Cornell Assessment of Pediatric Delirium (CAPD) in 4 Week Old

Makes eye contact with caregiver (holds gaze briefly, follows 90 degrees)

Actions are purposeful (reaches, with some discoordination)

Aware of surroundings (awake alert time, turns to primary caretaker’s voice, may turn to smell of primary caretaker)

Communicates needs and wants (cries when hungry or uncomfortable)

Restless (no sustained calm state)

Inconsolable (not soothed by parental rocking, singing, feeding, comfortable actions)

Underactive (very little movement while awake)

Takes long time to respond to interactions (not making sounds or reflexes active as expected)

References

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Olivia Ruth. Current Evidence Regarding the Evaluation and Management of Neonatal Delirium.. Current psychiatry reports, 2024
Iftitakhur Rohmah. Diagnostic accuracy of the pediatric CAM-ICU, pre-school CAM-ICU, Pediatric Anesthesia Emergence Delirium and Cornell Assessment of Pediatric Delirium for detecting delirium in the pediatric intensive care unit: A systematic review and meta-analysis.. Intensive & critical care nursing, 2023
Stephanie Fuller. The American Association for Thoracic Surgery Congenital Cardiac Surgery Working Group 2021 consensus document on a comprehensive perioperative approach to enhanced recovery after pediatric cardiac surgery.. The Journal of thoracic and cardiovascular surgery, 2021
M. Canter. Prospective Validation of the Preschool Confusion Assessment Method for the ICU to Screen for Delirium in Infants Less Than 6 Months Old. Critical Care Medicine, 2021
Elana J. Siegel. Delirium in the NICU: A Point Prevalence Study.. Hospital pediatrics, 2021
L. Dervan. Delirium in a Tertiary PICU: Risk Factors and Outcomes*. Pediatric Critical Care Medicine, 2020
H. Hoshino. The Validity and Reliability of the Japanese Version of the Cornell Assessment of Pediatric Delirium. Pediatric Critical Care Medicine, 2020
C. Traube. Delirium in Critically Ill Children: An International Point Prevalence Study*. Critical Care Medicine, 2017
A. Groves. Detection and Management of Delirium in the Neonatal Unit: A Case Series. Pediatrics, 2016
Khyati Brahmbhatt. Diagnosis and Management of Delirium in Critically Ill Infants: Case Report and Review. Pediatrics, 2016
Julia Harris. Clinical recommendations for pain, sedation, withdrawal and delirium assessment in critically ill infants and children: an ESPNIC position statement for healthcare professionals. Intensive Care Medicine, 2016
C. Traube. Cornell Assessment of Pediatric Delirium: A Valid, Rapid, Observational Tool for Screening Delirium in the PICU*. Critical Care Medicine, 2014
Alia Daoud. Diagnostic accuracy of delirium diagnosis in pediatric intensive care: a systematic review.. Critical care (London, England), 2014