{"uid":"cap_DOGxSS74UI7MFr6CEZEGv","slug":"awol-delirium-risk-score-douglas-2013-3f5e342e","name":"AWOL Delirium Risk Score (Douglas 2013)","description":"Douglas 2013 AWOL: four caller-assigned yes/no flags (age ≥80, unable to spell WORLD backward, not fully oriented to place, nurse-rated illness moderately ill/severely ill/moribund), 1 point each, max 4. Combined-population observed delirium 2/4/14/20/64% at scores 0–4. Deterministic published score with citation; not a delirium diagnosis, not CAM-ICU, not 4AT, and not a medical device. magent does not interview the patient or collect an integer age.","url":"https://api.magentlab.com/api/calc/awol","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","required":["input"],"properties":{"input":{"type":"object","required":["type","method"],"properties":{"type":{"type":"string","const":"http"},"method":{"enum":["GET","HEAD","DELETE"],"type":"string"},"headers":{"type":"object","additionalProperties":{"type":"string"}},"queryParams":{"type":"object","required":["age_ge_80","failed_world_backward","not_oriented_to_place","illness_moderate_severe_or_moribund"],"properties":{"age_ge_80":{"type":"boolean","description":"Age ≥80 years (AWOL A; Douglas 2013). true or false as assigned by the caller. magent does not collect an integer age and does not interview the patient."},"failed_world_backward":{"type":"boolean","description":"Unable to correctly spell WORLD backward (AWOL W; Douglas 2013). true or false as assigned by the caller. magent does not interview the patient."},"not_oriented_to_place":{"type":"boolean","description":"Not fully oriented to place: not oriented to city, state, county, hospital name, and floor (AWOL O; Douglas 2013). true or false as assigned by the caller. magent does not interview the patient."},"illness_moderate_severe_or_moribund":{"type":"boolean","description":"Nurse-rated illness severity moderately ill, severely ill, or moribund, as opposed to not ill or mildly ill (AWOL L; Douglas 2013). true or false as assigned by the caller. magent does not interview the patient."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.005","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.005/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_kzQPJMcdSsABEtsGpZ54G","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.005","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Computes the AWOL delirium prediction score (0–4) from four caller-assigned yes/no flags and returns observed delirium probability rates from the Douglas 2013 published study.","exampleAgentPrompt":"Calculate the AWOL delirium risk score for a hospitalized patient who is 83 years old (age ≥80: yes), failed to spell WORLD backward (yes), is not fully oriented to place (yes), and the nurse rated illness severity as moderately ill (yes).","exampleUseCases":[{"title":"Geriatric inpatient delirium triage","prompt":"I need to risk-stratify an 81-year-old patient admitted to the medical floor — they couldn't spell WORLD backward, are disoriented to floor and hospital name, and the nurse rated them as severely ill. What is their AWOL score and associated delirium risk?"},{"title":"Pre-procedure delirium risk assessment","prompt":"Before scheduling an elective procedure, compute the AWOL score for a patient who is 76 (so age ≥80 is no), passed the WORLD backward test, is fully oriented to place, and is rated only mildly ill by nursing — so all four flags are false."},{"title":"Clinical documentation support for nursing workflow","prompt":"A nurse has flagged a patient as: age under 80, unable to spell WORLD backward, not oriented to place, and illness rated moderate. Can you run the Douglas 2013 AWOL score and tell me what observed delirium probability corresponds to that result?"}],"resultDescription":"Returns the integer AWOL score (0–4) based on the four input flags, along with the published observed delirium prevalence rates from Douglas 2013 (approximately 2%, 4%, 14%, 20%, 64% for scores 0–4 respectively), enabling risk stratification without performing a clinical diagnosis.","failureModes":["Missing any of the four required boolean query parameters returns a validation error","Non-boolean values for flags (e.g. strings other than true/false) cause a bad request error","Network or server errors may return 5xx responses","Payment failure or missing x402 payment header returns 402 Payment Required"],"whenToPreferThis":"Use this endpoint when you need a fast, deterministic, published clinical risk score for delirium risk stratification in hospitalized adults using the Douglas 2013 AWOL criteria. Prefer this over the 4AT or CAM-ICU endpoints when the four AWOL flags have already been clinically assessed. Do not use this as a diagnostic tool or substitute for clinical judgment.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-14T13:08:50.896Z","isFirstParty":false}