Evidence map›Paper›PMID 40723111›Full record

ReviewChildren (Basel, Switzerland)2025

The Challenges of Diagnosing, Managing, and Preventing Pediatric Delirium.

Juliana Patrícia Chaves de Almeida, Yu Kawai, Arnaldo Prata-Barbosa, Roberta Esteves Vieira de Castro

Erratum issuedAbstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Juliana Patrícia Chaves de AlmeidaPediatric Intensive Care Unit, Department of Pediatrics, Federal Hospital of Lagoa, Rio de Janeiro 22470-050, Brazil.
Yu KawaiDepartment of Pediatrics, Division of Pediatric Critical Care Medicine, Mayo Clinic Children's, Rochester, MN 55905, USA.ORCID 0000-0002-5452-0867
Arnaldo Prata-BarbosaDepartment of Pediatrics, D'Or Institute of Teaching and Research (IDOR), Rio de Janeiro 22281-100, Brazil.ORCID 0000-0002-4726-9782
Roberta Esteves Vieira de CastroDepartment of Pediatrics, D'Or Institute of Teaching and Research (IDOR), Rio de Janeiro 22281-100, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pediatric delirium (PD) is an acute neuropsychiatric syndrome marked by fluctuating disturbances in attention and cognition, frequently observed in pediatric intensive care units (PICUs) and associated with increased morbidity, mortality, and long-term cognitive impairment. Despite its clinical significance, PD remains underdiagnosed due to challenges inherent in assessing consciousness and cognition in children at varying developmental stages. Several bedside tools have been developed and validated in recent years, including the Cornell Assessment of Pediatric Delirium (CAPD), PreSchool Confusion Assessment Method for the Intensive Care Unit (psCAM-ICU); Pediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU), and Sophia Observation Withdrawal Symptoms-Pediatric Delirium Scale (SOS-PD), enhancing early recognition and management of PD in critically ill children. This narrative review explores the historical background, epidemiology, risk factors, pathophysiology, clinical subtypes, diagnostic tools, and current prevention and treatment strategies for PD from newborns to 21 years old. The screening tools available and the integration of non-pharmacological interventions, such as environmental modifications and family-centered care, as well as cautious and selective pharmacological management, are emphasized in this review. Early identification and targeted interventions are essential to mitigate the adverse outcomes associated with PD.

Indexed as

deliriumdiagnosismanagementpediatric deliriumpediatric intensive care unitprevention

Identifiers

PMID40723111
PMCPMC12293219

What OpenQuestion holds

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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.