awol_delirium_risk: AWOL Score for Delirium

In cliot: Clinical Indices and Outcomes Tools

AWOL Score for Delirium

Description

Calculates the AWOL score to predict the risk of developing delirium during hospitalization. The score assesses four risk factors: Age, ability to spell "World" backwards, Orientation, and iLlnes severity.

Usage

awol_delirium_risk(age, spell_world_failed, orientation_failed,
                   illness_severity_moderate_severe)

Arguments

age	Numeric. Patient age in years. (>= 80 years adds +1 point).
spell_world_failed	Numeric (0 or 1). Failure to spell "World" backwards correctly. (1 = Yes/Failed, +1 point).
orientation_failed	Numeric (0 or 1). Failure to correctly name the city, state, county, hospital name, or floor. (1 = Yes/Failed, +1 point).
illness_severity_moderate_severe	Numeric (0 or 1). Nurse-rated illness severity is "Moderate" or "Severe" (as opposed to Mild). (1 = Yes, +1 point).

Value

A list containing:

AWOL_Score	The total calculated score (Range 0-4).
Risk_Category	General classification (Low Risk < 2, High Risk >= 2).
Est_Delirium_Risk	Estimated percentage probability of developing delirium.

References

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. doi:10.1002/jhm.2062

Examples

# Example 1: High Risk
# 82yo (+1), Failed spelling (+1), Oriented (0), Moderate Severity (+1)
# Score = 3 (~37% risk)
awol_delirium_risk(82, 1, 0, 1)

# Example 2: Low Risk
# 65yo (0), Spelled correctly (0), Oriented (0), Mild Severity (0)
# Score = 0 (~2% risk)
awol_delirium_risk(65, 0, 0, 0)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.