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SDS-N: Subjective Delirium Screening Scale by Nurse

2020

A four-feature nurse-observation screen developed for adult surgical wards. Its weighted score ranges from 0 to 5, with a published threshold of 2 or more; current evidence is development with internal bootstrap assessment rather than external validation.

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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

  • Principal sourceKubota K, Suzuki A, Ohde S, Yamada U, Fujitani I, Koitabashi A. Development of a Simple and Practical Delirium Screening Tool for Use in Surgical Wards. The journal of nursing research : JNR. 2020;28(3):e90. doi: 10.1097/jnr.0000000000000366. PMID: 32073481.

    This is the principal published source for SDS-N itself. It is the main source for the method, its intended use and the evidence available at publication.

One DTA study identifiedCore instrument family

At a glance

Purpose
Episodic assessment
Population
Adult
Setting
General / acute hospital, Perioperative
Time
nurse observation; exact completion time not reported
Items
4
Score or threshold
Weighted total ≥2 of 5

Format: A four-feature nurse-observation score: disorientation contributes two points, while restlessness, somnolence and hallucination contribute one each. The total is 0-5 and the development study evaluated a threshold of 2 or more.

  • Limitations: Development and internal bootstrap evaluation only; sensitivity was modest; reference classification used routine DST or CAM-ICU

Evidence

Evidence maturityOne DTA study identified

Reported sensitivity and specificity

61%
Sensitivity
96.7%
Specificity

AUC 81.9% in 2,168 retrospective surgical-ward patients; internal bootstrap assessment only.

More evidence and citation details
Full name
Subjective Delirium Screening Scale by Nurse
Also known as
SDS-N, Subjective Delirium Screening Scale
Evidence summary
derivation-and-internal-validation
Diagnostic-accuracy studies
1
Reference standard
Retrospective routine DST or CAM-ICU documentation rather than prospective independent DSM assessment
Citation
Kubota K, Suzuki A, Ohde S, Yamada U, Fujitani I, Koitabashi A Development of a Simple and Practical Delirium Screening Tool for Use in Surgical Wards The journal of nursing research : JNR. 2020;28(3):e90. PMID 32073481
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.