Delirium in hospitalized children: a review

Aein, F. (2013) Delirium in hospitalized children: a review. IRANIAN JOURNAL OF PEDIATRICS, 23 (1).

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Abstract

Delirium in childhood has long been considered a common but relatively inconsequential neuropsychiatric concomitant of physical illness. The purpose of this study was to review the existing literature regarding delirium in hospitalized children and adolescents. This study is a review of the literature published in PubMed relating delirium in children and adolescents. Existing studies suggest that patients with delirium constitute almost 10% of all inpatient referrals to child and adolescent consultation liaison psychiatry services and between 17% and 66% of psychiatry referrals from pediatric intensive care. Evidence suggests that children are more vulnerable than adults to the development of delirium secondary to fever, general anesthesia, surgery involving the tonsils, thyroid, middle ear, and eye, severe burns, toxic, metabolic, traumatic brain injury, infection, respiratory, or cardiac failure. Children with higher levels of preoperative anxiety and children that are temperamentally more emotional, more impulsive, less social, and less adaptable to environmental changes have also been identified as being at higher risk of emergence delirium. Effective psychosocial interventions to prevent delirium in hospitalized children included the parents' constant presence, comforting, familiar music and photographs, favorite toys, lighting schedules, and a parent information leaflet. Delirium is a relatively common problem in hospitalized children and adolescents. The above factors can help to identify high risk children and adolescents and choose preventive interventions.

Item Type: Article
Uncontrolled Keywords: DELIRIUM, CHILDREN, HOSPITALIZATION
Subjects: WL Nervous system
WM Psychiatry
Divisions: Faculty of Nursing and Midwifery
Depositing User: zahra bagheri .
Date Deposited: 10 Dec 2017 06:19
Last Modified: 10 Dec 2017 06:19
URI: http://eprints.skums.ac.ir/id/eprint/6518

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