Revised PAED: Revised three-level Pediatric Anesthesia Emergence Delirium Scale

2012

A post-hoc PICU revision that retains five PAED behaviours but condenses each response scale to three levels. It is a promising derivative, not a prospectively validated general paediatric delirium instrument.

At a glance

Purpose: Contextual, historical or service record
Population: Paediatric
Setting: Intensive care
Time: brief observation; exact completion time not reported
Items: 5
Score or threshold: 8 in the post-hoc three-level analysis

Format: Revised PAED keeps the five PAED behavioural ratings and replaces the original five-level responses with a study-defined three-level scheme. The reported cut-off was 8, but the condensed anchors should be obtained from the source rather than reconstructed here.

Training and instructions

Public training resources have not yet been confirmed in this review. Check the linked developer or original source for instructions.

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Tool and original sources

This record describes a method rather than a downloadable bedside form. The main source is linked below.

Original paper

Original paperBlankespoor RJ, Janssen NJ, Wolters AM, Van Os J, Schieveld JN. Post-hoc revision of the pediatric anesthesia emergence delirium rating scale: clinical improvement of a bedside-tool?. Minerva anestesiologica. 2012;78(8):896-900. PMID: 22415436.
This is the original published source for Revised PAED. It reported sensitivity of 100% and specificity of 96.7% against diagnostic reference used in the underlying routine-data study; not specified in the PubMed abstract.
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One DTA study identifiedEmerging context

Classification

Contextual, historical or service recordAssessment of delirium in children Use in intensive care units

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Evidence

Diagnostic-accuracy evidenceOne DTA study identified

Reported sensitivity and specificity

Headline metric source

Original/source study · 2012; pmid:22415436

Denominator: Reported source unit: 144 (analysis unit not fully reconciled)
Reference standard: Diagnostic reference used in the underlying routine-data study; not specified in the PubMed abstract

100%

Sensitivity

96.7%

Specificity

Earliest DTA evaluation identified in the current audit; see the linked source and methodological caveats.

More evidence and citation details

Full name: Revised three-level Pediatric Anesthesia Emergence Delirium Scale
Also known as: revised PAED, three-level PAED
Related profiles: PAED
Evidence summary: derivation-only
Diagnostic-accuracy evaluations: 1
Reference standard: Diagnostic reference used in the underlying routine-data study; not specified in the PubMed abstract
Citation: Blankespoor RJ, Janssen NJ, Wolters AM, Van Os J, Schieveld JN Post-hoc revision of the pediatric anesthesia emergence delirium rating scale: clinical improvement of a bedside-tool? Minerva anestesiologica. 2012;78(8):896-900. PMID 22415436

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Primary validation studies

Distinct primary publications from the current diagnostic-accuracy audit. Reviews and repeated evaluations within one paper are not counted again. Overlapping cohorts have not all been reconciled. Read the counting rules and limitations.

Open 1 identified paper

Blankespoor RJ, Janssen NJ, Wolters AM, Van Os J, Schieveld JN (2012). Post-hoc revision of the pediatric anesthesia emergence delirium rating scale: clinical improvement of a bedside-tool?. Minerva anestesiologica.
Reference category: other comparator or secondary accuracy evidence.

Information checked: 2026-07-19

Instrument-specific terms apply. See the access and copyright policy or send a correction.

Base clinical review: 2026-07-29. Instrument description source check: 2026-09-05. Scope and limitations.

Revised PAED: Revised three-level Pediatric Anesthesia Emergence Delirium Scale

At a glance

Primary validation papers

Large-scale clinical implementation