Perioperative medicine & outcomes

The 3-Minute Diagnostic Confusion Assessment Method severity score correlates with the Delirium Rating Scale–Revised–98 and with biomarkers of delirium

BJA OpenPublished Prospective observational cohort study

Authors' conclusion

The 3D-CAM-S severity scores correlated with DRS, delirium duration, and biomarkers of delirium.

Study context

Population
Patients >65 yr undergoing major elective surgery with anticipated hospital stay ≥2 days; excluded dementia, nursing home residents, neurosurgery, unable to complete neurocognitive testing204 completed both assessments
Participants
226 patients
Exposure
3D-CAM severity scores vs DRS severity scores
Outcome
Correlation of peak 3D-CAM-S scores with peak DRS severity scores
Methodological detailspaired assessments
  • Paired assessments

Main finding

As reported in the abstract

Peak 3D-CAM-S vs peak DRS severity

Correlation, raw score (ρ)

0.74

P<0.001

Correlation, short form (ρ)

0.66

P<0.001

Observational data: associations, not effects.

Further findings

Peak 3D-CAM-S raw score vs delirium duration and severity duration AUC

Delirium duration (ρ)
0.71, P<0.001
Severity duration AUC (ρ)
0.91, P<0.001

3D-CAM-S raw score vs biomarkers of delirium

Worse Trail Making Test B (ρ), n=177
0.37, P<0.001
Slow-wave EEG power (ρ), n=73
0.3, P=0.001
Plasma neurofilament light (ρ), n=61
0.26, P<0.05
Plasma tau (ρ), n=63
0.41, P<0.001

Original publication

The 3-Minute Diagnostic Confusion Assessment Method severity score correlates with the Delirium Rating Scale–Revised–98 and with biomarkers of delirium. BJA Open. Published 21 April 2025. doi:10.1016/j.bjao.2025.100398

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