Delirium in Children after Cardiac Bypass Surgery
Open accessAbstract
OBJECTIVES: To describe the incidence of delirium in pediatric patients after cardiac bypass surgery and explore associated risk factors and effect of delirium on in-hospital outcomes. DESIGN: Prospective observational single-center study. SETTING: Fourteen-bed pediatric cardiothoracic ICU. PATIENTS: One hundred ninety-four consecutive admissions following cardiac bypass surgery, 1 day to 21 years old. INTERVENTIONS: Subjects were screened for delirium daily using the Cornell Assessment of Pediatric Delirium. MEASUREMENTS AND MAIN RESULTS: Incidence of delirium in this sample was 49%. Delirium most often lasted 1-2 days and developed within the first 1-3 days after surgery. Age less than 2 years, developmental delay, higher Risk Adjustment for Congenital Heart Surgery 1 score, cyanotic disease, and albumin less than three were all independently associated with development of delirium in a multivariable model (all p < 0.03). Delirium was an independent predictor of prolonged ICU length of stay, with patients who were ever delirious having a 60% increase in ICU days compared with patients who were never delirious (p < 0.01). CONCLUSIONS: In our institution, delirium is a frequent problem in children after cardiac bypass surgery, with identifiable risk factors. Our study suggests that cardiac bypass surgery significantly increases children's susceptibility to delirium. This highlights the need for heightened, targeted delirium screening in all pediatric cardiothoracic ICUs to potentially improve outcomes in this vulnerable patient population.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Delirium prevalence is estimated to be as high as 49% to 57% in children with cyanotic disease, longer durations of mechanical ventilation, and long cardiopulmonary bypass times.
“Given that delirium pathophysiology is directly linked to the underlying medical condition, its prevalence is tightly related to the population under study, estimated to be as high as 49% to 57% in children with cyanotic disease, longer durations of mechanical ventilation, and long cardiopulmonary bypass times [67,68].”
From Psychological and Psychiatric Comorbidities in Youth with Serious Physical Illness (2022) · cites this paper as [68]
The Abstract’s Measurements and Main Results report 49% delirium incidence in the overall cardiac-bypass sample. The Results associate delirium with cyanotic disease and longer bypass time, and report longer mechanical ventilation among children who developed delirium. The paper does not establish a 49%–57% prevalence specifically among children with those characteristics, nor does it report 57%. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
A new look at the statistical model identification
Akaike, H. (1974) · IEEE Transactions on Automatic Control · doi:10.1109/tac.1974.1100705 · Cited by 51,879 · see citing works
Barr, J., Fraser, G. L., Puntillo, K., Ely, E. W., Gélinas, C., Dasta, J. F., Davidson, J. E., Devlin, J. W., Kress, J. P., Joffe, A. M., et al. (2012) · Critical Care Medicine · doi:10.1097/ccm.0b013e3182783b72 · Cited by 3,785 · see citing works
Delirium as a Predictor of Mortality in Mechanically Ventilated Patients in the Intensive Care Unit
Ely, E. W. (2004) · JAMA · doi:10.1001/jama.291.14.1753 · Cited by 3,073 · see citing works
Girard, T. D., Kress, J. P., Fuchs, B. D., Thomason, J. W. W., Schweickert, W. D., Pun, B. T., Taichman, D. B., Dunn, J., Pohlman, A. S., Kinniry, P. A., et al. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60105-1 · Cited by 2,051 · see citing works
Monitoring Sedation Status Over Time in ICU Patients
Ely, E. W., Truman, B., Shintani, A., Thomason, J. W. W., Wheeler, A. P., Gordon, S., Francis, J., Speroff, T., Gautam, S., Margolin, R. A., et al. (2003) · JAMA · doi:10.1001/jama.289.22.2983 · Cited by 1,704 · see citing works
Pandharipande, P. P., Pun, B. T., Herr, D., Maze, M., Girard, T. D., Miller, R. R., Shintani, A., Thompson, J. L., Jackson, J. C., Deppen, S. A., et al. (2007) · JAMA · doi:10.1001/jama.298.22.2644 · Cited by 1,456 · see citing works
Consensus-based method for risk adjustment for surgery for congenital heart disease
Jenkins, K. J., Gauvreau, K., Newburger, J. W., Spray, T. L., Moller, J. H., & Iezzoni, L. I. (2002) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1067/mtc.2002.119064 · Cited by 1,370 · see citing works
