Pediatric delirium: epidemiology and outcomes
| Autor: | Elana J Siegel, Chani Traube |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Mechanical ventilation
medicine.medical_specialty business.industry Critically ill Sedation medicine.medical_treatment MEDLINE behavioral disciplines and activities nervous system diseases 03 medical and health sciences 0302 clinical medicine Quality of life 030225 pediatrics 030220 oncology & carcinogenesis mental disorders Pediatrics Perinatology and Child Health Epidemiology medicine Delirium medicine.symptom Intensive care medicine Complication business |
| Zdroj: | Current Opinion in Pediatrics. 32:743-749 |
| ISSN: | 1531-698X 1040-8703 |
| DOI: | 10.1097/mop.0000000000000960 |
| Popis: | Purpose of review Delirium is a frequent complication of serious medical illness in children. The purpose of this review is to highlight recent data on the epidemiology and outcomes related to pediatric delirium, and discuss prevention strategies. Recent findings Delirium rates in the pediatric ICU are greater than 25%. Delirium in children is associated with prolonged mechanical ventilation and hospital length of stay, increased costs, and excess mortality. Pediatric delirium may affect postdischarge cognition and quality of life. Recent initiatives targeting universal screening, early mobilization, and minimization of benzodiazepine-based sedation have shown reduction in delirium prevalence. Summary Widespread screening is needed in critically ill children to detect and mitigate delirium. The identification of modifiable risk factors has provided an opportunity for delirium prevention. Large-scale longitudinal studies are needed to investigate the long-term sequelae of delirium in children. |
| Databáze: | OpenAIRE |
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