Sleep and Delirium in Pediatric Critical Illness: What Is the Relationship?

Amy Calandriello1, Joanna C Tylka2, Pallavi P Patwari3,4

  • 1Pediatric Critical Care Medicine, Rush Children's Hospital, Rush University Medical Center, 1750 W. Harrison Street, Chicago, IL 606012, USA. Amy_E_Calandriello@rush.edu.

Insights

Pediatric delirium is increasingly recognized in critical illness. This review examines the complex relationship between sleep disturbances and delirium in critically ill children, exploring assessment tools and current research findings.

Area of Science:

  • Pediatric critical care medicine
  • Neuroscience
  • Sleep science

Background:

  • Pediatric delirium is a growing concern in pediatric critical illness.
  • Sleep disturbances are common in pediatric intensive care units (PICUs) due to frequent monitoring and interventions.
  • The direct link between sleep and delirium in this population remains unclear.

Purpose of the Study:

  • To review current tools for assessing sleep and delirium in critically ill children.
  • To synthesize findings from recent studies investigating sleep and delirium in the PICU setting.
  • To clarify the relationship between sleep, delirium, and underlying neurologic dysfunction in pediatric critical illness.

Main Methods:

  • Literature review of existing assessment tools for pediatric delirium and sleep.
  • Analysis of recent research investigating sleep and delirium in PICU patients.
  • Examination of the overlap in risk factors and consequences.

Main Results:

  • Current tools for assessing sleep and delirium in pediatric critical illness are being refined.
  • Research highlights the prevalence of sleep disturbances and delirium in PICU settings.
  • The relationship is complex, potentially influenced by shared risk factors and neurological issues.

Conclusions:

  • Further research is needed to definitively establish the link between sleep and delirium in critically ill children.
  • Improved assessment tools are crucial for accurate diagnosis and management.
  • Understanding this relationship is vital for optimizing care in the pediatric intensive care unit.

Related Concept Videos

Classification of Illness01:17

Classification of Illness

The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
8.7K
Factors Affecting Illness01:18

Factors Affecting Illness

When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
5.3K
Relationship Formation02:12

Relationship Formation

What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
46.2K
Insufficient Sleep and Sleep Deprivation01:13

Insufficient Sleep and Sleep Deprivation

Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
939
Concepts of Health and Illness01:29

Concepts of Health and Illness

Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
17.8K
Dimensions of Health and Illness01:21

Dimensions of Health and Illness

The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
10.9K