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首页> 外文期刊>Indian Journal of Critical Care Medicine >Frequency and Causes of Delirium in Pediatric Intensive Care Unit: A Prospective Observational Study
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Frequency and Causes of Delirium in Pediatric Intensive Care Unit: A Prospective Observational Study

机译：谵妄在儿科重症监护单位的频率和原因：预期观察研究

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Background:The number of studies evaluating delirium and its frequency in critically ill infants, children, and adolescents is increasing day by day. The primary objective of this study was to evaluate all patients hospitalized in our pediatric intensive care unit (PICU) in terms of pediatric delirium, to determine the frequency and risk factors of pediatric delirium.Patients and methods:The patients included in this study had been hospitalized in the PICU between November 1, 2018, and August 31, 2019, and were followed up for more than 48 hours.Results:Delirium was detected in 14 patients (9.9%) through regular evaluations. The Pediatric Index of Mortality 2 (PIM2) scores and the length of stay in the PICU were higher in patients with delirium (p = 0.03 and p = 0.01, respectively). The use of respiratory support, sedation-analgesia, vasoactive and corticosteroid treatments, and physical restraints were higher in patients with delirium and were statistically significant (p 0.05). Following admission to the PICU, psychosocial interventions were implemented for 76.1% of the whole cohort. Delirium developed in only five (4.5%) of the 108 patients who underwent psychosocial interventions, while it was detected in nine (26.5%) of the 34 patients who did not receive psychosocial interventions (p = 0.001). The psychosocial intervention was associated with a lower likelihood of delirium (odds ratio [OR], 0.237; p = 0.044). An increasing number of days in the PICU was independently associated with increasing odds of delirium (OR, 1.095; p = 0.037 for each day).Conclusions:We observed that the risk factors associated with delirium were similar to previous studies. Additionally, psychosocial intervention before delirium symptoms developed was associated with a lower risk of developing delirium. However, multicenter randomized controlled trials are needed on this subject.How to cite this article:Yontem A, Yildizdas D, Horoz OO, et al. Frequency and Causes of Delirium in Pediatric Intensive Care Unit: A Prospective Observational Study. Indian J Crit Care Med 2021;25(6):715-719.Copyright ? 2021; Jaypee Brothers Medical Publishers (P) Ltd.
机译：背景：评估谵妄和频率在批评性婴儿，儿童和青少年中的研究数量日益增加。本研究的主要目标是在儿科谵妄方面评估在儿科重症监护单位（PICU）中住院的所有患者，以确定儿科谵妄。患者和方法的频率和风险因素：本研究中包括的患者2018年11月1日至2019年8月31日之间住院，并随访48多小时。结果：通过定期评估，在14名患者（9.9％）中检测到谵妄。谵妄患者的死亡率2（PIM2）分数和PICU的逗留时间分别较高（P = 0.03和P = 0.01）。使用呼吸促进剂，镇静镇痛，血管活性剂和皮质类固醇治疗以及谵妄患者的身体抑制性均高，统计学上显着（P <0.05）。在录取PICU后，对整个群组的76.1％实施了精神情绪干预。谵妄仅在158名接受心理社会干预的108名患者中产生的谵妄（4.5％），而在34名未接受心理社会干预措施的34名患者中检测到九（26.5％）（P = 0.001）。心理社会干预与谵妄的较低可能性有关（赔率比[或]，0.237; p = 0.044）。 PICU中越来越多的日子与谵妄的几率（或每天1.095; P = 0.037）独立相关。链接：我们观察到与谵妄相关的风险因素类似于以前的研究。此外，在谵妄症状开发之前的心理社会干预与较低的发展谵妄风险较低。然而，在这个主题上需要多中心随机对照试验。如何引用本文：Yontem A，Yildizdas D，Horoz Oo，等。儿科重症监护单位谵妄的频率和原因：一项潜在观测研究。印度j crit care med 2021; 25（6）：715-719.copyright？ 2021; Jaypee Brothers Medical Publishers（P）有限公司

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