cornell_assessment_pediatric_delirium: Cornell Assessment for Pediatric Delirium (CAPD)

Description

Calculates the CAPD score to screen for delirium in critically ill infants and children. The scale consists of 8 observational items scored from 0 to 4. For items 1-4 (developmental behaviors), higher scores indicate absence of the behavior (reverse scoring is assumed to be done prior to input or user enters points directly). For items 5-8 (symptomatic behaviors), higher scores indicate frequency of the symptom.

Usage

cornell_assessment_pediatric_delirium(q1_eye_contact, q2_purposeful_actions,
                                      q3_aware_surroundings, q4_communicate_needs,
                                      q5_restless, q6_inconsolable,
                                      q7_underactive, q8_response_time)

Value

A list containing:

CAPD_Total_Score: The sum of the 8 item scores (Range 0-32).
Interpretation: Screening result based on the cutoff of 9.

Arguments

q1_eye_contact: Numeric (0-4). Score for eye contact with caregiver. (0=Always, 4=Never).
q2_purposeful_actions: Numeric (0-4). Score for purposeful actions. (0=Always, 4=Never).
q3_aware_surroundings: Numeric (0-4). Score for awareness of surroundings. (0=Always, 4=Never).
q4_communicate_needs: Numeric (0-4). Score for communicating needs/wants. (0=Always, 4=Never).
q5_restless: Numeric (0-4). Score for restlessness. (0=Never, 4=Always).
q6_inconsolable: Numeric (0-4). Score for being inconsolable. (0=Never, 4=Always).
q7_underactive: Numeric (0-4). Score for being underactive. (0=Never, 4=Always).
q8_response_time: Numeric (0-4). Score for delayed response time. (0=Never, 4=Always).

References

Traube C, Silver G, Kearney J, et al. Cornell Assessment of Pediatric Delirium: a valid, rapid, observational tool for screening delirium in the PICU. Crit Care Med. 2014;42(3):656-663. doi:10.1097/CCM.0b013e3182a66b76

Examples

Run this code


# Example 1: Positive for Delirium
# Child never makes eye contact (4), is always restless (4), score 8 from just two items
# Total = 4+4+0+0+4+0+0+0 = 12
cornell_assessment_pediatric_delirium(4, 4, 0, 0, 4, 0, 0, 0)

# Example 2: Negative for Delirium
# Normal behaviors (0 points each)
cornell_assessment_pediatric_delirium(0, 0, 0, 0, 0, 0, 0, 0)

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