Cognitive Trajectories after Postoperative Delirium
Saczynski, J. S., Marcantonio, E. R., Quach, L., Fong, T. G., Gross, A. L., Inouye, S. K., & Jones, R. N. (2012) · New England Journal of Medicine · doi:10.1056/nejmoa1112923 · Cited by 1,196 · see citing works
PIM2: a revised version of the Paediatric Index of Mortality
for the PIM Study Group, Slater, A., Shann, F. A., & Pearson, G. A. (2003) · Intensive Care Medicine · doi:10.1007/s00134-002-1601-2 · Cited by 1,068 · see citing works
Leteurtre, S., Martinot, A., Duhamel, A., Proulx, F., Grandbastien, B., Cotting, J., Gottesman, R., Joffe, A. R., Pfenninger, J., Hubert, P., et al. (2003) · The Lancet · doi:10.1016/s0140-6736(03)13908-6 · Cited by 733 · see citing works
Cornell Assessment of Pediatric Delirium
Traube, C., Silver, G. H., Kearney, J. A., Patel, A. K., Atkinson, T. M., Yoon, M. J., Halpert, S., Augenstein, J. A., Sickles, L., Li, C., et al. (2013) · Critical Care Medicine · doi:10.1097/ccm.0b013e3182a66b76 · Cited by 536 · see citing works
Self-citationDerivation and Validation of a Preoperative Prediction Rule for Delirium After Cardiac Surgery
Rudolph, J. L., Jones, R. N., Levkoff, S. E., Rockett, C., Inouye, S. K., Sellke, F. W., Khuri, S. F., Lipsitz, L. A., Ramlawi, B., Levitsky, S., et al. (2008) · Circulation · doi:10.1161/circulationaha.108.795260 · Cited by 501 · see citing works
van den Boogaard, M., Schoonhoven, L., Evers, A. W. M., van der Hoeven, J. G., van Achterberg, T., & Pickkers, P. (2012) · Critical Care Medicine · doi:10.1097/ccm.0b013e31822e9fc9 · Cited by 361 · see citing works
Smith, H. A. B., Boyd, J., Fuchs, D. C., Melvin, K. E., Berry, P., Shintani, A., Eden, S., Terrell, M. K., Boswell, T., Wolfram, K. B., et al. (2010) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181feb489 · Cited by 334 · see citing works
Delirium in the Cardiovascular ICU
McPherson, J., Wagner, C. E., Boehm, L. M., Hall, J. D., Johnson, D., Miller, L. R., Burns, K., Thompson, J. L., Shintani, A., Ely, E. W., et al. (2012) · Critical Care Medicine · doi:10.1097/ccm.0b013e31826ab49b · Cited by 277 · see citing works
Incidence and predictors of delirium after cardiac surgery: Results from The IPDACS Study
Kaźmierski, J., Kowman, M., Banach, M., Fendler, W. M., Okoński, P., Banyś, A., Jaszewski, R., Rysz, J., Mikhailidis, D. P., Sobów, T., et al. (2010) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2010.02.009 · Cited by 271 · see citing works
The Preschool Confusion Assessment Method for the ICU
Smith, H. A. B., Gangopadhyay, M., Goben, C. M., Jacobowski, N., Chestnut, M. H., Savage, S. W., Rutherford, M. T., Denton, D., Thompson, J. L., Chandrasekhar, R., et al. (2015) · Critical Care Medicine · doi:10.1097/ccm.0000000000001428 · Cited by 237 · see citing works
Delirium in the cardiac surgical ICU
Brown, C. H. (2014) · Current Opinion in Anaesthesiology · doi:10.1097/aco.0000000000000061 · Cited by 191 · see citing works
Pediatric Delirium and Associated Risk Factors
Silver, G. H., Traube, C., Gerber, L. M., Sun, X., Kearney, J. A., Patel, A. K., & Greenwald, B. M. (2015) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000000356 · Cited by 191 · see citing works
Self-citationDelirium in the Postoperative Cardiac Patient: A Review
Sockalingam, S., Parekh, N., Bogoch, I. I., Sun, J. C. J., Mahtani, R., Beach, C., Bollegalla, N., Turzanski, S., Seto, E., Kim, J., et al. (2005) · Journal of Cardiac Surgery · doi:10.1111/j.1540-8191.2005.00134.x · Cited by 152 · see citing works
Burkhart, C. S., Dell‐Kuster, S., Gamberini, M., Moeckli, A., Grapow, M. T. R., Filipovic, M., Seeberger, M. D., Monsch, A. U., Strebel, S., & Steiner, L. A. (2010) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2010.01.003 · Cited by 146 · see citing works
Delirium screening anchored in child development: The Cornell Assessment for Pediatric Delirium
Silver, G. H., Kearney, J. A., Traube, C., & Hertzig, M. E. (2014) · Palliative & Supportive Care · doi:10.1017/s1478951514000947 · Cited by 134 · see citing works
Self-citationCognitive Dysfunction, Delirium, and Stroke in Cardiac Surgery Patients
Cropsey, C. L., Kennedy, J. A., Han, J. H., & Pandharipande, P. P. (2015) · Seminars in Cardiothoracic and Vascular Anesthesia · doi:10.1177/1089253215570062 · Cited by 107 · see citing works
Incidence, degree, and duration of postcardiotomy delirium.
