Cornell Assessment of Pediatric Delirium (CAPD) in 1 Year Old

Makes eye contact with caregiver (holds gaze, prefers primary parent, looks at speaker)

Actions are purposeful (Reaches and manipulates objects, tries to change position, if mobile, may try to get up)

Aware of surroundings (prefers primary parent, then other familiars, upset when separated from preferred caretakers)

Communicates needs and wants (uses single words, or signs)

Restless (no sustained calm state)

Inconsolable (not soothed by usual methods, e.g., singing, holding, talking)

Underactive (very little movement while awake)

Takes long time to respond to interactions (not following simple directions, if verbal, not engaging in simple dialogue with words or jargon)

References

Kelly R Wolfe. Cognitive Outcomes and Delirium After Cardiac Neurodevelopmental Program Implementation for Children With Congenital Heart Disease.. JAMA network open, 2025
Francesca Cavagnero. Antipsychotic Medications for Delirium Treatment in the Pediatric Intensive Care Unit: A Systematic Review.. Paediatric drugs, 2025
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
Andzelika Dechnik. Delirium in hospitalised children.. The Lancet. Child & adolescent health, 2020
Shari Simone. Implementation of an ICU Bundle: An Interprofessional Quality Improvement Project to Enhance Delirium Management and Monitor Delirium Prevalence in a Single PICU*. Pediatric Critical Care Medicine, 2017
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
A. Daoud. Diagnostic accuracy of delirium diagnosis in pediatric intensive care: a systematic review. Critical Care, 2014
C. Traube. Cornell Assessment of Pediatric Delirium: A Valid, Rapid, Observational Tool for Screening Delirium in the PICU*. Critical Care Medicine, 2014
Gabrielle H. Silver. Infant delirium in pediatric critical care settings.. The American journal of psychiatry, 2010