ToolsCalculators
AWOL Score for Delirium
AWOL Score for Delirium
Age 80 years or older
Unable to spell "world" backward correctly
Not oriented to place (disorientation)
Higher nurse-rated illness severity (moderately ill or worse)
Result0 points
Predicted in-hospital delirium incidence about 2%.
- Predicted delirium incidence
- 2%
When to use
- Stratifying delirium risk at hospital admission in medical inpatients without delirium.
- Targeting non-pharmacologic delirium prevention to higher-risk patients.
Formula
One point each: Age >=80, unable to spell "World" backward, disOriented to place, higher nurse-rated iLlness severity. Range 0-4.
Pearls and pitfalls
- Derived and validated in medical inpatients older than 50 years.
- Delirium risk rose steeply from 2% at 0 points to 64% at 4 points in the combined cohort.