Pd, S. (1982) · PubMed · Cited by 40 · see citing works
Pedersen, S. S., Kirkegaard, T., Jørgensen, M. B., & Jørgensen, V. L. (2013) · Interactive Cardiovascular and Thoracic Surgery · doi:10.1093/icvts/ivt501 · Cited by 21 · see citing works
Flagged first, then by citations
Research works printed but not linked: 5
- [19]Burkhart CS Dell-Kuster S Gamberini M Modifiable and Nonmodifiable Risk Factors for Postoperative Delirium After Cardiac Surgery With Cardiopulmonary Bypass Journal of Cardiothoracic and Vascular Anesthesia 2010 24 555 559 20227891
- [20]Kazmierski J Kowman M Banach M Incidence and predictors of delirium after cardiac surgery: Results from The IPDACS Study J Psychosom Res 2010 69 179 185 20624517
- [21]Sadler PD Incidence, degree, and duration of postcardiotomy delirium Heart Lung 1981 10 1084 1092 6913574
- [22]McPherson JA Wagner CE Boehm LM Delirium in the Cardiovascular ICU: Exploring Modifiable Risk Factors Critical Care Medicine 2013 41 405 413 23263581 PMC3557701
- [23]Rudolph JL Jones RN Levkoff SE Derivation and validation of a preoperative prediction rule for delirium after cardiac surgery Circulation 2009 119 229 236 19118253 PMC2735244
Cited by
Sorted by citations
Smith, H. A. B., Besunder, J. B., Betters, K. A., Johnson, P. N., Srinivasan, V., Stormorken, A., Farrington, E., Golianu, B. J., Godshall, A. J., Acinelli, L., et al. (2022) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000002873 · Cited by 537 · see citing works
Self-citationBenzodiazepines and Development of Delirium in Critically Ill Children: Estimating the Causal Effect
Mody, K., Kaur, S., Mauer, E. A., Gerber, L. M., Greenwald, B. M., Silver, G., & Traube, C. (2018) · Critical Care Medicine · doi:10.1097/ccm.0000000000003194 · Cited by 161 · see citing works
Self-citationDelirium is a Common and Early Finding in Patients in the Pediatric Cardiac Intensive Care Unit
Alvarez, R. V., Palmer, C., Czaja, A. S., Peyton, C., Silver, G., Traube, C., Mourani, P. M., & Kaufman, J. (2018) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2017.11.064 · Cited by 147 · see citing works
Self-citationDelirium in Pediatric Critical Care
Patel, A. K., Bell, M. J., & Traube, C. (2017) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2017.06.009 · Cited by 122 · see citing works
Self-citationA Systematic Review and Pooled Prevalence of Delirium in Critically Ill Children*
Semple, D., Howlett, M. M., Strawbridge, J. D., Breatnach, C. V., & Hayden, J. C. (2021) · Critical Care Medicine · doi:10.1097/ccm.0000000000005260 · Cited by 110 · see citing works
Pediatric delirium: epidemiology and outcomes
Siegel, E. J., & Traube, C. (2020) · Current Opinion in Pediatrics · doi:10.1097/mop.0000000000000960 · Cited by 83 · see citing works
Self-citationFactors Associated With Delirium in Children: A Systematic Review and Meta-Analysis*
Ista, E., Traube, C., de Neef, M., Schieveld, J. N. M., Knoester, H., Molag, M. L., Kudchadkar, S. R., Strik, J. J. M. H., & on behalf of the Dutch Multidisciplinary Pediatric Delirium Guideline Group (2023) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000003196 · Cited by 76 · see citing works
Self-citationAssociation Between Pediatric Delirium and Quality of Life After Discharge*
Silver, G. H., Doyle, H., Hegel, E., Kaur, S., Mauer, E. A., Gerber, L. M., & Traube, C. (2020) · Critical Care Medicine · doi:10.1097/ccm.0000000000004661 · Cited by 74 · see citing works
Self-citationPrevalence of ICU Delirium in Postoperative Pediatric Cardiac Surgery Patients
Staveski, S. L., Pickler, R. H., Khoury, P. R., Ollberding, N. J., Donnellan, A., Mauney, J. A., Lincoln, P. A., Baird, J. D., Gilliland, F., Merritt, A. D., et al. (2020) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000002591 · Cited by 73 · see citing works
Fuller, S., Kumar, S. R., Roy, N., Mahle, W. T., Nelson, J. S., Nelson, J. S., Hammel, J. M., Imamura, M., Zhang, H., Fremes, S. E., et al. (2021) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2021.04.072 · Cited by 73 · see citing works
Delirium in hospitalised children
Dechnik, A., & Traube, C. (2020) · The Lancet Child & Adolescent Health · doi:10.1016/s2352-4642(19)30377-3 · Cited by 68 · see citing works
Self-citationInitial experience introducing an enhanced recovery program in congenital cardiac surgery
Roy, N., Parra, M. F., Brown, M. L., Sleeper, L. A., Nathan, M., Sefton, B. A., Baird, C. W., Mistry, K. P., & del Nido, P. J. (2019) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2019.10.049 · Cited by 67 · see citing works
Amigoni, A., Conti, G., Conio, A., Corno, M., Fazio, P. C., Ferrero, F., Gentili, M., Giugni, C., L’Erario, M., Masola, M., et al. (2022) · Journal of Anesthesia Analgesia and Critical Care · doi:10.1186/s44158-022-00036-9 · Cited by 64 · see citing works
Risk Factors for the Development of Postoperative Delirium in Pediatric Intensive Care Patients
Meyburg, J., Dill, M.-L., von Haken, R., Picardi, S., Westhoff, J. H., Silver, G. H., & Traube, C. (2018) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000001681 · Cited by 60 · see citing works
