Measurement Properties of Delirium Tools in Pediatric Intensive Care: A Systematic Review.
Max Zilezinski, Natascha-Elisabeth Denninger, Martin Müller et al.
✦ AI-curated · Sources linked
In 30 seconds
This systematic review evaluated the measurement properties of pediatric delirium tools in intensive care, analyzing 41 studies. The Cornell Assessment of Pediatric Delirium (CAPD) demonstrated high-certainty evidence for criterion validity, while the Sophia Observation withdrawal Symptoms scale - Pediatric Delirium (SOS-PD) showed high-certainty evidence for convergent validity and reliability. The review highlights the need for further research on measurement error and cross-cultural validity.
Key findings
- CAPD had the largest evidence base with high-certainty evidence for criterion validity.
- SOS-PD showed high-certainty evidence for convergent validity and reliability.
- Moderate-certainty evidence for reliability was found for CAPD and Confusion Assessment Method tools.
- Evidence for CDAS and PEDS was limited to single studies.
Why it matters
Understanding the measurement properties of delirium assessment tools is crucial for accurate diagnosis and management in pediatric intensive care settings, where delirium is prevalent and can significantly impact patient outcomes.
What to keep in mind
Evidence was uneven across tools, primarily addressing criterion validity and interrater reliability, with limited assessment of measurement error and cross-cultural validity.