Delirium is an acute and fluctuating change in awareness and cognition and is a frequent complication of severe pediatric illness or injury. While in adults, delirium after acute neurological injury is known to be associated with more severe long-term cognitive impairment, delirium screening has not previously been systematically studied in children with ABI and is challenging, due to the overlap of symptoms between brain injury and delirium. The Cornell Assessment of Pediatric Delirium (CAPD) will be presented by its creator. Implementation and clinical utility of the CAPD in an inpatient pediatric brain injury rehabilitation program will be discussed, along with trajectories of CAPD scores from 150 children. Data demonstrating the predictive nature of CAPD screening shortly after admission will be presented. Discussion will include next steps for defining best use of delirium screening in children with brain injury, including expanding prospective data collection and considerations for defining post-traumatic confusional state.
describe the Cornell Assessment of Pediatric Delirium
discuss different types of children with acquired brain injury who may screen positive for delirium
identify one potential benefit of delirium screening in children with acquired brain injury