Validation of the PreSchool Confusion Assessment Method for the Intensive Care Unit (psCAM-ICU)

Vanderbilt University

Status: Completed

Conditions: Delirium; Cognitive Impairment

Study type: Observational

Funder types: Other

Identifiers

NCT02481115

121252

Details and patient eligibility

About

The investigators hypothesize that critical care trained registered nurses and physicians can perform measurements of cognitive impairment in critically ill pediatric patients in a reliable and valid manner. To test this hypothesis, the investigators will incorporate an instrument (psCAM-ICU) to assess both components of consciousness, arousal and content, in critically ill pediatric patients at least 6 months to children 5 years of age, both on and off mechanical ventilation, and compare these assessments to those of the reference standard.

Enrollment: 300 patients

Sex: All

Ages: 6 months to 5 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients admitted to the Pediatric Critical Care Unit regardless of admitting diagnosis aged at least 6 months of age up to 5 years of age.
• Patients ventilated or non-ventilated.

Exclusion criteria

• Non-English speaking patients.
• Children with visual or hearing impairments.
• Patient/surrogate or physician refusal
• Moribund and not expected to survive >48 hours
• Patients in whom comfort care orders have been instituted
• Patients who are identified for transfer to floor or home regardless of placed orders or bed availability

Trial design

300 participants in 1 patient group

Critically Ill Children

Description:

Children in the Pediatric Critical Care Unit regardless of admitting diagnosis aged at least 6 months of age up to 5 years of age.