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http://dx.doi.org/10.22650/JKCNR.2020.26.2.254

The Reliability and Validity of the Korean Version of the Cornell Assessment of Pediatric Delirium  

Nam, Song Yi (Department of Nursing, Samsung Medical Center)
Park, Ki Young (Department of Nursing, Samsung Medical Center)
Choi, Su Jung (Department of Nursing, Samsung Medical Center)
Publication Information
Journal of Korean Clinical Nursing Research / v.26, no.2, 2020 , pp. 254-264 More about this Journal
Abstract
Purpose: This study was to examine the reliability and validity of the Korean version of the Cornell Assessment of Pediatric Delirium (CAPD). Methods: For testing the reliability of the Korean version of the CAPD, this study calculated the internal consistency (Cronbach's α) and the Interrater Correlation Coefficient (ICC) by comparing the independent assessment results of three nurses in Pediatric Intensive Care Unit (PICU). For testing the validity of the Korean version of the CAPD, the assessment result of the Korean version of the CAPD compared with that of the Diagnostic and Statistical Manual of Mental Disorders V (DSM-V). Receiver Operating Characteristics (ROC) analysis was used for measuring sensitivity and specificity. Results: Overall interrater reliability of the Korean version of the CAPD, ICC was .98 (95% CI .96~.99). Cronbach's α was .91 for eight items. The concordance between the Korean version of the CAPD and psychiatrist's diagnosis was 90.0%. When the Korean version of the CAPD has the cut point of 9, sensitivity was 93.8%, and specificity was 75.0%. The area under the curve indicated by the ROC analysis was .88. Conclusion: The Korean version of the CAPD showed good reliability and validity. This tool will be useful for pediatric delirium screening and management in Korean PICU.
Keywords
Delirium; Pediatrics; Diagnosis; Reliability; Validity;
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1 Balas MC, Deutschman CS, Sullivan-Marx EM, Strumpf NE, Alston RP, Richmond TS. Delirium in older patients in surgical intensive care units. Journal of Nursing Scholarship. 2007;39(2):147-154. https://doi.org/10.1111/j.1547-5069.2007.00160.x   DOI
2 Girard TD, Pandharipande PP, Ely EW. Delirium in the intensive care unit. Critical Care. 2008;12(Suppl 3):S3. https://doi.org/10.1186/cc6149
3 Traube C, Silver G, Kearney J, Patel A, Atkinson TM, Yoon MJ, et al. Cornell assessment of pediatric delirium: A valid, rapid, observational tool for screening delirium in the PICU. Critical Care Medicine. 2014;42(3):656-663. https://doi.org/10.1097/CCM.0b013e3182a66b76   DOI
4 Silver G, Kearney J, Traube C, Hertzig M. Delirium screening anchored in child development: The Cornell assessment for pediatric delirium. Palliative and Supportive Care. 2015;13(4):1005-1011. https://doi.org/10.1017/S1478951514000947   DOI
5 Traube C, Silver G, Reeder RW, Doyle H, Hegel E, Wolfe HA, et al. Delirium in critically ill children: An international point prevalence study. Critical Care Medicine. 2017;45(4):584-590. https://doi.org/10.1097/CCM.0000000000002250   DOI
6 Kim HJ, Kim DH. Factors associated with pediatric delirium in the pediatric intensive care unit. Child Health Nursing Research. 2019;25(2):103-111. https://doi.org/10.4094/chnr.2019.25.2.103   DOI
7 Silver G, Traube C, Gerber LM, Sun X, Kearney J, Patel A, et al. Pediatric delirium and associated risk factors: A single-center prospective observational study. Pediatric Critical Care Medicine. 2015;16(4):303-309. https://doi.org/10.1097/PCC.0000000000000356   DOI
8 Silver G, Traube C, Kearney J, Kelly D, Yoon MJ, Nash Moyal W, et al. Detecting pediatric delirium: Development of a rapid observational assessment tool. Intensive Care Medicine. 2012;38(6):1025-1031. https://doi.org/10.1007/s00134-012-2518-z   DOI
9 Traube C, Silver G, Gerber LM, Kaur S, Mauer EA, Kerson A, et al. Delirium and mortality in critically ill children: epidemiology and outcomes of pediatric delirium. Critical Care Medicine. 2017;45(5):891-898. https://doi.org/10.1097/CCM.0000000000002324   DOI
10 Leentjens AF, Schieveld JN, Leonard M, Lousberg R, Verhey FR, Meagher DJ. A comparison of the phenomenology of pediatric, adult, and geriatric delirium. Journal of Psychosomatic Research. 2008;64(2):219-223. https://doi.org/10.1016/j.jpsychores.2007.11.003   DOI
