Child Psychiatry, Weill Cornell Medical College, NY Presbyterian Hospital, New York, NY 10065, USA.
Intensive Care Med. 2012 Jun;38(6):1025-31. doi: 10.1007/s00134-012-2518-z. Epub 2012 Mar 10.
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.
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.
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%.
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.
通过与基于参考标准《精神障碍诊断与统计手册》（DSM-IV）标准的精神病学评估进行比较，为所有年龄的儿科重症监护病房（PICU）患者开发一种新的谵妄筛查工具。
这是一项在大学医院 PICU 进行的前瞻性、盲法试点研究，旨在调查 Cornell 儿科谵妄评估（CAP-D）的可行性。在 6 周的时间内，共纳入了 50 名年龄在 3 个月至 21 岁之间的患者。未进行任何干预。
在获得知情同意后，两个研究小组通过完成 CAP-D 和根据 DSM-IV 标准进行精神病学评估，独立评估谵妄。CAP-D 与 DSM-IV 标准之间的一致性非常好，为 97%。该样本中谵妄的患病率为 29%。
CAP-D 可能是一种有效的筛查工具，可用于识别所有年龄的 PICU 患者的谵妄。需要进一步研究来探索其有效性、评估者间的可靠性以及作为护理筛查的可行性。
