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OSLA: Observational Scale of Level of Arousal

2013

OSLA is a brief observational measure of level of arousal. Abnormal arousal can support delirium assessment, but it is not synonymous with delirium and requires clinical interpretation.

Classification

Classification

Domain-specific or adjunctive measureUltra-brief bedside tools

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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 paper

  • Original paperTieges Z, McGrath A, Hall RJ, Maclullich AM. Abnormal level of arousal as a predictor of delirium and inattention: an exploratory study. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry. 2013;21(12):1244-53. doi: 10.1016/j.jagp.2013.05.003. PMID: 24080383.

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

No eligible DTA study identifiedRelated context

At a glance

Purpose
Domain-specific or adjunctive measure
Population
Adult
Setting
Perioperative, General / acute hospital
Time
<1 min
Items
4

Format: A brief four-observation measure of level of arousal, usually completed at the bedside in under one minute. It provides adjunctive information for delirium assessment rather than a delirium screen or diagnosis.

Evidence

Evidence maturityNo eligible DTA study identified

Reported sensitivity and specificity

87%
Sensitivity
81%
Specificity

Exploratory study, n=30 hip-fracture patients.

More evidence and citation details
Full name
Observational Scale of Level of Arousal
Also known as
OSLA
Evidence summary
single
Citation
Tieges Z, McGrath A, Hall RJ, MacLullich AMJ. Abnormal level of arousal as a predictor of delirium and inattention: an exploratory study. Am J Geriatr Psychiatry. 2013;21(12):1244-53. PMID 24080383
Copyright and reuse
Information checked
2026-07-19

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Sources checked 2026-07-29. How profiles are prepared.