Self-citationKawai, Y., Weatherhead, J. R., Traube, C., Owens, T. A., Shaw, B. E., Fraser, E. J., Scott, A., Wojczynski, M. R., Slaman, K. L., Cassidy, P. M., et al. (2017) · Journal of Intensive Care Medicine · doi:10.1177/0885066617728030 · Cited by 58 · see citing works
Self-citationDelirium and Developmental Disability: Improving Specificity of a Pediatric Delirium Screen*
Kaur, S., Silver, G. H., Samuels, S., Rosén, A., Weiss, M., Mauer, E. A., Gerber, L. M., Greenwald, B. M., & Traube, C. (2020) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000002248 · Cited by 52 · see citing works
Self-citationGuo, J., Qiu, D., Gu, H., Wang, X., Hashimoto, K., Zhang, G.-F., & Yang, J. (2023) · Molecular Psychiatry · doi:10.1038/s41380-023-01945-z · Cited by 51 · see citing works
A systematic review and pooled prevalence of delirium in critically ill children
Semple, D., Howlett, M. M., Strawbridge, J., Breatnach, C., & Hayden, J. C. (2022) · Figshare · Cited by 48 · see citing works
Implementation of a Delirium Bundle for Pediatric Intensive Care Patients
Michel, J., Schepan, E., Hofbeck, M., Engel, J., Simma, A., & Neunhoeffer, F. (2022) · Frontiers in Pediatrics · doi:10.3389/fped.2022.826259 · Cited by 44 · see citing works
Delirium in Hospitalized Children with Cancer: Incidence and Associated Risk Factors
Traube, C., Ariagno, S. N., Thau, F., Rosenberg, L. M., Mauer, E. A., Gerber, L. M., Pritchard, D. M., Kearney, J. A., Greenwald, B. M., & Silver, G. H. (2017) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2017.08.038 · Cited by 43 · see citing works
Self-citationA Clinical Pathway to Standardize Care of Children With Delirium in Pediatric Inpatient Settings
Silver, G. H., Kearney, J. A., Bora, S., Souza, C. M. D., Giles, L. L., Hrycko, S., Jenkins, W., Malas, N., Namerow, L. B., Ortiz‐Aguayo, R., et al. (2019) · Hospital Pediatrics · doi:10.1542/hpeds.2019-0115 · Cited by 43 · see citing works
Self-citationStaveski, S. L., Pickler, R. H., Lin, L., Shaw, R. J., Meinzen‐Derr, J. K., Redington, A. N., & Curley, M. A. Q. (2018) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000001558 · Cited by 42 · see citing works
Pain and Sedation Management: 2018 Update for the Rogers’ Textbook of Pediatric Intensive Care
Walker, T., & Kudchadkar, S. R. (2018) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000001765 · Cited by 39 · see citing works
Risk factors of delirium in paediatric intensive care units: A meta-analysis
Xuelian, Z. H. U., Feng, X., Jia, L., & Ding, Y. (2022) · PLoS ONE · doi:10.1371/journal.pone.0270639 · Cited by 38 · see citing works
Patel, A. K., Trujillo-Rivera, E. A., Faruqe, F., Heneghan, J. A., Workman, T. E., Zeng‐Treitler, Q., Chamberlain, J. M., Morizono, H., Kim, D., Bost, J. E., et al. (2020) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000002351 · Cited by 33 · see citing works
Self-citationState of the science in pediatric ICU delirium: An integrative review
Kalvas, L. B., & Harrison, T. M. (2020) · Research in Nursing & Health · doi:10.1002/nur.22054 · Cited by 33 · see citing works
Brain Injury in Extracorporeal Membrane Oxygenation: A Multidisciplinary Approach
Chiarini, G., Cho, S., Whitman, G. J. R., Rasulo, F. A., & Lorusso, R. (2021) · Seminars in Neurology · doi:10.1055/s-0041-1726284 · Cited by 33 · see citing works
The ICU Liberation Bundle and Strategies for Implementation in Pediatrics
Walz, A. A., Canter, M. O., & Betters, K. A. (2020) · Current Pediatrics Reports · doi:10.1007/s40124-020-00216-7 · Cited by 31 · see citing works
Slooff, V. D., van den Dungen, D. K., van Beusekom, B. S., Jessurun, N. T., Ista, E., Tibboel, D., & de Wildt, S. N. (2017) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000001414 · Cited by 30 · see citing works
Chen, Y., Foster, J. P., Wang, M., Rohmah, I., Tseng, Y.-H., & Chiu, H. (2024) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2024.03.010 · Cited by 28 · see citing works
Delirium in the NICU: A Point Prevalence Study
Siegel, E. J., Groves, A. M., Silver, G. H., Hojsak, J. R., Lim, C. A., & Traube, C. (2021) · Hospital Pediatrics · doi:10.1542/hpeds.2020-005736 · Cited by 28 · see citing works
Self-citationCanter, M. O., Tanguturi, Y. C., Wilson, J. E., Williams, S. R., Exum, S., Umrania, H., Betters, K. A., Chandrasekhar, R., Ely, E. W., Pandharipande, P. P., et al. (2021) · Critical Care Medicine · doi:10.1097/ccm.0000000000005099 · Cited by 26 · see citing works
Psychological and Psychiatric Comorbidities in Youth with Serious Physical Illness
Nibras, S., Kentor, R., Masood, Y., Price, K., Schneider, N. M., Tenenbaum, R. B., & Calarge, C. (2022) · Children · doi:10.3390/children9071051 · Cited by 25 · see citing works
“Given that delirium pathophysiology is directly linked to the underlying medical condition, its prevalence is tightly related to the population under study, estimated to be as high as 49% to 57% in children with cyanotic disease, longer durations of mechanical ventilation, and long cardiopulmonary bypass times [67,68].”
