Pediatric Critical Care Medicine · 2015 · 187 citations · 21 references
MedicineChild HealthPediatricsNeurocritical CarePediatric EpidemiologySepsisDelirium AssessmentDelirium In Critical IllnessDelirium ManagementDelirium PreventionPediatric Neurocritical CarePediatric SepsisDelirium EpidemiologyDelirium EtiologyDelirium In Hospitalized PatientsDelirium PrevalenceDelirium Severity AssessmentDelirium Severity ScalesPediatric Icu DeliriumPilot Study Design
OBJECTIVE: To describe a single-institution pilot study regarding prevalence and risk factors for delirium in critically ill children. DESIGN: A prospective observational study, with secondary analysis of data collected during the validation of a pediatric delirium screening tool, the Cornell Assessment of Pediatric Delirium. SETTING: This study took place in the PICU at an urban academic medical center. PATIENTS: Ninety-nine consecutive patients, ages newborn to 21 years. INTERVENTION: Subjects underwent a psychiatric evaluation for delirium based on the Diagnostic and Statistical Manual IV criteria. MEASUREMENTS AND MAIN RESULTS: Prevalence of delirium in this sample was 21%. In multivariate analysis, risk factors associated with the diagnosis of delirium were presence of developmental delay, need for mechanical ventilation, and age 2-5 years. CONCLUSIONS: In our institution, pediatric delirium is a prevalent problem, with identifiable risk factors. Further large-scale prospective studies are required to explore multi-institutional prevalence, modifiable risk factors, therapeutic interventions, and effect on long-term outcomes.
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Curtis N. Sessler, Mark S. Gosnell, Mary Jo Grap et al. · American Journal of Respiratory and Critical Care Medicine · 2002 · 3.7K citations
Nursing, Critical Care Nursing, Critical Care Pharmacotherapy +12
Sleep Duration From Infancy to Adolescence: Reference Values and Generational Trends
Ivo Iglowstein, Oskar G. Jenni, Luciano Molinari et al. · PEDIATRICS · 2003 · 1.3K citations