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PrEDICT: Predicting Emergency department Delirium with an Interactive Computer Tablet

2019

A tablet-based serious game that records target-tapping speed and accuracy at four difficulty levels to flag unrecognised delirium in older emergency patients. Its sensitive threshold was derived in one cohort and had modest specificity.

At a glance

Purpose
Domain-specific or adjunctive measure
Population
Adult
Setting
Emergency department
Time
brief tablet task; exact total completion time not reported
Score or threshold
Data-derived threshold; numerical value not reported in the accessible abstract

Format: PrEDICT presents target-tapping tasks of increasing difficulty and records time and accuracy automatically. The page should not invent the unpublished numerical threshold or represent the game as a complete diagnostic assessment.

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.

Primary validation papers

1 identified diagnostic-accuracy paper

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 paperLee JS, Tong T, Tierney MC, Kiss A, Chignell M. Predictive Ability of a Serious Game to Identify Emergency Patients With Unrecognized Delirium. Journal of the American Geriatrics Society. 2019;67(11):2370-2375. doi: 10.1111/jgs.16095. PMID: 31355442.

    This is the original published source for PrEDICT. It reported sensitivity of 100% and specificity of 59.7% against the study's independent clinical reference assessment.

One DTA study identifiedEmerging clinical record
Classification

Classification

Domain-specific or adjunctive measureCognitive tests designed for delirium

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 · 2019; pmid:31355442

Denominator
Reported source unit: 203 (analysis unit not fully reconciled)
Reference standard
Clinically unrecognized delirium comparator not fully described in the accessible original abstracts; concurrent measures explicitly include CAM and Delirium Severity Index, but the precise final reference process requires full-text confirmation
100%
Sensitivity
59.7%
Specificity

Threshold derived in the same emergency-department cohort; 16 unrecognised delirium cases

More evidence and citation details
Full name
Predicting Emergency department Delirium with an Interactive Computer Tablet
Also known as
PrEDICT serious game, Predict Emergency Delirium Interactive Computer Tablet
Evidence summary
derivation-only
Diagnostic-accuracy evaluations
1
Reference standard
Clinically unrecognized delirium comparator not fully described in the accessible original abstracts; concurrent measures explicitly include CAM and Delirium Severity Index, but the precise final reference process requires full-text confirmation
Citation
Lee JS, Tong T, Tierney MC, Kiss A, Chignell M Predictive Ability of a Serious Game to Identify Emergency Patients With Unrecognized Delirium Journal of the American Geriatrics Society. 2019;67(11):2370-2375. PMID 31355442

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
  1. Lee JS, Tong T, Tierney MC, Kiss A, Chignell M (2019). Predictive Ability of a Serious Game to Identify Emergency Patients With Unrecognized Delirium. Journal of the American Geriatrics Society.

    Reference category: other comparator or secondary accuracy evidence.

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.