Symposium

Pediatric Rehabilitation

Brain Injury

Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

Measurement

Clinical and Research Use of the Cornell Assessment of Pediatric Delirium after Pediatric ABI

Thursday, November 10, 2022

1:30 PM – 2:45 PM

Presenter(s)

Stacy J. Suskauer, MD

Division Director, Pediatric Rehabilitation
Johns Hopkins PM&R
Johns Hopkins University School of Medicine
Baltimore, Maryland, United States

Slides
CT

Chani Traube

Professor of Pediatrics
Weill Cornell Medical College, United States
William Watson, PhD ABPP

Neuropsychologist
Blythedale Children's Hospital
valhalla, New York, United States

Slides

Moderator(s)

Sudhin Shah, PhD

Assistant Professor of Neuroscience
Weill Cornell Medicine
New York, New York, United States

Slides

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.

Learning Objectives:

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