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Print version ISSN 0121-4500
Abstract
HENAO CASTANO, Ángela María and PINZON CASAS, Edwar Yamit. Assessment of delirium in children admitted into the Intensive Care Unit: psCAM-ICU Tool. av.enferm. [online]. 2020, vol.38, n.2, pp.140-148. ISSN 0121-4500. https://doi.org/10.15446/av.enferm.v38n2.78690.
Background:
Delirium has been identified as a risk factor for the mortality of critically ill patients, generating great social and economic impacts, since patients require more days of mechanical ventilation and a prolonged hospital stay in the intensive care unit (ICU), thus increasing medical costs.
Objective:
To describe the prevalence and characteristics of delirium episodes in a sample of 6-month to 5-year-old children who are critically ill.
Methods:
Cohort study at a Pediatric Intensive Care Unit (PICU) in Bogotá (Colombia). Participants were assessed by the Preschool Confusion Assessment Method for the ICU (psCAM-lCU) within the first twenty-four hours of hospitalization.
Results:
One quarter of the participants (25.8%) presented some type of delirium. Among them, two sub-types of delirium were observed: 62.5% of the cases were hypoactive and 37.5% hyperactive. Moreover, from them, six were male (75%) and 2 female (25%). Primary diagnosis was respiratory tract infection in 62.55% of the patients, while respiratory failure was diagnosed in the remaining 37.5%.
Conclusions:
The implementation of delirium monitoring tools in critically ill children provides a better understanding of the clinical manifestation of this phenomenon and associated risk factors in order to contribute to the design of efficient intervention strategies.
Keywords : Delirium; Child; Preschool; Critical Care; Pediatrics; Psychomotor Agitation; Nursing (source: DeCS, BIREME).