🧠 AWOL Delirium Risk Score
UseWhen to use: ward admission delirium prevention triage.
StrataHigher scores → proactive non-pharmacologic bundle and serial CAM.
LimitsWhen not to use: as a delirium diagnosis. · Pitfall: skipping CAM when mental status changes. · Prevent first; treat cause if delirious.
SourceDouglas VC et al. AWOL delirium prediction
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
0–4.
When to use
When to use: ward admission delirium prevention triage.
How it works
Age≥80 + WORLD backward fail + disorientation + moderate+ illness (1 each).
Key points
- 0–4.
- ≥2–3 escalate prevention.
- Next: CAM / sleep bundle.
References
- Douglas VC et al. AWOL delirium prediction
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Age ≥80 years | No (0) |
|---|---|
| Unable to spell WORLD backward | Able (0) |
| Not oriented to city, state, county, hospital name, AND floor/ward | Oriented (0) |
| Illness severity moderate or worse (nurse/MD global) | Mild (0) |
→AWOL0/4
- Cue：Lower AWOL band — still screen if clinical change
| Age ≥80 years | Yes (+1) |
|---|---|
| Unable to spell WORLD backward | Unable (+1) |
| Not oriented to city, state, county, hospital name, AND floor/ward | Not oriented (+1) |
| Illness severity moderate or worse (nurse/MD global) | Moderate or worse (+1) |
→AWOL4/4
- Cue：Higher delirium risk — proactive non-pharm bundle / serial CAM
Verification & sources · governance
FAQ
Frequently asked questions
- Does AWOL Delirium Risk Score upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is AWOL Delirium Risk Score calculated in practice? Can you show a worked example?
- Inputs: Age ≥80 years No (0), Unable to spell WORLD backward Able (0), Not oriented to city, state, county, hospital name, AND floor/ward Oriented (0), Illness severity moderate or worse (nurse/MD global) Mild (0) → Result: AWOL 0 /4（Cue: Lower AWOL band — still screen if clinical change） Inputs: Age ≥80 years Yes (+1), Unable to spell WORLD backward Unable (+1), Not oriented to city, state, county, hospital name, AND floor/ward Not oriented (+1), Illness severity moderate or worse (nurse/MD global) Moderate or worse (+1) → Result: AWOL 4 /4（Cue: Higher delirium risk — proactive non-pharm bundle / serial CAM）