Does a Year Have 6 Months or 12? Implications for Delirium Detection Among Hospitalized Older General Medicine Patients
Delirium is common, morbid, and costly, yet less than half of all cases are recognized clinically.1 Since inattention is a key feature of delirium, attention items are excellent screening tools for delirium.2 Months of the year backwards (MOYB) has been identified as the best single delirium screening item.2,3 Yet, there is significant variation in how MOYB is administered and scored. Some tools recommend asking the patient to recite all months from December to January,3 while others suggest reciting only from December to July.2,4
Data is from 201 general medicine patients (≥ 75 years old) enrolled in our 3D-CAM validation study.5Participants were administered a detailed evaluation for delirium by a trained clinician...
This work was supported by the following grants: R01AG030618 (Marcantonio/Fick), K24AG035075 (Marcantonio), R24AG054259 (Inouye), and R01AG044518 (Inouye), all from the National Institute on Aging. The funding sources had no role in the drafting or submission of this manuscript.
Compliance with Ethical Standards
The Institutional Review Board of the Beth Israel Deaconess Medical Center approved all human subjects’ research activities in this manuscript—IRB protocols 2008-P-000165 and 2015-P-00096.
Conflict of Interest
The authors declare that they do not have a conflict of interest.