Child Psychiatry Engagement in the Management of Delirium in Critically Ill Children
Joint Authors
Barnes, Sean S.
Grados, Marco A.
Kudchadkar, Sapna R.
Source
Critical Care Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-26
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objectives.
To 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 3b2:?thyc=10 follow-up3b2:?thyc after PICU discharge.
Design.
Retrospective chart review.
Setting.
3b2:?thyc=10 Single-center3b2:?thyc tertiary PICU.
Subjects.
Sixteen patients who received child psychiatry consultation for suspected delirium while in the PICU.
Measurements and Main Results.
Child 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.
3b2:?thyc=10 Eighty-one3b2:?thyc 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 3b2:?thyc=10 follow-up.3b2:?thyc Conclusions.
Child 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.
American Psychological Association (APA)
Barnes, Sean S.& Grados, Marco A.& Kudchadkar, Sapna R.. 2018. Child Psychiatry Engagement in the Management of Delirium in Critically Ill Children. Critical Care Research and Practice،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1130452
Modern Language Association (MLA)
Barnes, Sean S.…[et al.]. Child Psychiatry Engagement in the Management of Delirium in Critically Ill Children. Critical Care Research and Practice No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1130452
American Medical Association (AMA)
Barnes, Sean S.& Grados, Marco A.& Kudchadkar, Sapna R.. Child Psychiatry Engagement in the Management of Delirium in Critically Ill Children. Critical Care Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1130452
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1130452