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Related Experiment Video

Updated: Jul 15, 2026

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
11:05

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients

Published on: February 6, 2021

Delirium assessment in the critically ill.

John W Devlin1, Jeffrey J Fong, Gilles L Fraser

  • 1Northeastern University School of Pharmacy, 360 Huntington Ave., Boston, MA 02115-5000, USA. j.devlin@neu.edu

Intensive Care Medicine
|April 3, 2007
PubMed
Summary

This study compares validated delirium assessment tools for critically ill adults, offering strategies for ICU implementation to improve patient care. Identifying the best tools aids in early detection and management of delirium.

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Last Updated: Jul 15, 2026

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
11:05

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients

Published on: February 6, 2021

Area of Science:

  • Critical Care Medicine
  • Neuroscience
  • Geriatrics

Background:

  • Delirium is a common and serious complication in critically ill adults.
  • Accurate assessment of delirium is crucial for timely intervention and improved patient outcomes.
  • Existing delirium assessment tools vary in their validation and applicability.

Purpose of the Study:

  • To compare validated instruments for assessing delirium in critically ill adults.
  • To provide strategies for integrating these tools into intensive care unit (ICU) clinical practice.

Main Methods:

  • A comprehensive literature search was conducted using keywords related to delirium assessment in critical illness.
  • Identified tools underwent review for validity, clinical adoption, and practical implementation strategies.
  • Six delirium assessment instruments were identified and analyzed.

Main Results:

  • Six validated delirium assessment instruments were identified: CTD, abbreviated CTD, Confusion Assessment Method-ICU, Intensive Care Delirium Screening Checklist, NEECHAM scale, and Delirium Detection Score.
  • Significant differences exist among these tools regarding validation rigor, delirium component coverage, hypoactive delirium detection, use in sedated patients, and ease of use.
  • No single tool is universally superior; selection depends on specific clinical needs and patient populations.

Conclusions:

  • Implementing validated delirium assessment tools in the ICU can enhance patient care.
  • Clinicians can employ various strategies to overcome barriers to routine delirium assessment in the ICU.
  • Further research may be needed to refine existing tools or develop new ones tailored to specific ICU populations.