🧠 Cornell Assessment of Pediatric Delirium (CAPD)
UseWhen to use: serial bedside observation in critically ill children.
StrataPositive screen → search reversible causes; not a stand-alone DSM diagnosis.
LimitsWhen not to use: without considering developmental baseline. · Pitfall: scoring deeply sedated patients without context. · Pair with CAPD developmental anchor chart when available.
SourceTraube C, et al. Crit Care Med 2014 (CAPD)
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Cutoff often ≥9.
When to use
When to use: serial bedside observation in critically ill children.
How it works
Eight items scored 0–4 (developmental-positive items reverse-weighted). Total 0–32; ≥9 usually positive if typically developing.
Key points
- Cutoff often ≥9.
- Reassess causes (hypoxia, drugs, infection).
- Next: pCAM-ICU / analgesia-sedation review.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Makes eye contact with caregiver | Sometimes (2) |
|---|---|
| Actions purposeful | Sometimes (2) |
| Aware of surroundings | Sometimes (2) |
| Communicates needs and wants | Sometimes (2) |
| Restless | Sometimes (2) |
| Inconsolable | Sometimes (2) |
| Underactive — little movement while awake | Sometimes (2) |
| Takes long time to respond to interactions | Sometimes (2) |
→CAPD16/32
- Screen：≥9 — positive delirium screen (typical development)
- Developmental delay：Some cohorts use higher cutoffs (e.g. ≥17) — follow local validation
Verification & sources · governance
FAQ
Frequently asked questions
- Does Cornell Assessment of Pediatric Delirium (CAPD) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Cornell Assessment of Pediatric Delirium (CAPD) calculated in practice? Can you show a worked example?
- Inputs: Makes eye contact with caregiver Sometimes (2), Actions purposeful Sometimes (2), Aware of surroundings Sometimes (2), Communicates needs and wants Sometimes (2), Restless Sometimes (2), Inconsolable Sometimes (2), Underactive — little movement while awake Sometimes (2), Takes long time to respond to interactions Sometimes (2) → Result: CAPD 16 /32（Screen: ≥9 — positive delirium screen (typical development), Developmental delay: Some cohorts use higher cutoffs (e.g. ≥17) — follow local validation）