| Online-Ressource |
Verfasst von: | Meyburg, Jochen [VerfasserIn]  |
| Ritsert, Mona-Lisa [VerfasserIn]  |
| Haken, Rebecca von [VerfasserIn]  |
| Picardi, Susanne [VerfasserIn]  |
| Westhoff, Jens [VerfasserIn]  |
| Silver, Gabrielle [VerfasserIn]  |
| Traube, Chani [VerfasserIn]  |
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 |
Risk factors for the development of postoperative delirium in pediatric intensive care patients / Meyburg, Jochen [VerfasserIn]; 2018 (Online-Ressource)