Not just to survive but to thrive

Feroz, Saad; Donnelly, Kathleen M.

doi:10.1097/hco.0000000000000690

Cited by 5 publications

(3 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ge et al 21 found that the prevalence of delirium in a hospital in Shanghai was 31.30%, which might be related to the different ages of the enrolled children and the different variables collected in the two studies. While a higher occurrence was reported in surgical patients, the prevalence of paediatric delirium in the paediatric cardiac ICU (PCICU) was as high as 67%, 6 which could be due to different types of diseases.…”

Section: Resultsmentioning

confidence: 98%

“…The ages ranged from 1 to 202 (65. to the finding of a multicenter study 18 that enrolled 835 children, the overall incidence of delirium was 25%. The reported incidence of delirium ranges from 4% to 67%, 6,10,15,18 depending on the specific diagnostic and therapeutic environment. The PICU in this study was a multi-bed monitoring room where children were susceptible to light and noise pollution and parents could not visit, resulting in a lack of family participation.…”

Section: Resultsmentioning

confidence: 99%

“…Delirium is a severe and pervasive cerebral dysfunction syndrome characterized by a nonspecific, acute and fluctuating disturbance of consciousness and cognitive function. 1 The reported incidence of delirium in the paediatric intensive care unit (PICU) ranged widely from 4% to 67%, [2][3][4][5][6] possibly due to study subjects or sample sizes. Delirium can present with three motor subtypes, including hyperactive, hypoactive and mixed types.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Risk factors of delirium in a paediatric intensive care unit: A prospective case series study

Zhang

Ye³

et al. 2023

Nursing in Critical Care

View full text Add to dashboard Cite

BackgroundDelirium is one of the most common complications in critically ill children. Once delirium occurs, it will cause physical and psychological distress in children and increase the length of their ICU stay and hospitalization costs. Understanding the risk factors for delirium in critically ill children can help develop targeted nursing interventions to reduce the incidence of delirium.Aims and ObjectivesTo investigate the incidence and the risk factors of delirium in the paediatric intensive care unit (PICU).DesignProspective observational study.MethodsWe performed a prospective observational study in critically ill patients in the PICU between February and July 2020. Delirium was diagnosed by the Cornell Assessment of Paediatric Delirium (CAPD) and the Richmond Agitation Sedation Scale and analysed via univariate analysis and multivariate logistic regression to determine the independent risk factors of delirium in critically ill children.ResultsThe study enrolled 315 patients ranging in age from 1–202 (65.3–54.3) months, with 56.2% (n = 177) being male. The incidence of delirium was 29.2% (n = 92) according to CAPD criteria. Among them, 33 cases (35.9%) were of hyperactive delirium, 16 cases (17.4%) were of hypoactive delirium, and 43 cases (46.7%) were of mixed delirium. By using stepwise logistic regression, the independent risk factors of delirium included mechanical ventilation (odds ratio [OR], 11.470; 95% confidence interval [CI], 4.283–30.721), nervous system disease (OR, 5.596; 95%CI, 2.445 to 12.809), developmental delay (OR, 5.157; 95% CI, 1.990–13.363), benzodiazepine (OR, 3.359; 95% CI 1.278–8.832), number of catheters (OR, 1.918; 95% CI, 1.425 to 2.582), and age (OR, 0.985; 95% confidence interval CI, 0.976–0.993).ConclusionsDelirium is a common complication in the PICU. The independent risk factors include mechanical ventilation, nervous system disease, developmental delay, benzodiazepines, higher number of catheters, and younger age. This study may help develop intervention strategies to reduce the incidence of delirium in critically ill children by targeting modifiable risk factors.Relevance to Clinical PracticeRecommendations for practice include paying attention to high‐risk children in the ICU who are prone to delirium, removing influencing factors as soon as possible, and providing targeted nursing interventions.

show abstract

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Risk factors of delirium in a paediatric intensive care unit: A prospective case series study

Zhang

Ye³

et al. 2023

Nursing in Critical Care

View full text Add to dashboard Cite

show abstract

Short-Term Effect of Quetiapine Used to Treat Delirium Symptoms on Opioid and Benzodiazepine Requirements in the Pediatric Cardiac Intensive Care Unit

et al. 2022

View full text Add to dashboard Cite

Developmental care pathway for hospitalised infants with CHD: on behalf of the Cardiac Newborn Neuroprotective Network, a Special Interest Group of the Cardiac Neurodevelopmental Outcome Collaborative

et al. 2023

View full text Add to dashboard Cite

Infants and children born with CHD are at significant risk for neurodevelopmental delays and abnormalities. Individualised developmental care is widely recognised as best practice to support early neurodevelopment for medically fragile infants born premature or requiring surgical intervention after birth. However, wide variability in clinical practice is consistently demonstrated in units caring for infants with CHD. The Cardiac Newborn Neuroprotective Network, a Special Interest Group of the Cardiac Neurodevelopmental Outcome Collaborative, formed a working group of experts to create an evidence-based developmental care pathway to guide clinical practice in hospital settings caring for infants with CHD. The clinical pathway, “Developmental Care Pathway for Hospitalized Infants with Congenital Heart Disease,” includes recommendations for standardised developmental assessment, parent mental health screening, and the implementation of a daily developmental care bundle, which incorporates individualised assessments and interventions tailored to meet the needs of this unique infant population and their families. Hospitals caring for infants with CHD are encouraged to adopt this developmental care pathway and track metrics and outcomes using a quality improvement framework.

show abstract

Not just to survive but to thrive

Cited by 5 publications

References 35 publications

Risk factors of delirium in a paediatric intensive care unit: A prospective case series study

Risk factors of delirium in a paediatric intensive care unit: A prospective case series study

Short-Term Effect of Quetiapine Used to Treat Delirium Symptoms on Opioid and Benzodiazepine Requirements in the Pediatric Cardiac Intensive Care Unit

Developmental care pathway for hospitalised infants with CHD: on behalf of the Cardiac Newborn Neuroprotective Network, a Special Interest Group of the Cardiac Neurodevelopmental Outcome Collaborative

Contact Info

Product

Resources

About