| |  Online-Ressource |
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| Verfasst von: | Meyburg, Jochen [VerfasserIn]  |
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| | Ritsert, Mona-Lisa [VerfasserIn] |
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| | Haken, Rebecca von [VerfasserIn] |
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| | Picardi, Susanne [VerfasserIn] |
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| | Westhoff, Jens [VerfasserIn] |
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| | Silver, Gabrielle [VerfasserIn] |
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| | Traube, Chani [VerfasserIn] |
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| Titel: | Risk factors for the development of postoperative delirium in pediatric intensive care patients |
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| Verf.angabe: | Jochen Meyburg, Mona-Lisa Dill, Rebecca von Haken, Susanne Picardi, Jens Hendrik Westhoff, Gabrielle Silver, Chani Traube |
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| Jahr: | 2018 |
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| Umfang: | 8 S. |
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| Fussnoten: | Gesehen am 08.04.2020 |
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| Titel Quelle: | Enthalten in: Pediatric critical care medicine |
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| Ort Quelle: | Philadelphia, Pa. : Lippincott Williams & Wilkins, 2000 |
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| Jahr Quelle: | 2018 |
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| Band/Heft Quelle: | 19(2018), 10, Seite e514-e521 |
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| ISSN Quelle: | 1947-3893 |
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| 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. |
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| DOI: | doi:10.1097/PCC.0000000000001681 |
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| 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 |
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| | DOI: https://doi.org/10.1097/PCC.0000000000001681 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | Age Factors |
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| | Anesthesia, Inhalation |
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| | Anesthesia, Intravenous |
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| | Case-Control Studies |
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| | Child |
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| | Child, Preschool |
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| | Dose-Response Relationship, Drug |
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| | Emergence Delirium |
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| | Female |
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| | Humans |
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| | Infant |
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| | Intensive Care Units, Pediatric |
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| | Male |
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| | Prevalence |
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| | Prospective Studies |
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| | Risk Factors |
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| | Severity of Illness Index |
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| | Time Factors |
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| K10plus-PPN: | 169425108X |
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| Verknüpfungen: | → Zeitschrift |
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Risk factors for the development of postoperative delirium in pediatric intensive care patients / Meyburg, Jochen [VerfasserIn]; 2018 (Online-Ressource)
