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Table 1 Study descriptions a

From: Diagnostic accuracy of delirium diagnosis in pediatric intensive care: a systematic review

Publication

Setting

Index tests

Reference tests

Dates of study

Eligibility

Recruitment; data acquisition method

Final number of patients (eligible but excludedn, %)

Name

No. of raters (training)

Name

No. of raters (training)

Janssen et al., 2011 [9],[16]

University hospital

PAED

Unclear ("interns")

DSM-IV and multidisciplinary meeting

1 (psychiatrist, with input from PICU team)

November 2006 through February 2010

All PICU patients ages 1 to 17 yr without deep sedation; if elective surgery, PICU stay >48 hr

Consecutive; retrospective

144 (n =10, 6% where PAED could not be rated)

Smith et al., 2011 [10]

University hospital

p-CAM-ICU

6 (4 bedside nurses, 2 intensivists)

DSM-IV

2 (psychiatrists)

1 July 2008 through 30 March 2009

All PICU patients ages ≥5 yr

Consecutive (except weekends and holidays); prospective

68 (n =17, 20%; no paired assessment =13, assessments >3 hr apart =3, withdrawn =1)

Silver et al., 2012 [11]

University hospital

CAP-D

2 (1 intensivist, 1 resident)

DSM-IV

4 (2 psychiatrists, 2 fellows)

Unspecified 6-week period

All PICU patients with RASS score above -4

Consecutive; prospective

50 (n =6, 11% with incomplete data)

Traube et al., 2013 [17]

University hospital

CAP-D(R)

>100 (bedside nurses)

DSM-IV

6 (psychiatrists)

March 2012 through May 2012

All PICU patients with RASS score above -4

Consecutive; prospective

111 (0)

Schieveld et al., 2007 [12]-[15]

University hospital

Clinical suspicionb

Unclear (intensivists)

DSM-IV and multidisciplinary meeting

1 (psychiatrist, with input from PICU team)

January 2002 through December 2005

All PICU patients

Consecutive; prospective

877 (0)

  1. aCAP-D, Cornell Assessment of Pediatric Delirium (a modification of the PAED designed to detect hypoactive delirium); CAP-D(R), Cornell Assessment of Pediatric Delirium, Revised (modifications include changes in the original response options to better capture a fluctuating course, addition of a question to detect alteration in cognitive functioning, and training materials that include lists of "anchor points" describing age-appropriate developmental expectations); DSM-IV, Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition[1]; PAED, Pediatric Anesthesia Emergence Delirium Scale; p-CAM-ICU, Pediatric Confusion Assessment Method for the Intensive Care Unit; PICU, Pediatric intensive care unit; RASS: Richmond Agitation'sedation Scale. bClinical suspicion was defined as "confusion, agitation, moaning, discomfort, or behavioral disturbances with no acceptable medical explanation; or, failure of standard analgosedative treatment".