Risk factors for the development of postoperative delirium in pediatric intensive care patients
OBJECTIVES: To determine and quantify risk factors for postoperative pediatric delirium. - DESIGN: Single-center prospective cohort study. - SETTING: Twenty-two bed PICU in a tertiary care academic medical center in Germany. - PATIENTS: All children admitted after major elective surgery (n = 93; 0-1...
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| Main Authors: | , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2018
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| In: |
Pediatric critical care medicine
Year: 2018, Volume: 19, Issue: 10, Pages: e514-e521 |
| ISSN: | 1947-3893 |
| DOI: | 10.1097/PCC.0000000000001681 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1097/PCC.0000000000001681
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| Author Notes: | Jochen Meyburg, Mona-Lisa Dill, Rebecca von Haken, Susanne Picardi, Jens Hendrik Westhoff, Gabrielle Silver, Chani Traube |
| Summary: | OBJECTIVES: To determine and quantify risk factors for postoperative pediatric delirium. - DESIGN: Single-center prospective cohort study. - SETTING: Twenty-two bed PICU in a tertiary care academic medical center in Germany. - PATIENTS: All children admitted after major elective surgery (n = 93; 0-17 yr). - INTERVENTIONS: After awakening, children were screened for delirium using the Cornell Assessment of Pediatric Delirium bid over a period of 5 days. Demographic and clinical data were collected from the initiation of general anesthesia. - MEASUREMENTS AND MAIN RESULTS: A total of 61 patients (66%) were delirious. Younger children developed delirium more frequently, and the symptoms were more pronounced. The number of preceding operations did not influence the risk of delirium. Total IV anesthesia had a lower risk than inhalational anesthesia (p < 0.05). Duration of anesthesia was similar in all groups. Patients with delirium had a longer duration of mechanical ventilation in the PICU (p < 0.001). Significant differences in cumulative doses of various medications (e.g., sedatives, analgesics, and anticholinergics) were noted between groups; these differences were independent of disease severity. Invasive catheters and respiratory devices (p < 0.01) as well as infections (p < 0.001) increased risk of delirium. - CONCLUSIONS: A high prevalence of delirium was noted in the PICU, and several perioperative risk factors were identified. Our data may be a base for development of strategies to prevent and treat postoperative delirium in children. |
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| Item Description: | Gesehen am 08.04.2020 |
| Physical Description: | Online Resource |
| ISSN: | 1947-3893 |
| DOI: | 10.1097/PCC.0000000000001681 |