11 Smith HA, Berutti T, Brink E, Strohler B, Fuchs DC, Ely EW, et al. Pediatric critical care perceptions on analgesia, sedation, and delirium. Seminars in Respiratory and Critical Care Medicine. 2013;34(2):244-261. https://doi.org/10.1055/s-0033-1342987   DOI
12 Kim MY, Park UJ. Development and validation of a delirium prediction scoring system for major general surgery: Presented at the 6th World Nursing and Healthcare Conference, August 15-17, 2016 London, UK. Journal of Nursing & Care. 2016;5(4, Suppl): [1 p.]. https://doi.org/10.4172/2167-1168.C1.020
13 Barbosa M, Duarte M, Bastos VC, Andrade LB. Translation and cross-cultural adaptation of the Cornell Assessment of Pediatric Delirium scale for the Portuguese language. Revista Brasileira de Terapia Intensiva. 2018;30(2):195-200.   DOI
14 Sikich N, Lerman J. Development and psychometric evaluation of the pediatric anesthesia emergence delirium scale. Anesthesiology. 2004;100(5):1138-1145.   DOI
15 Schieveld JN, Janssen NJ. Delirium in the pediatric patient: On the growing awareness of its clinical interdisciplinary importance. JAMA Pediatrics. 2014;168(7):595-596. https://doi.org/10.1001/jamapediatrics.2014.125   DOI
16 Harris J, Ramelet AS, van Dijk M, Pokorna P, Wielenga J, Tume L, et al. Clinical recommendations for pain, sedation, withdrawal and delirium assessment in critically ill infants and children: An ESPNIC position statement for healthcare professionals. Intensive Care Medicine. 2016;42(6):972-986. https://doi.org/10.1007/s00134-016-4344-1   DOI
17 American Psychiatric Association. Diagnostic and statistical manual of mental disorders 5th ed. Washington, DC: American Psychiatric Association; 2013.
18 Hoshino H, Matsuishi Y, Enomoto Y, Shimojo N, Kido T, Matsuzaki A, et al. The validity and reliability of the Japanese version of the Cornell Assessment of Pediatric Delirium. Pediatric Critical Care Medicine. 2020;21(5):e267-e273. https://doi.org/10.1097/PCC.0000000000002274   DOI
19 Simeone S, Rea T, Gargiulo G, Esposito MR, Guillari A, Traube C, et al. Cornell Assessment of Pediatric Delirium: Italian cultural validation and preliminary testing. Professioni Infermieristiche. 2019;72(1):25-33.
20 Simonsen BY, Lisby M, Traube C, Skovby P. The Cornell Assessment of Pediatric Delirium: Translation and inter-rater reliability in a Danish pediatric intensive care unit. Acta Anaesthesiologica Scandinavica. 2019;63(7):900-904. https://doi.org/10.1111/aas.13369   DOI
21 Schisterman EF, Perkins NJ, Liu A, Bondell H. Optimal cut-point and its corresponding Youden index to discriminate individuals using pooled blood samples. Epidemiology. 2005;16(1):73-81. https://doi.org/10.1097/01.ede.0000147512.81966.ba   DOI
22 Heo EY, Lee BJ, Hahm BJ, Song EH, Lee HA, Yoo CG, et al. Translation and validation of the Korean confusion assessment method for the intensive care unit. BMC Psychiatry. 2011;11:94. https://doi.org/10.1186/1471-244X-11-94   DOI
23 Sessler CN, Gosnell MS, Grap MJ, Brophy GM, O'Neal PV, Keane KA, et al. The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. American Journal of Respiratory and Critical Care Medicine. 2002;166(10):1338-1344. https://doi.org/10.1164/rccm.2107138   DOI
24 Bujang MA, Baharum N. A simplified guide to determination of sample size requirements for estimating the value of intraclass correlation coefficient: A review. Archives of Orofacial Sciences. 2017;12(1):1-11.
25 European Delirium Association & American Delirum Society. The DSM-5 criteria, level of arousal and delirium diagnosis: Inclusiveness is safer. BMC Medicine. 2014;12:141. https://doi.org/10.1186/s12916-014-0141-2   DOI
26 Nunnally JC, Bernstein IH. Psychometric theory. 3rd ed. New York: MaGraw-Hill; 1994.
27 Swets JA. Measuring the accuracy of diagnostic systems. Science. 1988;240(4857):1285-1293. https://doi.org/10.1126/science.3287615   DOI
28 Steis MR, Fick DM. Are nurses recognizing delirium? A systematic review. Journal of Gerontological Nursing. 2008;34(9):40-48. https://doi.org/10.3928/00989134-20080901-12   DOI
29 Inouye SK, Foreman MD, Mion LC, Katz KH, Cooney LM. Nurses' recognition of delirium and its symptoms: Comparison of nurse and researcher ratings. Archives of Internal Medicine. 2001;161(20):2467-2473. https://doi.org/10.1001/archinte.161.20.2467   DOI