AWOL Score (delirium risk at admission)

AWOL delirium risk score (Douglas 2013): predicts delirium during a medical admission.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Age 80 years or older
Yes
Not oriented to place
Yes
Nurse-rated illness severity
Not ill (0)

Result: AWOL 2 of 4 - delirium developed in about 14% of patients at this score.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Observed
Delirium during the stay: 0 about 2%, 1 about 4%, 2 about 14%, 3 about 20%, 4 about 64%.
Scope
Predicts delirium that has not happened yet. Not a delirium screen and no substitute for one; patients already delirious at admission were excluded from the derivation.

What you enter

  • Age 80 years or older
  • Cannot spell world backward
  • Not oriented to place
  • Nurse-rated illness severity
How this is calculated
Items
Age >= 80, cannot spell world backward, not oriented to place, nurse rating of moderately ill or worse - one point each = 0-4.

Douglas VC, Hessler CS, Dhaliwal G, et al. The AWOL tool: derivation and validation of a delirium prediction rule. J Hosp Med. 2013;8(9):493-499. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.