ArticleFrontiers in pediatrics2022
Implementation of a Delirium Bundle for Pediatric Intensive Care Patients.
Article in Frontiers in pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Surviving Sepsis Campaign International Guidelines for the Management of Sepsis and Septic Shock in Children 2026.Intensive care medicine · 2026Pooled it
- Non-pharmacological interventions for delirium in the pediatric population: a systematic review with narrative synthesis.BMC pediatrics · 2024Pooled it
- Neurodevelopmental care across pediatric critical care settings: toward brain-focused critical care.European journal of pediatrics · 2026Review
- Non-pharmacological interventions for delirium in critically ill children: a scoping review.BMJ open · 2025Article
- Incidence of pediatric delirium and withdrawal outside the PICU: findings from a pediatric cardiology ward.European journal of pediatrics · 2025Observational
- Prevalence of and risk factors for postoperative delirium among children after cardiac surgery in a Single-Centre retrospective study.Scientific reports · 2025Article
- The Effect of Impaired Cerebral Autoregulation on Postoperative Delirium in Neonates and Infants After Corrective Cardiac Surgery: A Study on Modifiable Risk Factors for Delirium.Reviews in cardiovascular medicine · 2025Article
- Perioperative care bundle versus conventional perioperative care in pediatric patients undergoing minimally invasive digestive endoscopy.Pakistan journal of medical sciences · 2025Article
- Sleep fragmentation in critically ill children: a review of contributing factors in the pediatric intensive care unit and neurodevelopmental outcomes.Frontiers in sleep · 2025Review
- Adapting the Cornell assessment of pediatric delirium for Swedish context: translation, cultural validation and inter-rater reliability.BMC pediatrics · 2024Article
- Delirium in the NICU.Journal of perinatology : official journal of the California Perinatal Association · 2024Review
- Incidence, associated factors, and outcomes of delirium in critically ill children in china: a prospective cohort study.BMC psychiatry · 2023Observational
- Implementation and effectiveness of a delirium care protocol in Thai critically ill children.Acute and critical care · 2023Article
- Article
- Depth of anesthesia, temperature, and postoperative delirium in children and adolescents undergoing cardiac surgery.BMC anesthesiology · 2023Article
- Inclusion of protocols for the prevention and management of delirium in PICUs: Emerging challenges in the care of pediatric critical patients.Medicina intensiva · 2022Article
- [Inclusion of protocols for the prevention and management of delirium in PICUs: emerging challenges in the care of pediatric critical patients].Medicina intensiva · 2022Article
- Development of a non-pharmacologic delirium management bundle in paediatric intensive care units.Nursing in critical care · 2022Article
- Modified ABCDEF-Bundles for Critically Ill Pediatric Patients - What Could They Look Like?Frontiers in pediatrics · 2022Review
- Nurses' Experiences of the Prerequisites for Implementing Family-Centered Care to Prevent Pediatric Delirium.Clinical nurse specialist CNSArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveDelirium represents the most common form of acute cerebral dysfunction in critical illness. The prevention, recognition, and treatment of delirium must become the focus of modern pediatric intensive care, as delirium can lead to increased morbidity and mortality. The aim of this study is to evaluate the impact of a delirium bundle consisting of mainly non-pharmacological measures. MATERIAL AND
methodsThis is a pre-/post-implementation study in an interdisciplinary pediatric intensive care unit of a tertiary care university hospital. In the pre-implementation period, pediatric intensive care delirium was monitored using the Sophia Observation withdrawal Symptoms and Pediatric Delirium scale. After introduction of a delirium bundle consisting of non-pharmacological prevention and treatment measures a period of 4 months was interposed to train the PICU staff and ensure that the delirium bundle was implemented consistently before evaluating the effects in the post-implementation period. Data collection included prevalence of delirium and withdrawal, length of PICU stay, duration of mechanical ventilation, and cumulative dose of sedatives and analgesics.
resultsA total of 792 critically ill children aged 0-18 years were included in this study. An overall delirium prevalence of 30% was recorded in the pre-implementation group and 26% in the post-implementation group (
conclusionsBased on a validated delirium monitoring, our study gives new information regarding the prevalence of pediatric delirium and the characteristics of intensive care patients at risk for this significant complication. Especially young patients and patients after surgery for congenital heart disease seem to benefit from the implementation of non-pharmacological delirium bundles. Based on our findings, it is important to promote change in pediatric intensive care-toward a comprehensive approach to prevent delirium in critically ill children as best as possible.
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