ArticleCritical care medicine2016
Cost Associated With Pediatric Delirium in the ICU.
Article in Critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 60 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Prospective, Double-Blind, Randomized Controlled Trial of Quetiapine as a Treatment for Delirium in Critically Ill Children
Pediatric Delirium in Swedish PICUs: Incidence, Risk Factors, and Validation of the Swedish Cornell Assessment of Pediatric Delirium (CAPD) Instrument.
Who cites it
60 citing papers in PubMed, 4 syntheses or guidelines pooled it, 182 citations in OpenAlex.
- Antipsychotic Medications for Delirium Treatment in the Pediatric Intensive Care Unit: A Systematic Review.Paediatric drugs · 2025Pooled it
- Non-pharmacological interventions for delirium in the pediatric population: a systematic review with narrative synthesis.BMC pediatrics · 2024Pooled it
- Pooled it
- State of the science in pediatric ICU delirium: An integrative review.Research in nursing & health · 2020Pooled it
- The Lived Experience of Delirium in a Critically Ill Child: A Narrative Study.Scandinavian journal of caring sciences · 2026Article
- Delirium in the Pediatric Cardiac Intensive Care Unit and Use of a Language Other than English.Pediatric cardiology · 2026Article
- Effect of Neurologic Conditions on Delirium Duration and Time to ICU Discharge.Critical care explorations · 2026Observational
- Psychomotor Rehabilitation for Pediatric Delirium: A Study Protocol for a Randomized Controlled Trial Investigating Efficacy and Brain Electrophysiological Mechanisms.Neuropsychiatric disease and treatment · 2026Article
- Non-pharmacological interventions for delirium in critically ill children: a scoping review.BMJ open · 2025Article
- The Challenges of Diagnosing, Managing, and Preventing Pediatric Delirium.Children (Basel, Switzerland) · 2025Review
- Age-specific vulnerability and high prevalence of delirium in pediatric intensive care based on a prospective cohort study.Scientific reports · 2024Article
- Assessment of intensive care unit delirium in developmentally delayed children.Pediatric research · 2024Review
- Association between pediatric postoperative delirium and regional cerebral oxygen saturation: a prospective observational study.BMC psychiatry · 2024Observational
- Attitudes, knowledge and practices concerning delirium among paediatric intensive care unit nurses: a multisite cross-sectional study in Sichuan, China.BMC nursing · 2024Article
- Delirium in the NICU.Journal of perinatology : official journal of the California Perinatal Association · 2024Review
- Risk Factors and Nomogram Model of Postoperative Delirium in Children with Congenital Heart Disease: A Single-Center Prospective Study.Pediatric cardiology · 2024Article
- Challenges of the Implementation of a Delirium Rate Scale in a Pediatric Intensive Care Unit: A Qualitative Approach.Healthcare (Basel, Switzerland) · 2023Article
- Article
- Assessment and Management of Delirium in the Pediatric Intensive Care Unit: A Review.Journal of pediatric intensive care · 2023Review
- The occurrence of delirium diagnosis among youth hospitalizations in the United States: A Kids' Inpatient Database analysis.Acta psychiatrica Scandinavica · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo determine the costs associated with delirium in critically ill children.
designProspective observational study.
settingAn urban, academic, tertiary-care PICU in New York city. PATIENTS: Four-hundred and sixty-four consecutive PICU admissions between September 2, 2014, and December 12, 2014.
interventionsNone. MEASUREMENTS AND MAIN
resultsAll children were assessed for delirium daily throughout their PICU stay. Hospital costs were analyzed using cost-to-charge ratios, in 2014 dollars. Median total PICU costs were higher in patients with delirium than in patients who were never delirious ($18,832 vs $4,803; p < 0.0001). Costs increased incrementally with number of days spent delirious (median cost of $9,173 for 1 d with delirium, $19,682 for 2-3 d with delirium, and $75,833 for > 3 d with delirium; p < 0.0001); this remained highly significant even after adjusting for PICU length of stay (p < 0.0001). After controlling for age, gender, severity of illness, and PICU length of stay, delirium was associated with an 85% increase in PICU costs (p < 0.0001).
conclusionsPediatric delirium is associated with a major increase in PICU costs. Further research directed at prevention and treatment of pediatric delirium is essential to improve outcomes in this population and could lead to substantial healthcare savings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.