Home Confusion Assessment Method

2007

NH-CAM is a research method for identifying possible delirium in long-term-care data derived from routinely collected Minimum Data Set information. It is not a prospective bedside form.

At a glance

Purpose
Retrospective ascertainment
Population
Adult
Setting
Long-term / care home
Time
variable

Format: It is a monitoring / repeated screening instrument for adult use in Long-term / care home. The stated administration time is variable.

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.

Start here

Tool and original sources

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

Original paper

  • Original paperDosa D, Intrator O, McNicoll L, Cang Y, Teno J. Preliminary derivation of a Nursing Home Confusion Assessment Method based on data from the Minimum Data Set. Journal of the American Geriatrics Society. 2007;55(7):1099-105. doi: 10.1111/j.1532-5415.2007.01239.x. PMID: 17608886.

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

No eligible DTA study identifiedRelated context
Classification

Classification

Retrospective ascertainmentMonitoring for new onset delirium

A tool may belong to more than one category. Select a linked category to see other relevant profiles.

Evidence

Diagnostic-accuracy evidenceNo eligible DTA study identified

Reported sensitivity and specificity

;
Sensitivity
;
Specificity

Derived from MDS; validated against mortality/rehospitalisation risk, not a clinical reference standard.

More evidence and citation details
Full name
Nursing Home Confusion Assessment Method
Also known as
NH-CAM, Nursing Home CAM
Evidence summary
single
Citation
Dosa D, Intrator O, McNicoll L, Cang Y, Teno J. Preliminary derivation of a Nursing Home Confusion Assessment Method based on data from the Minimum Data Set. J Am Geriatr Soc. 2007;55(7):1099-105. PMID 17608886

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
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.