Postoperative 3-item combination — Postoperative three-item ultrabrief combination
2020A preferred three-item combination derived in a postoperative study, not a fully specified branded instrument with an independent development lineage.
Assessment workflow
This page describes an assessment workflow rather than a separate instrument family. This profile remains public for clinical and bibliographic context, but it does not add to the headline count of independent core families.
What this tool is and how to interpret its evidence
This record represents a three-item combination identified in a study of ultrabrief postoperative delirium screening. Yevchak Sillner and colleagues compared brief combinations in cognitively intact older surgical patients and identified options that balanced sensitivity with specificity. The publication is useful evidence about efficient case-finding after surgery, but it did not establish a stable branded instrument with a separate manual, development programme or independent validation history.
The reported sensitivity and specificity belong to the tested cohort and chosen combination. They should not be presented as if they were pooled estimates for a universally recognised three-item tool. Performance may change in people with dementia, sensory impairment, different surgery types or assessments performed at other postoperative times. A positive ultrabrief result also requires an appropriate diagnostic follow-up.
The route can remain as an evidence or workflow page within the ultrabrief-screening family. It should be excluded from the independent-family count and linked to UB-2 and other established ultrabrief pathways. The page may describe that three cognitive or observational elements were combined and report the study setting and accuracy, but it need not reproduce the questions. If the authors or a subsequent study publish a fixed named form with explicit administration instructions and external validation, the record can later be promoted to a version page.
Evidence and practical details
- Full name
- Postoperative three-item ultrabrief combination
- Also known as
- postoperative ultrabrief screen, confused plus MOTYB plus sleepy screen
- Catalogue class
- Assessment workflow
- Record type
- core-workflow
- Family
- ultrabrief-delirium-screening
- Related profiles
- UB-2
- Purpose
- Ultra-brief bedside screen, Screening / case-finding
- Population
- Adult
- Setting
- Perioperative
- Items
- —
- Administration
- variable
- Evidence
- One DTA study identified
- Evidence maturity
- single-DTA
- Evidence stage
- implementation-with-diagnostic-accuracy-evidence
- DTA studies identified
- 1
- Current audit status
- provisional DTA identified
- Reference type
- Original/source and earliest DTA study
- Reference standard
- Confusion Assessment Method (CAM)
- Validation sample
- n = 1100
- Cut-off / scoring
- Any preferred three-item screen positive
- Original/source 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
Format and clearly labelled links
The number of scored items was not confirmed for this record. It is an ultra-brief bedside screen, screening / case-finding instrument for adult use in Perioperative. The stated administration time is variable. The published result is recorded using Any preferred three-item screen positive.
Rights, version and permission record
- Instrument access state
- No verified public instrument form
- Instrument host
- No verified instrument host
- Current instrument/version note
- No version verified
- Rights holder
- Not yet verified
- Licence / rights basis
- No licence verified
- Rights checked
- 2026-07-19
- Rights-holder contact
- Not yet verified
Permission scope recorded at the last check
- Clinical use: Not verified; obtain the current authorised instrument and follow its terms.
- Research use: Not verified; check with the developer or rights holder.
- Web republication: Not verified; do not reproduce the form or item wording.
- Translation/adaptation: Not verified; written permission may be required.
- EHR/software integration: Not verified; check before implementation.
- Commercial use: Not verified; check before use.
Site-text licence boundary: the CC BY 4.0 notice for original deliriumtools.com editorial text does not cover third-party instruments, item wording, forms, article text, logos, screenshots or linked material.
Page record and review status
- Page version
- 3.1.0
- Last factual/source check
- 2026-07-19
- Last rights/link check
- 2026-07-19
- Curator and responsible editor
- Professor Alasdair M J MacLullich — Curator factual and source review complete (not an independent external reviewer)
- Independent external clinical review
- Not yet completed. No independent external reviewer, consortium endorsement or institutional endorsement is claimed.
Corrections and rights-holder notices can be submitted through the contribute and corrections page.
* Where shown, sensitivity/specificity are from the cited evaluation and are not pooled estimates. “DTA studies identified” describes the current audit, not a completed systematic-review count. Citation metadata checked against PubMed or a publisher record does not imply validation, study quality, endorsement or suitability for a setting. See Methodology.