BackgroundFu, M., Yuan, Q., Yang, Q., Song, W., Yu, Y., Luo, Y., Xiong, X., & Yu, G. (2024) · The Italian Journal of Pediatrics/Italian journal of pediatrics · doi:10.1186/s13052-024-01603-2 · Cited by 24 · see citing works
Mechanisms of perioperative brain damage in children with congenital heart disease
Zhu, S., Sai, X., Lin, J., Deng, G., Zhao, M., Nasser, M. I., & Zhu, P. (2020) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2020.110957 · Cited by 25 · see citing works
Delirium in a Tertiary Pediatric Cardiac Intensive Care Unit: Risk Factors and Outcomes
Koth, A. M., Chan, T., Tjoeng, Y. L., Watson, R. S., & Dervan, L. A. (2021) · Journal of Intensive Care Medicine · doi:10.1177/08850666211066892 · Cited by 25 · see citing works
Köditz, H., Drouche, A., Dennhardt, N. W., Schmidt, M., Schultz, M., & Schultz, B. (2023) · BMC Anesthesiology · doi:10.1186/s12871-023-02102-3 · Cited by 24 · see citing works
Patterns of Delirium in a Pediatric Intensive Care Unit and Associations With Noise Pollution
Weatherhead, J. R., Niedner, M. F., Dahmer, M. K., Malas, N., Owens, T. A., & Kawai, Y. (2021) · Journal of Intensive Care Medicine · doi:10.1177/08850666211055649 · Cited by 23 · see citing works
Simonsen, B. Y., Lisby, M., Traube, C., & Skovby, P. (2019) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.13369 · Cited by 21 · see citing works
Self-citationThe Validity and Reliability of the Japanese Version of the Cornell Assessment of Pediatric Delirium
Hoshino, H., Matsuishi, Y., Enomoto, Y., Shimojo, N., Kido, T., Matsuzaki, A., Matsubara, M., Kato, H., Hoshino, T., Traube, C., et al. (2020) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000002274 · Cited by 21 · see citing works
Self-citationSamsel, C. B., Tapsak, S., Thomson, K. A., McKenna, K. D., McGregor, K., Forbes, P., & Ibeziako, P. I. (2019) · Pediatric Transplantation · doi:10.1111/petr.13380 · Cited by 21 · see citing works
Two months outcomes following delirium in the pediatric intensive care unit
Thibault, C., Pont‐Thibodeau, G. D., MacDonald, S., Jutras, C., Métras, M., Harrington, K. P., Toledano, B. J., Roumeliotis, N., FARRELL, C. A., Lacroix, J., et al. (2024) · European Journal of Pediatrics · doi:10.1007/s00431-024-05491-w · Cited by 20 · see citing works
Azamfirei, R., Behrens, D. M., Padilla, S., Madden, K., Goldberg, S. W., Geno, M., Manning, M.-J., Piole, M., Madsen, E. C., Maue, D. K., et al. (2024) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000003555 · Cited by 20 · see citing works
Patel, A. K., BIAGAS, K. V., Clark, E., & Traube, C. (2017) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000001364 · Cited by 20 · see citing works
Self-citationPediatric Delirium in the Cardiac Intensive Care Unit: Identification and Intervention
Bryant, K. J. (2018) · Critical Care Nurse · doi:10.4037/ccn2018947 · Cited by 20 · see citing works
Opioid Use Is Associated with ICU Delirium in Mechanically Ventilated Children
Gupta, N., Woolley, A., Talathi, S., Davlyatov, G. K., Colston, C., & Hayes, L. (2020) · The Journal of Critical Care Medicine · doi:10.2478/jccm-2020-0026 · Cited by 18 · see citing works
Development and validation of a postoperative delirium prediction model for pediatric patients
Lin, N., Liu, K., Feng, J., Ruan, C., Yan, Y., Lv, D., Zhou, Y., & Xu, H. (2021) · Medicine · doi:10.1097/md.0000000000025894 · Cited by 19 · see citing works
Wen, Y., Mao, M., Jiang, M., Liu, Q., Li, Q., Wang, X., Yuan, H., Wang, X., & Feng, S. (2024) · International Journal of Surgery · doi:10.1097/js9.0000000000001870 · Cited by 18 · see citing works
Shildt, N., Traube, C., DeAlmeida, M., Dave, I., Gillespie, S. E., Moore, W., Long, L. D., & Kamat, P. (2021) · Children · doi:10.3390/children8050348 · Cited by 18 · see citing works
Self-citationFlores, A. E. R., Oura, K. H. U., Rocha, P. K., Belela‐Anacleto, A. S. C., & Kusahara, D. M. (2021) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2021.04.008 · Cited by 17 · see citing works
