Delirio en niños críticamente enfermos

Acosta-Murillo, Nancy Rocío

doi:10.15446/revfacmed.v68n4.77430

Cited by 1 publication

(3 citation statements)

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“…Other aspects that were not assessed in this study, but that were found in this comparative analysis with respect to the literature and that are considered of great importance for the study of this phenomenon, were its association with the use of physical restraints (Acosta‐Murillo, 2020; Kalvas & Harrison, 2020; Traube, Silver, Reeder, et al, 2017), severe disease (Kalvas & Harrison, 2020), blood transfusion (Acosta‐Murillo, 2020; Kalvas & Harrison, 2020), and the consequences of delirium in children related to increased medical costs due to delirium (Kalvas & Harrison, 2020), the increase in hospital mortality (Kalvas & Harrison, 2020; Torales & Navarro, 2019).…”

Section: Discussionmentioning

confidence: 97%

“…These results highlight the importance of this phenomenon in this population, since its high presence is evident, which has consequences with a highly negative impact. This is due to the fact that it is considered an indicator of serious illness, and can generate higher mortality in critically ill children (Acosta‐Murillo, 2020), increasing the mortality rate by up to 20% (Torales & Navarro, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…that it is considered an indicator of serious illness, and can generate higher mortality in critically ill children (Acosta-Murillo, 2020), increasing the mortality rate by up to 20% (Torales & Navarro, 2019).…”

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confidence: 99%

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Incidence and factors associated with delirium in critically ill patients under 5 years old

Castaño

Robayo

Rojas-Ruiz

2023

Specialist Pediatric Nursing

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Purpose: To determine the incidence and factors related to the presence of Delirium in children under 5 years of age hospitalized in the pediatric intensive care unit (PICU).Design and Methods: Prospective observational study, through a convenience sampling. Fifty-two patients hospitalized in the PICU between 6 months and 5 years of age were included. The Preschool Confusion Assessment Method for the intensive care units (PSCAM-ICU) instrument was applied in its Spanish version. A bivariate analysis was performed to identify possible related factors. Results:The incidence of delirium in the pediatric population under 5 years of age was 71.1%, with mainly hypoactive typology. Those who presented the event were characterized because they were mainly female, with an average age of 31 months, with lower weight compared with those who did not have delirium.Possible risk factors for delirium were found to be longer stays in the PICU and mechanical ventilation, higher levels of carbon dioxide pressure, lower levels of oxygen pressure, having orotracheal intubation, and medication with sedatives and analgesics.Practice Implications: The high incidence of delirium in the pediatric population is notorious, mainly for younger girls and lower-weight children. The factors that showed to be potential risk factors were like those found in the literature. These factors can be incorporated by the care staff in PICUs, to prevent or identify delirium promptly and thus mitigate its impact.

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