Delirium is a Common and Early Finding in Patients in the Pediatric Cardiac Intensive Care Unit
| Autor: | Chris Peyton, Jon Kaufman, Rita V. Alvarez, Gabrielle Silver, Peter M. Mourani, Claire Palmer, Angela S. Czaja, Chani Traube |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry Incidence (epidemiology) Disease 030204 cardiovascular system & hematology behavioral disciplines and activities nervous system diseases law.invention Cardiac surgery 03 medical and health sciences 0302 clinical medicine law mental disorders Pediatrics Perinatology and Child Health Emergency medicine medicine Cardiopulmonary bypass Coronary care unit Delirium Observational study 030212 general & internal medicine medicine.symptom Complication business |
| Zdroj: | The Journal of Pediatrics. 195:206-212 |
| ISSN: | 0022-3476 |
| DOI: | 10.1016/j.jpeds.2017.11.064 |
| Popis: | Objective To determine incidence, associated risk factors, and characteristics of delirium in a pediatric cardiac intensive care unit (CICU). Delirium is a frequent and serious complication in adults after cardiac surgery, but there is limited understanding of its impact in children with critical cardiac disease. Study design Single-center prospective observational study of CICU patients ≤21 years old. All were screened for delirium using the Cornell Assessment for Pediatric Delirium each 12-hour shift. Results Ninety-nine patients were included. Incidence of delirium was 57%. Median time to development of delirium was 1 day (95% CI 0, 1 days). Children with delirium were younger (geometric mean age 4 vs 46 months; P Conclusions Delirium is common in patients in the pediatric CICU and is associated with longer length of stay. There may be opportunities for prevention of delirium by targeting modifiable risk factors, such as use of benzodiazepines. |
| Databáze: | OpenAIRE |
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