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Revista Salud Uninorte
versión impresa ISSN 0120-5552versión On-line ISSN 2011-7531
Resumen
PINZON-CASAS, EDWAR YAMITH.; HENAO-CASTANO, ÁNGELA MARÍA. y FAJARDO-RAMOS, ELIZABETH. Characteristics of Delirium in the Pediatric Intensive Care Unit Using the Dynamic Symptoms Model. Salud, Barranquilla [online]. 2020, vol.36, n.1, pp.112-123. Epub 20-Mayo-2021. ISSN 0120-5552. https://doi.org/10.14482/sun.36.1.618.92.
Background:
Delirium is considered a symptom of acute brain dysfunction occurring in the adult and pediatric population, which can be approached from the Dynamic Symptoms Model to have a complete view of its characteristics.
Objective:
To describe the prevalence and characteristics of delirium in preschool-aged patients in the pediatric intensive care unit using the Dynamic Symptoms Model.
Methodology:
Cohort study conducted in a pediatric intensive care unit in the city of Bogotá, Colombia. Patients between 6 months and 5 years were included. The sample size was 31 patients, and a literature review was conducted for understanding patient factors that are correlated with a higher rate of delirium. Delirium was diagnosed with the scale of evaluation of Preschool Confusion in Intensive Care (PsCAM-ICU) in Spanish version, which has a high specificity (94.8%), sensitivity (93.3%) and a reliability kappa statistic of 0.95.
Results:
Delirium occurred in 25.8% of patients. The characteristics of these patients with delirium were: 62.5% had a primary diagnosis of acute respiratory infection and 37.5% had respiratory failure; 62.5% presented hypoactive and 37.5% hyperactive; bronchopulmonary dysplasia and bronchiolitis were the most common pathological antecedents, 50% received benzodiazepines, 33.3% narcotics, and 16.6% analgesics. Delirious patients had longer PICU (10 vs. 7 days), and hospital length of stay (7.5 vs. 2.2 days).
Conclusion:
Presence of delirium in critically ill children is evidenced, whose characteristics are contained in the Dynamic Symptoms Model, therefore, from this perspective it is possible to identify it opportunely.
Palabras clave : Delirium; Preschool; Intensive Care Units; Pediatric; Behavioral Symptoms.