The Cornell Assessment of Pediatric Delirium: Translation and inter-rater reliability in a Danish pediatric intensive care unit.

Authors:
Marianne Lisby
Marianne Lisby
Aarhus University Hospital
Denmark
Chani Traube
Chani Traube
Weill Cornell Medical College
United States

Acta Anaesthesiol Scand 2019 Apr 17. Epub 2019 Apr 17.

Department of Anesthesiology and Intensive Care, East Section, Aarhus University Hospital, Aarhus, Denmark.

Background: Delirium is a serious medical problem and recognized as a common syndrome in critically ill children. Without routine screening, delirium diagnosis is often missed by the medical providers. Internationally, there are tools to assess pediatric delirium (PD), but none currently available in Danish. The aim of this project was to translate the Cornell Assessment of Pediatric Delirium (CAPD) into Danish and determine its feasibility and reliability in a Danish clinical setting.

Methods: Translation was done in accordance with WHO guidelines. Linguistic and cultural differences were reconciled with the original developers of the instrument. The Danish CAPD was then tested in a prospective cohort of children admitted to a single pediatric intensive care unit at a university hospital in Denmark. Inter-rater reliability was determined using weighted Kappa statistics.

Results: Thirty children were enrolled, and 92 delirium assessments were completed. Inter-rater reliability (n = 84) revealed that inter-observer agreement among the nurses was high (κ 0.85). The Danish version of the CAPD was successfully administered in all children.

Conclusions: Standardized assessment tools are a pre-requisite to identify PD. A Danish version of the CAPD now exists, and preliminary testing has demonstrated it as feasible and reliable for use in a Danish clinical setting. A multi-institutional study is needed to determine the prevalence of PD in Denmark.

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Source
http://dx.doi.org/10.1111/aas.13369DOI Listing
April 2019
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References

(Supplied by CrossRef)
The diagnosis and management of delirium in infancy
Turkel SB et al.
J Child Adolesc Psychopharmacol 2013
Pediatric delirium in the pediatric intensive care unit: a systematic review and an update on key issues and research questions
Creten C et al.
Minerva Anestesiol 2011
On risk factors for pediatric delirium at noon
Schieveld JN et al.
Pediatr Crit Care Med 2015
Patterns of postoperative delirium in children
Meyburg J et al.
Pediatr Crit Care Med 2017

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