ArticleCritical care research and practice2018
Child Psychiatry Engagement in the Management of Delirium in Critically Ill Children.
Article in Critical care research and practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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.
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Who cites it
4 citing papers in PubMed.
- Psychiatry's role in the prevention of post-intensive care mental health impairment: stakeholder survey.BMC psychiatry · 2022Article
- A Clinical Pathway to Standardize Care of Children With Delirium in Pediatric Inpatient Settings.Hospital pediatrics · 2019Article
- Sleep and Delirium in Pediatric Critical Illness: What Is the Relationship?Medical sciences (Basel, Switzerland) · 2018Review
- Implementing Screening for Neonatal Delirium in the Neonatal Intensive Care Unit: A Quality Improvement Initiative.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo characterize the engagement of child psychiatry by pediatric intensivists in cases of suspected delirium in a pediatric intensive care unit (PICU) prior to implementation of a delirium management algorithm with regards to recommendations, antipsychotic prescribing, and follow-up after PICU discharge.
designRetrospective chart review.
settingSingle-center tertiary PICU. SUBJECTS: Sixteen patients who received child psychiatry consultation for suspected delirium while in the PICU. MEASUREMENTS AND MAIN
resultsChild psychiatry was consulted for 50 patients in the PICU during the 2-year period. Sixteen (32%) of these consultations were for delirium, and 15 (94%) of these patients were diagnosed with hyperactive delirium. Eighty-one percent of the patients were prescribed an antipsychotic, and over half of these patients had been initiated on the antipsychotic prior to child psychiatry consultation. All patients who transitioned from the PICU to the general floor received child psychiatry follow-up.
conclusionsChild psychiatry can play an integral role in collaborative management of PICU delirium. Continuity of care with child psychiatry after transfer or discharge is particularly important given the prevalence of antipsychotic use. Furthermore, the results of this retrospective study would suggest that staff education surrounding the delirium screening tool increased awareness of delirium, resulting in an increase in child psychiatry consultations.
Identifiers
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Registered trials
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