Mao, D., Fu, L., & Zhang, W. (2022) · Translational Pediatrics · doi:10.21037/tp-22-187 · Cited by 16 · see citing works
Michel, J., Hofbeck, M., Peper, A.-K., Kumpf, M., & Neunhoeffer, F. (2019) · Current Medical Research and Opinion · doi:10.1080/03007995.2019.1663689 · Cited by 16 · see citing works
Rohlik, G. M., Pfeiffer, A., Collins, C. E., Parrett, C. R., & Kawai, Y. (2021) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2021.04.035 · Cited by 16 · see citing works
Characterizing Sleep Disruption and Delirium in Children After Cardiac Surgery: A Feasibility Study
Gregory, J. L., Brown, A. T., & Kudchadkar, S. R. (2021) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000002777 · Cited by 16 · see citing works
“The Times They Are A-Changin”: Universal Delirium Screening in Pediatric Critical Care*
Traube, C., & Greenwald, B. M. (2017) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000001142 · Cited by 16 · see citing works
Self-citationRisk factors of delirium in a paediatric intensive care unit: A prospective case series study
Xu, T., Zhang, Y., Ye, X., Fu, C., Li, Y., Ju, M., Liu, J. T., Yang, X., & Zhang, W. (2023) · Nursing in Critical Care · doi:10.1111/nicc.12920 · Cited by 15 · see citing works
Morandi, A., Thompson, J. L., Bellelli, G., Lucchi, E., Turco, R., Gentile, S., Trabucchi, M., MacLullich, A. M. J., Meagher, D. J., Ely, E. W., et al. (2019) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2019.04.023 · Cited by 15 · see citing works
Mao, D., Fu, L., & Zhang, W. (2023) · Pediatric Cardiology · doi:10.1007/s00246-023-03297-5 · Cited by 14 · see citing works
Mind the Heart: Delirium in Children Following Cardiac Surgery for Congenital Heart Disease*
Leroy, P. L. J. M., & Schieveld, J. N. M. (2017) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000001038 · Cited by 14 · see citing works
Delirium: The Next Vital Sign in the PICU?*
Lim, J. K. B., Marimuttu, V. J., & Lee, J. H. (2023) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000003226 · Cited by 13 · see citing works
Electronic health records identify timely trends in childhood mental health conditions
Elia, J., PAJER, K. A., Prasad, R., Pumariega, A. J., Maltenfort, M., Utidjian, L., Shenkman, E. A., Kelleher, K. J., Rao, S., Margolis, P. A., et al. (2023) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-023-00650-7 · Cited by 13 · see citing works
Traube, C., Gerber, L. M., Mauer, E. A., Small, K., Broglie, L. A., Chopra, Y. R., Duncan, C., Ebens, C. L., Fitzgerald, J. C., Freedman, J. L., et al. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2021.627726 · Cited by 13 · see citing works
Self-citationLin, N., Lv, M., Li, S., Xiang, Y., Li, J., & Xu, H. (2024) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2024.103717 · Cited by 11 · see citing works
Matsuishi, Y., Hoshino, H., Enomoto, Y., Shimojo, N., Matsubara, M., Kato, H., Mathis, B. J., Morita, K., Hiramatsu, Y., & Inoue, Y. (2022) · Scientific Reports · doi:10.1038/s41598-022-22702-2 · Cited by 10 · see citing works
AlDaithan, A., Shaheen, N. A., Alahmari, E., Alsmari, A., Ahmady, A. A., Almalahi, A., Alotaibi, M., Alghuraibi, A., Alhusaini, A. O., Shaman, A. B., et al. (2024) · Scientific Reports · doi:10.1038/s41598-024-82684-1 · Cited by 10 · see citing works
Effect of music therapy on infants who underwent mechanical ventilation after cardiac surgery
Huang, Y., Lei, Y., Xie, W., Cao, H., Yu, X., & Chen, Q. (2021) · Journal of Cardiac Surgery · doi:10.1111/jocs.15976 · Cited by 10 · see citing works
Postoperative delirium in children in undergoing treatment of congenital septal heart defects
Александрович, И. А., Grigoryev, E. V., Цепокина, А. В., & SHUKEVICH, D. L. (2021) · Messenger of Anesthesiology and Resuscitation · doi:10.21292/2078-5658-2021-18-2-62-68 · Cited by 10 · see citing works
Zhang, Y., Xie, J., & Tang, M. (2024) · BMC Nursing · doi:10.1186/s12912-024-01956-3 · Cited by 9 · see citing works
