Cornell Assessment of Pediatric Delirium (CAPD) in 2 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 and walk)

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

Communicates needs and wants (uses 3-4 word sentences, or signs, may indicate toilet needs, calls self or me)

Restless (no sustained calm state)

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

Underactive (little if any more elaborate play, efforts to sit up and move around, and if able to stand, walk or jump)

Takes long time to respond to interactions (not following 1-2 step simple commands, if verbal, not engaging in more complex dialogue)

References

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AbdulRahman AlDaithan. Age-specific vulnerability and high prevalence of delirium in pediatric intensive care based on a prospective cohort study.. Scientific 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
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Andzelika Dechnik. Delirium in hospitalised children.. The Lancet. Child & adolescent health, 2020
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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