Cited by 164Intensive Care Unit Cognitive DisordersAnesthesia and Sedative AgentsCardiac and Coronary Surgery Techniques

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Delirium in Children after Cardiac Bypass Surgery

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Patel, Anita K., Biagas, Katherine V., Clarke, Eunice C., Gerber, Linda M., Mauer, Elizabeth, Silver, Gabrielle, Chai, Paul, Corda, Rozelle, Traube, Chani·2017·Pediatric Critical Care Medicine

DOI 10.1097/pcc.0000000000001032PMC PMC5658045

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Abstract

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.

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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: Patel, Anita K.
Biagas, Katherine V.
Gerber, Linda M.
Mauer, Elizabeth
Silver, Gabrielle
Traube, Chani
Venue: Pediatric Critical Care Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2017-02
Volume: 18
Issue: 2
Pages: 165-171
ISSN: 1529-7535 (ISSN-L)
DOI: 10.1097/pcc.0000000000001032
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

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Delirium in Children after Cardiac Bypass Surgery

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