Evidence map›Paper›PMID 31662421›Full record

ArticleHospital pediatrics2019

A Clinical Pathway to Standardize Care of Children With Delirium in Pediatric Inpatient Settings.

Gabrielle H Silver, Julia A Kearney, Sonali Bora, Claire De Souza, Lisa Giles, Sophia Hrycko, Willough Jenkins, Nasuh Malas, Lisa Namerow, Roberto Ortiz-Aguayo and 5 more

Abstract readConsensus Statement
In one paragraph

Article in Hospital pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Prevalence and Risk Factors of Pediatric Delirium in Critically Ill Children: A Study Using Cornell Assessment of Pediatric Delirium Tool at a Tertiary Care Hospital.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Training Needs Assessment Survey in Pediatric Consultation-Liaison Psychiatry.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2022
    Article
  14. Article
  15. Frequency and Causes of Delirium in Pediatric Intensive Care Unit: A Prospective Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  16. Article
  17. Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Gabrielle H SilverNewYork-Presbyterian/Weill Cornell Medical Center, Weill Cornell Medicine, Cornell University, New York, New York; dr.gabriellesilver@gmail.com.
Julia A KearneyMemorial Sloan Kettering Cancer Center, New York, New York.
Sonali BoraChildren's Healthcare of Atlanta, Atlanta, Georgia.
Claire De SouzaHospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Lisa GilesDepartments of Pediatrics and Psychiatry, School of Medicine, The University of Utah, Salt Lake City, Utah.
Sophia HryckoDepartment of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada.
Willough JenkinsDepartment of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, California.
Nasuh MalasDivision of Child and Adolescent Psychiatry, Departments of Psychiatry and Pediatrics, C.S. Mott Children's Hospital, Medical School, University of Michigan, Ann Arbor, Michigan.
Lisa NamerowInstitute of Living and Hartford Hospital, School of Medicine, University of Connecticut, Hartford, Connecticut.
Roberto Ortiz-AguayoChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Ruth RussellMcGill University Health Centre and Montreal Children's Hospital, Montréal, Canada.
Maryland PaoNational Institute of Mental Health, National Institutes of Health, Bethesda, Maryland.
Sigita PlioplysDepartment of Psychiatry and Behavioral Sciences, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University, Chicago, Illinois; and.
Khyati BrahmbhattDepartment of Psychiatry, Langley Porter Psychiatric Institute, Weill Institute for Neurosciences, Benioff Children's Hospital, University of California, San Francisco, San Francisco, California.
PATHWAYS FOR CLINICAL CARE WORKGROUP

Funding

Psychiatry Consultation Liaison Service ResearchZIAMH002922 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PAO, MARYLAND · 2009 to 2025
$11.5M
Intramural NIH HHS ZIA MH002922
6 · The paper itself

Abstract

Pediatric delirium is an important comorbidity of medical illness in inpatient pediatric care that has lacked a consistent approach for detection and management. A clinical pathway (CP) was developed to address this need. Pediatric delirium contributes significantly to morbidity, mortality, and costs of inpatient care of medically ill children and adolescents. Screening for delirium in hospital settings with validated tools is feasible and effective in reducing delirium and improving outcomes; however, multidisciplinary coordination is required for implementation. The workgroup, composed of international experts in child and adolescent consultation psychiatry, reviewed the literature and developed a flowchart for feasible screening and management of pediatric delirium. When evidence was lacking, expert consensus was reached; stakeholder feedback was included to create the final pathway. A CP expert collaborated with the workgroup. Two sequential CPs were created: (1) "Prevention and Identification of Pediatric Delirium" emphasizes the need for systematic preventive measures and screening, and (2) "Diagnosis and Management of Pediatric Delirium" recommends an urgent and ongoing search for the underlying causes to reverse the syndrome while providing symptomatic management focused on comfort and safety. Detailed accompanying documents explain the supporting literature and the rationale for recommendations and provide resources such as screening tools and implementation guides. Additionally, the role of the child and adolescent consultation-liaison psychiatrist as a resource for collaborative care of patients with delirium is discussed.

Indexed as

Critical PathwaysEvidence-Based MedicineHospitalizationChildDeliriumHumansNeeds Assessment

Identifiers

PMID31662421
PMCPMC11416144

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.