SynthesisJournal of nursing management2026
Impact of Delirium on Pediatric Critical Care Outcomes and Management Strategies: A Systematic Review and Meta-Analysis.
Synthesis in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Impact of Delirium on Pediatric Critical Care Outcomes and Management Strategies: A Systematic Review and Meta-Analysis.Journal of nursing management · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundDelirium in the pediatric intensive care units (PICUs) poses substantial challenges for nursing care and has a profound impact on key clinical metrics, including the period of assisted breathing support, total hospitalization time, and child survival rates. Effective nursing strategies are essential to improve patient prognosis and quality of life.
aimWe perform a systematic review and meta-analysis to examine how delirium relates to clinical outcomes in PICU patients and to map out the corresponding nursing management strategies.
designA systematic review and meta-analysis is conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines.
methodsUp to January 18, 2024, a comprehensive search of Cochrane Library, PubMed, Embase, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) was conducted following the population, exposure, comparison, outcomes, and study design (PECOS) structure. Data were extracted with a standardized form, study quality was appraised using the Newcastle-Ottawa Scale, and analyses were carried out in STATA 17.0. The entire process complied with the PRISMA 2020 checklist.
resultsAmong 14 studies (6019 children), delirium significantly increased mechanical ventilation risk (odds ratio [OR] = 5.68, 95% confidence interval [CI]: 4.20-7.69, p < 0.01), prolonged intensive care unit (ICU) stay (standardized mean difference [SMD] = 0.61, 95% CI: 0.53-0.70, p < 0.01), and raised mortality (OR = 5.09, 95% CI: 1.81-14.32, p < 0.01). Limited data precluded meta-analysis of postdischarge quality of life. Neither the funnel plot nor Egger's test revealed significant publication bias.
conclusionsDelirium is a key predictor of nursing-sensitive outcomes in pediatric ICU patients. Early screening and systematic nursing management (e.g., Cornell Assessment of Pediatric Delirium [CAPD] monitoring and family-centered rehabilitation) reduce risks and improve recovery and quality of life. Nurses are essential in delirium management by conducting regular assessments, optimizing the care environment, and facilitating teamwork across disciplines. Healthcare institutions should incorporate delirium management protocols into routine nursing workflows and standardize quality-of-life evaluations.
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