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Association Between Pediatric Delirium and Quality of Life After Discharge

Gabrielle Silver1, Hannah Doyle, Emily Hegel

  • 1All authors: Weill Cornell Medical College, New York, NY.

Critical Care Medicine
|October 8, 2020
PubMed

Insights

Pediatric delirium significantly impacts young children's quality of life long after hospital discharge. Children experiencing delirium had lower scores in all quality of life domains compared to those who did not.

Area of Science:

  • Pediatric critical care medicine
  • Child psychology
  • Quality of life research

Background:

  • Delirium is common in critically ill children, especially those under five.
  • Understanding the long-term effects of pediatric delirium is crucial for comprehensive care.

Purpose of the Study:

  • To assess the residual impact of pediatric delirium on quality of life.
  • To evaluate quality of life at one and three months post-hospital discharge.

Main Methods:

  • Prospective observational cohort study in a pediatric intensive care unit (PICU).
  • Screened children under five for delirium using the Cornell Assessment for Pediatric Delirium.
  • Measured quality of life with the Infant-Toddler Quality of Life questionnaire at baseline, one, and three months post-discharge.

Main Results:

  • 27% of enrolled children developed delirium during their PICU stay.
  • Children with delirium scored lower in all quality of life domains compared to those without.
  • Delirious patients had an 11-point lower general health score, even after controlling for illness severity.

Conclusions:

  • Pediatric delirium is independently associated with reduced quality of life in young children post-discharge.
  • This pilot study highlights the persistent negative effects of delirium on child well-being.
Abstract

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