Development of the Japanese version of the Cornell Assessment of Pediatric Delirium

Area of Science:

• Pediatric Intensive Care
• Neuroscience
• Medical Translation

Background:

• Delirium, an acute cerebral dysfunction, significantly increases hospital stay, mortality, and costs in adult intensive care patients.
• Currently, Japan lacks validated tools for diagnosing delirium in critically ill pediatric patients.
• Pediatric delirium diagnosis is crucial for timely intervention and improved patient outcomes.

Purpose of the Study:

• To translate the Cornell Assessment of Pediatric Delirium (CAPD) from English to Japanese.
• To adapt the CAPD for accurate delirium screening in Japanese pediatric intensive care units (PICUs).
• To establish a reliable diagnostic tool for pediatric delirium in Japan.

Main Methods:

• The back-translation method was employed to ensure linguistic and conceptual equivalence of the Japanese CAPD.
• A multidisciplinary committee of medical researchers and clinicians oversaw the translation process.
• The final translated version received approval from the original CAPD author.

Main Results:

• The Japanese version of the Cornell Assessment of Pediatric Delirium (CAPD) has been successfully developed.
• The translation process ensured the fidelity of the screening tool for Japanese pediatric populations.
• Initial testing of the Japanese CAPD's effectiveness was conducted using a standardized procedure.

Conclusions:

• The development of the Japanese CAPD provides a much-needed screening tool for pediatric delirium in Japan.
• Further research is necessary to rigorously validate the reliability and accuracy of the Japanese CAPD.
• This translated tool holds potential for improving the diagnosis and management of delirium in Japanese PICUs.