Liu, J., Zhou, S., Chen, X., Cao, H., & Chen, Q. (2023) · Annals of Thoracic and Cardiovascular Surgery · doi:10.5761/atcs.oa.23-00057 · Cited by 9 · see citing works
McCormick, A. D., Puri, K., Asaki, S. Y., Amdani, S. M., Chowdhury, D., Glickstein, J. S., Tierney, E. S. S., Ibeziako, P. I., Cousino, M. K., & Ronai, C. (2024) · Pediatric Cardiology · doi:10.1007/s00246-024-03518-5 · Cited by 8 · see citing works
Clinical Benefits and Challenges of Esketamine in Elderly Patients During the Perioperative Period
Zhang, S., Bai, C., Xu, M., Li, Y., Han, Y., Jin, Y., & Zhao, X. (2025) · Drug Design Development and Therapy · doi:10.2147/dddt.s536813 · Cited by 9 · see citing works
Thielen, J. R., Sawyer, J. E., Henry, B. M., Zebracki, J., Cooper, D. S., & Koh, W. (2022) · Pediatric Cardiology · doi:10.1007/s00246-022-02980-3 · Cited by 8 · see citing works
Александрович, И. А., Grigoryev, E. V., & Sinitskaya, А. V. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12041465 · Cited by 8 · see citing works
Pediatric Delirium: An Overlooked Diagnosis?
Lamoureux, A., Ducharme‐Crevier, L., Lacelle-Webster, F., Jouvet, P. A., Boivin, J., Lavoie, A., & Rossignol, E. (2023) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2023.04.001 · Cited by 8 · see citing works
Chomat, M. R., Said, A. S., Mann, J. L., Wallendorf, M., Bickhaus, A., & Figueroa, M. I. (2021) · Pediatric Cardiology · doi:10.1007/s00246-021-02616-y · Cited by 8 · see citing works
Kumalasari, R. I., Kosasih, C. E., & Priambodo, A. P. (2025) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s483973 · Cited by 8 · see citing works
Schumann, S., Schön, G., Hüners, I., Biermann, D., Siebel, L. C., Jess, F., Gottschalk, U., Gleitze-Nolting, C., Denecke, J., Drescher, J., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-04927-z · Cited by 9 · see citing works
Not just to survive but to thrive
Feroz, S., & Donnelly, K. M. (2019) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000690 · Cited by 7 · see citing works
Александрович, И. А., Grigoryev, E. V., Геннадьевич, Б. Д., & Chermnykh, I. I. (2023) · Annals of critical care · doi:10.21320/1818-474x-2023-1-101-114 · Cited by 7 · see citing works
Dornette, S., Deptola, S., Hemmann, B., Venkatesan, C., & Cortezzo, D. E. (2024) · Journal of Child Neurology · doi:10.1177/08830738241246693 · Cited by 7 · see citing works
Balsalobre-Martínez, P., Montosa-García, R., Yago, A. M., Baeza-Mirete, M., Muñoz-Rubio, G. M., & Rojo‐Rojo, A. (2023) · Healthcare · doi:10.3390/healthcare12010052 · Cited by 6 · see citing works
Александрович, И. А., Grigoryev, E. V., & Михайлова, А. А. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13206050 · Cited by 6 · see citing works
Stenkjær, R. L., Egerod, I., Moszkowicz, M., Greisen, G. O., Ista, E., Herling, S. F., & Weis, J. (2022) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.13073 · Cited by 6 · see citing works
Identify Delirium, Then Investigate for Underlying Etiology
Traube, C., & Silver, G. H. (2018) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000001359 · Cited by 6 · see citing works
Self-citationZilezinski, M., Denninger, N.-E., Tannen, A., & Kottner, J. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-073883 · Cited by 5 · see citing works
Valentine, K. M., Cisco, M. J., Lasa, J. J., Achuff, B.-J., Kudchadkar, S. R., & Staveski, S. L. (2023) · Cardiology in the Young · doi:10.1017/s1047951122004115 · Cited by 5 · see citing works
Traube, C. (2018) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000001704 · Cited by 5 · see citing works
Self-citationAltered Mental Status and Delirium in Pediatric Patients
Bieber, E. D., Smith, H. A. B., Fuchs, D. C., & Gangopadhyay, M. (2024) · Seminars in Neurology · doi:10.1055/s-0044-1791227 · Cited by 4 · see citing works
Haque, A. U., Jurair, H., Nashit, M., Mirza, S., Habib, I., Shahid, S., & Ahmed, A. R. (2025) · Indian Journal of Critical Care Medicine · doi:10.5005/jp-journals-10071-25035 · Cited by 4 · see citing works
