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Verfasst von:Meyburg, Jochen [VerfasserIn]   i
 Ritsert, Mona-Lisa [VerfasserIn]   i
 Haken, Rebecca von [VerfasserIn]   i
 Picardi, Susanne [VerfasserIn]   i
 Westhoff, Jens [VerfasserIn]   i
 Silver, Gabrielle [VerfasserIn]   i
 Traube, Chani [VerfasserIn]   i
Titel:Risk factors for the development of postoperative delirium in pediatric intensive care patients
Verf.angabe:Jochen Meyburg, Mona-Lisa Dill, Rebecca von Haken, Susanne Picardi, Jens Hendrik Westhoff, Gabrielle Silver, Chani Traube
Jahr:2018
Umfang:8 S.
Fussnoten:Gesehen am 08.04.2020
Titel Quelle:Enthalten in: Pediatric critical care medicine
Ort Quelle:Philadelphia, Pa. : Lippincott Williams & Wilkins, 2000
Jahr Quelle:2018
Band/Heft Quelle:19(2018), 10, Seite e514-e521
ISSN Quelle:1947-3893
Abstract:OBJECTIVES: To determine and quantify risk factors for postoperative pediatric delirium. - DESIGN: Single-center prospective cohort study. - SETTING: Twenty-two bed PICU in a tertiary care academic medical center in Germany. - PATIENTS: All children admitted after major elective surgery (n = 93; 0-17 yr). - INTERVENTIONS: After awakening, children were screened for delirium using the Cornell Assessment of Pediatric Delirium bid over a period of 5 days. Demographic and clinical data were collected from the initiation of general anesthesia. - MEASUREMENTS AND MAIN RESULTS: A total of 61 patients (66%) were delirious. Younger children developed delirium more frequently, and the symptoms were more pronounced. The number of preceding operations did not influence the risk of delirium. Total IV anesthesia had a lower risk than inhalational anesthesia (p < 0.05). Duration of anesthesia was similar in all groups. Patients with delirium had a longer duration of mechanical ventilation in the PICU (p < 0.001). Significant differences in cumulative doses of various medications (e.g., sedatives, analgesics, and anticholinergics) were noted between groups; these differences were independent of disease severity. Invasive catheters and respiratory devices (p < 0.01) as well as infections (p < 0.001) increased risk of delirium. - CONCLUSIONS: A high prevalence of delirium was noted in the PICU, and several perioperative risk factors were identified. Our data may be a base for development of strategies to prevent and treat postoperative delirium in children.
DOI:doi:10.1097/PCC.0000000000001681
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1097/PCC.0000000000001681
 DOI: https://doi.org/10.1097/PCC.0000000000001681
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Age Factors
 Anesthesia, Inhalation
 Anesthesia, Intravenous
 Case-Control Studies
 Child
 Child, Preschool
 Dose-Response Relationship, Drug
 Emergence Delirium
 Female
 Humans
 Infant
 Intensive Care Units, Pediatric
 Male
 Prevalence
 Prospective Studies
 Risk Factors
 Severity of Illness Index
 Time Factors
K10plus-PPN:169425108X
Verknüpfungen:→ Zeitschrift

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