Cornell Assessment of Pediatric Delirium

Screening tool used to identify delirium in critically ill pediatric patients, particularly in intensive care units (ICUs).

Is the RASS score of the patient -4 or -5?

Richmond Agitation-Sedation Scale (RASS)

No Yes

Please answer the following questions based on your interactions with the patient over the course of your shift:

1. Does the child make eye contact with the caregiver? Never

Rarely

Sometimes

Often

Always

2. Are the child's action purposely? Never

Rarely

Sometimes

Often

Always

3. Is the child aware of his/her surroundings? Never

Rarely

Sometimes

Often

Always

4. Does the child communicate needs and wants? Never

Rarely

Sometimes

Often

Always

5. Is the child restless? Never

Rarely

Sometimes

Often

Always

6. Is the child inconsolable? Never

Rarely

Sometimes

Often

Always

7. Is the child underactive? - very little movement while awake? Never

Rarely

Sometimes

Often

Always

8. Does it take the child a long time to respond to interactions? Never

Rarely

Sometimes

Often

Always

Interpretation

Source: Traube C, Silver G, Kearney J, Patel A, Atkinson TM, Yoon MJ, Halpert S, Augenstein J, Sickles LE, Li C, Greenwald B. Cornell Assessment of Pediatric Delirium: a valid, rapid, observational tool for screening delirium in the PICU* Crit Care Med. 2014 Mar;42(3):656-63. doi: 10.1097/CCM.0b013e3182a66b76. PMID: 24145848; PMCID: PMC5527829.