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Frequency and Causes of Delirium in Pediatric Intensive Care Unit: A Prospective Observational Study

Ahmet Yontem1, Dincer Yildizdas1, Ozden O Horoz1

  • 1Department of Pediatric Intensive Care, Cukurova University Medicine Faculty, Adana, Turkey.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|July 28, 2021
PubMed

Insights

Pediatric delirium occurred in 9.9% of critically ill children. Psychosocial interventions significantly reduced delirium risk, highlighting their importance in pediatric intensive care units.

Area of Science:

  • Pediatric critical care medicine
  • Neuroscience
  • Psychiatry

Background:

  • Pediatric delirium is increasingly studied in critically ill children.
  • This study aimed to determine the frequency and risk factors of pediatric delirium in a pediatric intensive care unit (PICU).

Observation:

  • The study evaluated patients hospitalized in the PICU between November 1, 2018, and August 31, 2019, for over 48 hours.
  • Delirium was detected in 9.9% of patients.
  • Higher PIM2 scores and longer PICU stays were associated with delirium.

Findings:

  • Patients with delirium had increased use of respiratory support, sedation-analgesia, vasoactive drugs, corticosteroids, and physical restraints.
  • Psychosocial interventions were associated with a significantly lower likelihood of developing delirium (OR, 0.237; p = 0.044).
  • Each additional day in the PICU independently increased the odds of delirium (OR, 1.095; p = 0.037).

Implications:

  • Risk factors for pediatric delirium align with previous research.
  • Early psychosocial intervention may be a protective strategy against delirium in critically ill children.
  • Multicenter randomized controlled trials are recommended to validate these findings.
Abstract

Keywords:
DeliriumFrequencyPreventionRisk factors

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