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Updated: Sep 15, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Construction of a Risk Matrix for Pediatric Delirium in the Intensive Care Unit

Rong Zhu1, Xingyu Pan2, Juan Li3

  • 1Department of Pediatric Surgery, Guizhou Provincial People's Hospital, Guiyang, China.

Clinical Pediatrics
|July 15, 2025
PubMed

Insights

This study developed a risk matrix to identify key factors contributing to pediatric delirium in the intensive care unit (ICU). Critical risk points include psychoactive drug use and high Pediatric Risk of Mortality scores.

Area of Science:

  • Pediatric critical care medicine
  • Neuroscience
  • Clinical risk management

Background:

  • Pediatric delirium in the intensive care unit (ICU) is a significant clinical challenge.
  • Effective management requires accurate identification of risk factors.
  • Existing methods may not comprehensively quantify risk.

Purpose of the Study:

  • To construct a risk matrix for pediatric delirium in the ICU.
  • To quantitatively evaluate the risk index of identified risk factors.
  • To provide a reference for optimizing clinical management strategies.

Main Methods:

  • Literature research and Delphi expert consultation were employed.
  • A 2-dimensional risk matrix was constructed based on risk matrix theory.
  • The Borda method was utilized to determine the risk sequence value.

Main Results:

  • Out of 52 identified risk factors, 17 were classified as extremely high risk, 20 as high risk, and 15 as medium risk.
  • Psychoactive drug use (medium and high doses) emerged as a critical risk point.
  • A Pediatric Risk of Mortality score greater than 15 was identified as another critical risk point.

Conclusions:

  • The developed risk matrix effectively identifies key risk factors for pediatric delirium in the ICU.
  • This tool aids in developing evidence-based risk control measures.
  • The findings support optimized clinical management of pediatric delirium.

Keywords:
childrendeliriumintensive care unitrisk factorsrisk matrix

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