title: Pediatric delirium and associated risk factors: a single-center prospective observational study.
abstract: OBJECTIVE
  To describe a single-institution pilot study regarding prevalence and risk factors for delirium in critically ill children.
  
  
  METHODS
  A prospective observational study, with secondary analysis of data collected during the validation of a pediatric delirium screening tool, the Cornell Assessment of Pediatric Delirium.
  
  
  METHODS
  This study took place in the PICU at an urban academic medical center.
  
  
  METHODS
  Ninety-nine consecutive patients, ages newborn to 21 years.
  
  
  METHODS
  Subjects underwent a psychiatric evaluation for delirium based on the Diagnostic and Statistical Manual IV criteria.
  
  
  RESULTS
  Prevalence of delirium in this sample was 21%. In multivariate analysis, risk factors associated with the diagnosis of delirium were presence of developmental delay, need for mechanical ventilation, and age 2-5 years.
  
  
  CONCLUSIONS
  In our institution, pediatric delirium is a prevalent problem, with identifiable risk factors. Further large-scale prospective studies are required to explore multi-institutional prevalence, modifiable risk factors, therapeutic interventions, and effect on long-term outcomes.
authors: Weill Cornell Medical College.
authors: Gabrielle
authors: G
authors: Silver
authors: Weill Cornell Medical College.
authors: Chani
authors: C
authors: Traube
authors: Weill Cornell Medical College.
authors: Linda M
authors: LM
authors: Gerber
authors: Weill Cornell Medical College.
authors: Xuming
authors: X
authors: Sun
authors: Memorial Sloan-Kettering Cancer Center.
authors: Julia
authors: J
authors: Kearney
authors: NY Presbyterian Hospital.
authors: Anita
authors: A
authors: Patel
authors: Weill Cornell Medical College.
authors: Bruce
authors: B
authors: Greenwald
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003693:Delirium / Q000175:diagnosis* / Q000453:epidemiology*; D002658:Developmental Disabilities / Q000453:epidemiology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric; D008297:Male; D015999:Multivariate Analysis; D064887:Observational Studies as Topic; D015995:Prevalence; D011446:Prospective Studies; D012121:Respiration, Artificial / Q000706:statistics & numerical data; D012307:Risk Factors; D055815:Young Adult
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