The-UB-CM-Training-Manual-version-2评估单模版表.docxVIP

TheUltra-BriefConfusionAssessmentMethod

(UB-CAM)Version2

TrainingManual

TheUltra-BriefConfusionAssessmentMethod(UB-CAM)canbeusedforquickbedsideassessmentof

delirium.TheUB-CAMisa2-stepprotocolthatbeginswithtwoquickscreens:1)Assessmentfor

severelyreducedlevelofconsciousness,severeenoughtoprecludeaskingquestions—ifpresent,the

testingendsandstupor/comaispresent.2)TheUB-2,anultra-brieftwoitemdeliriumscreen.Forthose

whoscreennegative(getbothquestionscorrect),theassessmentendsanddeliriumisnotpresent.Those

whodonothavestupor/comaandcannotanswerbothUB-2questionscorrectly(screenpositive)goonto

receiveadditionalitemsfromthe3-MinuteDiagnosticAssessmentforCAM-defineddelirium(3D-

CAM)usingaskippatterntoshortenadministrationtime.TheUB-CAMcanbecompletedinabout1

minuteonaverage(35-40secondsfortheUB-2only,and1minute30secondsforUB-2+additional

questionswithskip).TheUB-CAMperformsverywellcomparedtoanexpertevaluation.

DonnaM.Fick,RNPhD

RichardN.JonesScD

SharonKInouyeMDMPH

EdwardR.MarcantonioMDSM

1

BACKGROUND

Inpreliminarystudies,theUB-CAMishighlyaccurate,withsensitivityof93%andspecificityof95%,

andcanbecompletedinabout1minute(median40seconds,mean74seconds).WhiletheUB-CAMhas

20items,onlyaminorityareaskedinmostencounters—inapublishedstudyofnearly2000UB-CAM

administrations,themediannumberofitemsadministeredwas2,andthemeanwas6.Moreover,

deliriumisdiagnosedquicklyinseverelyimpairedpatients,andruledoutquicklyinintactpatients.So,

themostitemsareadministeredtothosewithintermediatelevelsofimpairment,asisappropriate.Given

theadaptivetestingapproach(thequestionsaskeddependonanswerstopreviousquestions)wehave

developedaUB-CAMApp,whichmakesadministrationeveneasier,andisavailable(freeofcharge)on

boththeAppleandGoogl