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4AT Delirium Score Calculator

Rapid delirium screening tool

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Clinical use

Use this calculator for rapid delirium screening tool in thecritical care workflow. It is decision support and should be interpreted with the patient context, local protocols, and clinician judgment.

Interpretation

0 = delirium unlikely. 1-3 = possible cognitive impairment. ≥4 = possible delirium. Takes <2 min. Replaced CAM in many UK/AU hospitals.

Required inputs

  • Alertness
  • Amt 4
  • Attention
  • Acute Change Or Fluctuating

Evidence and limitations

This page cites 1 published reference. Confirm units and inclusion criteria before applying the output; calculators do not replace assessment, escalation, or local policy.

References

  • Bellelli G et al. Age Ageing 2014;43:496-502

Frequently asked questions

What is the 4AT Delirium Score?

4AT Delirium Score is a clinical calculator used for Rapid delirium screening tool.

How do I interpret the 4AT Delirium Score?

0 = delirium unlikely. 1-3 = possible cognitive impairment. ≥4 = possible delirium. Takes <2 min. Replaced CAM in many UK/AU hospitals.

What inputs are required for the 4AT Delirium Score?

Required inputs include Alertness, Amt 4, Attention, Acute Change Or Fluctuating.

What is the evidence behind the 4AT Delirium Score?

The 4AT Delirium Score page cites Bellelli G et al. Age Ageing 2014;43:496-502.

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