title: Detecting pediatric delirium: development of a rapid observational assessment tool.
abstract: OBJECTIVE
  Development of a novel screening tool for the detection of delirium in pediatric intensive care unit (PICU) patients of all ages by comparison with psychiatric assessment based on the reference standard Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria.
  
  
  METHODS
  This was a prospective blinded pilot study investigating the feasibility of the Cornell Assessment of Pediatric Delirium (CAP-D) performed in a PICU at a university hospital. Fifty patients, ages 3 months to 21 years, admitted to the PICU over a 6-week period were included. No interventions were performed.
  
  
  RESULTS
  After informed consent was obtained, two study teams independently assessed for delirium by completing the CAP-D and by conducting psychiatric evaluation based on the DSM-IV criteria. Concordance between the CAP-D and DSM-IV criteria was excellent, at 97%. Prevalence of delirium in this sample was 29%.
  
  
  CONCLUSIONS
  The CAP-D may be a valid screen for identification of delirium in PICU patients of all ages. Further studies are required to explore its validity, inter-rater reliability, and feasibility of use as a nursing screen.
authors.affiliation: Child Psychiatry, Weill Cornell Medical College, NY Presbyterian Hospital, New York, NY 10065, USA.
authors.forename: Gabrielle
authors.initials: G
authors.lastname: Silver
authors.forename: Chani
authors.initials: C
authors.lastname: Traube
authors.forename: Julia
authors.initials: J
authors.lastname: Kearney
authors.forename: Daniel
authors.initials: D
authors.lastname: Kelly
authors.forename: Margaret J
authors.initials: MJ
authors.lastname: Yoon
authors.forename: Wendy
authors.initials: W
authors.lastname: Nash Moyal
authors.forename: Maalobeeka
authors.initials: M
authors.lastname: Gangopadhyay
authors.forename: Huibo
authors.initials: H
authors.lastname: Shao
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: Ward
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003693:Delirium / Q000175:diagnosis*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D015278:Intensive Care Units, Pediatric; D008297:Male; D008403:Mass Screening / Q000295:instrumentation*; D011446:Prospective Studies; D014481:United States; D055815:Young Adult