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This feature is shown by a positive response to the following question: Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject?
Our institution guidelines recommend a CAM-ICU be assessed and documented at least every 8 h for each patient. CAM-ICU and RASS documentations were collected daily during the collection period along with use of atypical antipsychotics or sleep aids indicated for delirium.
The two most common types of delirium in the ICU are mixed and hypoactive [11]. Hypoactive delirium tends to occur more frequently in older patients compared with other types of delirium and has a worse prognosis.
Confusion Assessment Method (CAM) Diagnostic Algorithm Feature 2: Inattention This feature is shown by a positive response to the following question: Did the patient have difficulty focusing attention; for example, being easily distractible, or having difficulty keeping track of what was being said?
A 'positive' CAM\u2010ICU will be based on the presence of two major criteria (acute or fluctuating onset and lack of attention) and at least one of the minor criteria (disorganized thinking or altered consciousness level) (Gonzalez 2003), following the instructions of the original authors (Ely 2016).
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While not validated for use outside the ICU setting, the CAM-ICU can be used with a variety of ICU patients including those with medical, surgical, and neurobiologic conditions. A brief version for screening delirium is being tested for use in the Emergency Department.
This feature is shown by a positive response to the following question: Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject?
Two delirium risk factors nearly universally experienced by ICU patients are exposure to sedative and analgesic medications and sleep deprivation.
The CAM-ICU score is a validated and commonly used score to help monitor patients for the development or resolution of delirium. It is an adaptation of the Confusion Assessment Method (CAM) score for use in ICU patients.
The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is a tool used to assess delirium among patients in the intensive care unit. It is an adaptation of the CAM which was originally developed to allow non-psychiatrists to assess delirium at bedside.

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