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UB-2 — Ultra-Brief 2-item Screener

2015

Two-item screen ('months of the year backwards' plus 'day of the week') derived from the 3D-CAM as a first-step case-finding tool.

Ultra-brief bedside screenSingle validation study
93%
Sensitivity*
64%
Specificity*
n=201
Sample
Full nameUltra-Brief 2-item Screener
Also known asUB-2, months backwards
PurposeUltra-brief bedside screen
PopulationAdult
SettingGeneral / acute hospital
Items2
Administration<1 min
EvidenceSingle validation study
Reference typeOriginal validation study
Reference standardDSM-IV (expert)
Validation samplen = 201
Cut-off / scoringAny error on 'months backwards' or day of week
Strengths First-step ultra-brief screen; high sensitivity
Limitations Low specificity; needs a confirmatory step
ReferenceFick DM, Inouye SK, Guess J, et al. Preliminary development of an ultrabrief two-item bedside test for delirium. J Hosp Med. 2015;10(10):645-50. PMID 26369992

* Where shown, sensitivity/specificity are from the cited validation cohort and are not pooled estimates. Citation metadata was checked against PubMed or the publisher DOI record; a checked reference does not imply validation, study quality or endorsement. See the Methodology.