Herramientas clínicas para el diagnóstico de delirium en adultos hospitalizados en salas generales: revisión sistemática

Authors

  • Karina Guadalupe Loor Vélez Universidad Católica de Santiago de Guayaquil-Hospital Oncológico Juan Tanca Marengo SOLCA Guayaquil
  • Rigoberto Moisés Caicedo Bautín Universidad Católica de Santiago de Guayaquil
  • Mariana Concepción Vallejo Martínez Universidad Católica de Santiago de Guayaquil-Hospital Oncológico Juan Tanca Marengo SOLCA Guayaquil

DOI:

https://doi.org/10.56124/sapientiae.v9i20.015

Keywords:

Delirium, Diagnóstico, Hospitalización, Herramientas de cribado, Evaluación cognitiva.

Abstract

Delirium is an acute neuropsychiatric syndrome frequently observed in hospitalized patients and is associated with increased mortality, longer hospital stay, and functional decline. Despite its clinical importance, it remains underdiagnosed in general hospital wards. A systematic review was conducted following PRISMA recommendations and searches were performed in PubMed/MEDLINE, Scopus, Web of Science, and the Cochrane Library to identify studies evaluating clinical tools for delirium diagnosis in hospitalized adults. A total of 762 records were identified, and 29 studies met the inclusion criteria. The most commonly evaluated diagnostic tools were the Confusion Assessment Method (CAM), the 4AT, Nursing Delirium Screening Scale (Nu-DESC), and Delirium Rating Scale Revised-98 (DRS-R-98), all showing good diagnostic performance. Structured screening tools improve delirium detection in hospitalized adults. Instruments such as the CAM and the 4AT show good applicability and diagnostic performance in general hospital settings.

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Author Biographies

Karina Guadalupe Loor Vélez, Universidad Católica de Santiago de Guayaquil-Hospital Oncológico Juan Tanca Marengo SOLCA Guayaquil

Maestrante del programa de posgrado en la especialidad de Cuidados Paliativos, Universidad Católica de Santiago de Guayaquil-Hospital Oncológico Juan Tanca Marengo SOLCA Guayaquil

 

 

Rigoberto Moisés Caicedo Bautín, Universidad Católica de Santiago de Guayaquil

Maestrante del programa de posgrado en la especialidad de Cuidados Paliativos, Universidad Católica de Santiago de Guayaquil

 

 

Mariana Concepción Vallejo Martínez, Universidad Católica de Santiago de Guayaquil-Hospital Oncológico Juan Tanca Marengo SOLCA Guayaquil

Docente del programa de posgrado en la especialidad de Cuidados Paliativos, Universidad Católica de Santiago de Guayaquil. Jefe de servicios de Cuidados Paliativos del Hospital Oncológico Juan Tanca Marengo SOLCA Guayaquil

 

 

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Published

2026-07-15

How to Cite

Loor Vélez, K. G., Caicedo Bautín, R. M., & Vallejo Martínez, M. C. (2026). Herramientas clínicas para el diagnóstico de delirium en adultos hospitalizados en salas generales: revisión sistemática. Revista Científica Multidisciplinaria SAPIENTIAE. ISSN: 2600-6030., 9(20), 316–340. https://doi.org/10.56124/sapientiae.v9i20.015

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Vol. 9 No. 20 (2026): Revista Científica Multidisciplinaria SAPIENTIAE

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