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Awareness and Management of Paediatric Delirium: Differences Among Clinical Disciplines
Gizem Durcan1, Başak Günal1, Pınar Coşkun1
1Department of Child and Adolescent Psychiatry, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
Physicians caring for children may lack knowledge about delirium, particularly its treatment. Child and adolescent psychiatrists showed better understanding than other pediatric specialists, highlighting a need for improved delirium education.
Area of Science:
- Pediatric Medicine
- Psychiatry
- Delirium Research
Background:
- Delirium is a serious condition in children.
- Accurate knowledge of delirium among physicians is crucial for effective patient care.
- Existing knowledge gaps may impact the diagnosis and management of pediatric delirium.
Purpose of the Study:
- To assess the knowledge of child and adolescent psychiatrists (CAP) and other physicians treating pediatric patients regarding delirium.
- To identify specific areas of misinformation concerning delirium risk factors, diagnosis, and management.
Main Methods:
- An online questionnaire with 17 true/false statements, developed by pediatric delirium experts, was administered.
- Participants included child and adolescent psychiatrists and physicians in pediatrics and pediatric surgery.
- Knowledge levels were assessed by the number of correct answers.
Main Results:
- A total of 249 physicians participated; 57% were CAP and 43% were other specialists.
- Child and adolescent psychiatrists scored significantly higher on the delirium knowledge questionnaire.
- A major knowledge deficit was observed in delirium treatment, with many pediatric specialists incorrectly believing benzodiazepines are frequently recommended.
Conclusions:
- Physicians treating children may possess misconceptions about delirium, with variations observed between specialties.
- Addressing knowledge deficits and correcting misinformation about delirium is vital for improving its prevention and treatment in pediatric populations.
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