Delirium during the first evaluation of children aged five to 14 years admitted to a paediatric critical care unit

Eliana María Cano Londoño, Isabel Cristina Mejía Gil, Katerine Uribe Hernández, Carmenza Alexandra Ricardo Ramírez, Matilde Ligia Álvarez Gómez, Ricardo Antonio Consuegra Peña, Camilo Andrés Agudelo Vélez, Susana Zuluaga Penagos, Mussatye Elorza Parra, José G. Franco Vásquez

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    17 Citas (Scopus)

    Resumen

    Objectives: To describe the prevalence and characteristics of delirium during the initial evaluation of critically ill patients aged 5–14 years. Method/design: This is a cross-sectional descriptive study in a critical care unit. For six months, all patients were evaluated within the first 24–72 hours or when sedation permitted the use of the paediatric confusion assessment method for the intensive care unit (PCAM-ICU) and the Delirium Rating Scale-Revised-98 items #7 and #8 to determine motor type. We report the characteristics of PCAM-ICU delirium (at least three of the required items scored positive) and of subthreshold score cases (two positive items). Results: Of 77 admissions, 15 (19.5%) had delirium, and 11 (14.2%) were subthreshold. A total of 53.3% of delirium and 45.5% of subthreshold cases were hypoactive. The prevalence of delirium and subthreshold PCAM-ICU was 83.3% and 16.7% in mechanically ventilated children. The most frequent combination of PCAM-ICU alterations in subthreshold cases was acute onset-fluctuation with altered alertness. The main nursing diagnoses were related to reduced cellular respiration. Conclusions: Delirium is common in critically ill children. It is necessary to assess whether certain nursing diagnoses imply an increase in delirium. Longitudinal studies of subthreshold PCAM-ICU cases are needed to understand their importance better.

    Idioma originalInglés
    Páginas (desde-hasta)37-43
    Número de páginas7
    PublicaciónIntensive and Critical Care Nursing
    Volumen45
    DOI
    EstadoPublicada - abr. 2018

    Nota bibliográfica

    Publisher Copyright:
    © 2018 Elsevier Ltd

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