Traube, C., Tucci, M., Nellis, M. E., Avery, K. L., McQuillen, P. S., Fitzgerald, J. C., Muszynski, J. A., Cholette, J. M., Schwarz, A. J., Stalets, E. L., et al. (2022) · Critical Care Medicine · doi:10.1097/ccm.0000000000005393 · Cited by 4 · see citing works
Self-citationLyu, J., Jia, Y., Meng, Y., Zhao, Y., Liu, Y., Li, Y., & Li, Y. (2022) · PubMed Central · doi:10.7499/j.issn.1008-8830.2110026 · Cited by 4 · see citing works
Patel, S. S., Pfeiffer, B. J., Haddock-de-Jesús, R. L., Garcia, J., Chandar, J. J., & Alladin, A. R. (2024) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000003540 · Cited by 4 · see citing works
Александрович, И. А., Borisenko, D. V., Цепокина, А. В., Grigoryev, E. V., & SHUKEVICH, D. L. (2021) · Russian Journal of Anesthesiology and Reanimatology · doi:10.17116/anaesthesiology202104154 · Cited by 4 · see citing works
Pediatric delirium in times of COVID-19
de Castro, R. E. V., Rodríguez-Rubio, M., de Magalhães‐Barbosa, M. C., & Prata‐Barbosa, A. (2021) · Critical Care Science · doi:10.5935/0103-507x.20210070 · Cited by 4 · see citing works
Simma, A., Haase, S., Ritthaler, I., Engel, J., Nordmeyer, J., & Neunhoeffer, F. (2025) · European Journal of Pediatrics · doi:10.1007/s00431-025-06395-z · Cited by 3 · see citing works
Madden, K., Wolf, M., Tasker, R. C., Figueroa, J., McCracken, C., Hall, M., & Kamat, P. (2021) · Journal of Pediatric Intensive Care · doi:10.1055/s-0041-1736523 · Cited by 3 · see citing works
Xia, Y., Wang, L., Gao, Y., Xie, Z., & Li, G. (2022) · PubMed Central · doi:10.7499/j.issn.1008-8830.2205076 · Cited by 3 · see citing works
Weatherly, A. J., Johnson, C. A., Liu, D., Kannankeril, P. J., Smith, H. A. B., & Betters, K. A. (2024) · Critical Care Explorations · doi:10.1097/cce.0000000000001119 · Cited by 3 · see citing works
Cornell Assessment of Pediatric Delirium: Turkish translation and validation
Uyar, E., Kutlu, N. O., Akçay, E., Dinç, G. Ş., Onat, M., Koçkuzu, E., Meral, Y., & Traube, C. (2025) · The Turkish Journal of Pediatrics · doi:10.24953/turkjpediatr.2025.5237 · Cited by 3 · see citing works
Self-citationNew Developments for Pediatric Critical Care Medicine in 2019 and Beyond
Kochanek, P. M., Kudchadkar, S. R., & Kissoon, N. “. (2019) · Pediatric Critical Care Medicine · doi:10.1097/pcc.0000000000001885 · Cited by 3 · see citing works
- Authors
- Patel, A. K., Biagas, K. V., Clarke, E. C., Gerber, L. M., Mauer, E., Silver, G., Chai, P., Corda, R., & Traube, C.
- Affiliations
- NewYork–Presbyterian Hospital (US)
- Columbia University Irving Medical Center (US)
- Weill Cornell Medicine (US)
- Columbia University (US)
- ORCID
- Venue
- Pediatric Critical Care Medicine
- Published
- 2017-02
- Volume
- 18
- Issue
- 2
- Pages
- 165-171
- ISSN
- 1529-7535 (ISSN-L)
- PMC
- PMC5658045
- OpenAlex
- W2562671849
- Cited by
- 164
- References
- 25
- Citations by year
- 2026: 14 · 2025: 15 · 2024: 28 · 2023: 19 · 2022: 16 · 2021: 22 · 2020: 16 · 2019: 14 · 2018: 12 · 2017: 8
- FWCI
- 10.31
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pediatric Critical Care Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000457)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
- Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
- Keywords
- delirium, pediatric cardiac surgery, cardiac bypass surgery, risk factors, incidence, ICU length of stay, developmental delay, cyanotic congenital heart disease, albumin, Cornell Assessment of Pediatric Delirium, delirium screening
- MeSH terms
- Adolescent, Cardiopulmonary Bypass, Child, Child, Preschool, Delirium, Female, Humans, Infant, Infant, Newborn, Length of Stay, Male, Postoperative Complications, Prognosis, Prospective Studies, Respiration, Artificial, Risk Factors, Intensive Care Units, Pediatric, Incidence, Logistic Models
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
