Postoperative 3-item combination: Postoperative three-item ultrabrief combination

2020

A preferred three-item combination derived in a postoperative study, not a fully specified branded instrument with an independent development lineage.

At a glance

Purpose: Episodic assessment
Population: Adult
Setting: Perioperative
Time: variable
Selected components: 3
Score or threshold: Any preferred three-item screen positive

Format: A three-component combination selected within a study of postoperative screening. The components and reported accuracy belong to that analysis; this was not external validation of a separately established named instrument.

CAM usually means the four-feature short form; the long form has ten items. Check which form and supporting assessment the study used. Short and long CAM explained.

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.

Original paper

Original paperYevchak Sillner A, Ngo L, Jung Y, Inouye SK, Boltz M, Leslie D, et al. Ultrabrief Screens for Detecting Delirium in Postoperative Cognitively Intact Older Adults. Journal of hospital medicine. 2020;15(9):544-547. doi: 10.12788/jhm.3410. PMID: 32853147.
This is the original published source for Postoperative 3-item combination. It reported sensitivity of 92% and specificity of 72% against confusion Assessment Method (CAM).
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One DTA study identifiedAssessment workflow

Classification

Episodic assessment Ultra-brief bedside tools

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

Evidence

Diagnostic-accuracy evidenceOne DTA study identified

Reported sensitivity and specificity

Headline metric source

Original/source study · 2020; pmid:32853147

Denominator: Reported source unit: 1100 (analysis unit not fully reconciled)
Reference standard: Confusion Assessment Method (CAM)

92%

Sensitivity

72%

Specificity

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

More evidence and citation details

Full name: Postoperative three-item ultrabrief combination
Also known as: postoperative ultrabrief screen, confused plus MOTYB plus sleepy screen
Related profiles: UB-2
Evidence summary: single-DTA
Diagnostic-accuracy evaluations: 1
Reference standard: Confusion Assessment Method (CAM)
Citation: Yevchak Sillner A, Ngo L, Jung Y, Inouye SK, Boltz M, Leslie D, Marcantonio ER, Fick DM Ultrabrief Screens for Detecting Delirium in Postoperative Cognitively Intact Older Adults Journal of hospital medicine. 2020;15(9):544-547. PMID 32853147

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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.

Open 1 identified paper

Yevchak Sillner A, Ngo L, Jung Y, Inouye SK, Boltz M, Leslie D, Marcantonio ER, Fick DM (2020). Ultrabrief Screens for Detecting Delirium in Postoperative Cognitively Intact Older Adults. Journal of hospital medicine.
Reference category: other comparator or secondary accuracy evidence.

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.

Postoperative 3-item combination: Postoperative three-item ultrabrief combination

At a glance

Primary validation papers

Large-scale clinical implementation