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SQiD: Single Question in Delirium

2010

SQiD is an informant-based, single-question screen for a recent change in confusion. It is a case-finding prompt rather than a diagnostic assessment.

Classification

Classification

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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 and selected diagnostic-accuracy papers

  • Original paperSands MB, Dantoc BP, Hartshorn A, Ryan CJ, Lujic S. Single Question in Delirium (SQiD): testing its efficacy against psychiatrist interview, the Confusion Assessment Method and the Memorial Delirium Assessment Scale. Palliative medicine. 2010;24(6):561-5. doi: 10.1177/0269216310371556. PMID: 20837733.

    This is the original published source for SQiD. It reported sensitivity of 80% and specificity of 71% against an independent DSM-IV clinical assessment.

  • Selected diagnostic-accuracy studyHendry K, Quinn TJ, Evans J, Scortichini V, Miller H, Burns J, et al. Evaluation of delirium screening tools in geriatric medical inpatients: a diagnostic test accuracy study. Age and ageing. 2016;45(6):832-837. doi: 10.1093/ageing/afw130. PMID: 27503794.

    This diagnostic-accuracy study evaluated SQiD in geriatric medical assessment unit of an urban teaching hospital against a DSM-5 clinical assessment. It reported sensitivity of 91.4% and specificity of 61.3% in 141 patients with informant SQiD data within a 500-patient cohort.

  • Selected diagnostic-accuracy studyLin HS, Eeles E, Pandy S, Pinsker D, Brasch C, Yerkovich S. Screening in delirium: A pilot study of two screening tools, the Simple Query for Easy Evaluation of Consciousness and Simple Question in Delirium. Australasian journal on ageing. 2015;34(4):259-64. doi: 10.1111/ajag.12216. PMID: 26059554.

    This diagnostic-accuracy study evaluated SQiD in general medical wards of a general hospital against a DSM-IV clinical assessment. It reported sensitivity of 77% and specificity of 51% in 100 general medical inpatients and their informants.

Multiple DTA studies identifiedCore instrument family

At a glance

Purpose
Episodic assessment
Population
Adult
Setting
Palliative care, General / acute hospital
Time
<1 min
Items
1
Score or threshold
Informant 'more confused lately?'

Format: The instrument records 1 scored item or observation. This site classifies it under episodic assessment and informant tools. It is intended for adult use in Palliative care, General / acute hospital. The stated administration time is <1 min. The published result is recorded using Informant 'more confused lately?'.

  • Strengths: Single question; leverages family knowledge
  • Limitations: Very small original sample

Evidence

Evidence maturityMultiple DTA studies identified

Reported sensitivity and specificity

Headline metric source

Original/source study · 2010 — pmid:20837733

Denominator
Reported source unit: 19 (analysis unit not fully reconciled)
Reference standard
Blinded psychiatrist DSM-IV interview
80%
Sensitivity
71%
Specificity

Original study, n=21; vs psychiatrist interview.

More evidence and citation details
Full name
Single Question in Delirium
Also known as
SQiD
Evidence summary
multi
Diagnostic-accuracy studies
5
Reference standard
Psychiatrist interview
Citation
Sands MB, Dantoc BP, Hartshorn A, Ryan CJ, Lujic S Single Question in Delirium (SQiD): testing its efficacy against psychiatrist interview, the Confusion Assessment Method and the Memorial Delirium Assessment Scale Palliative medicine. 2010;24(6):561-5. PMID 20837733
Copyright and reuse
Information checked
2026-07-19

Instrument-specific terms apply. See the access and copyright policy or send a correction.

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