Delirium Assessment in the Pediatric Intensive Care Unit
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pediatric Delirium
- Sponsor
- Charite University, Berlin, Germany
- Enrollment
- 68
- Locations
- 1
- Primary Endpoint
- Sensitivity of the pediatric confusing assessment method for the intensive care unit (pCAM-ICU)
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Objective: Studies documenting the prevalence of delirium among critically ill children are still rare. Emerging literature from psychiatric specialists reports the prevalence of delirium to be approximately 10% in the pediatric intensive care unit (PICU). This is likely to be an underestimation of the true prevalence, as demonstrated in early adult delirium literature, especially given the absence of validated bedside tools to diagnose delirium in the PICU.
The primary aim of this study is to validate the German version of the Pediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU). The secondary aim of the study is to compare validity and reliability of the pCAM-ICU and the Pediatric Anesthesia Emergence Delirium (PAED) Scale.
Investigators
Claudia Spies
Department of Anesthesiology and Intensive Care Medicine CVK/CCM, Charite University, Berlin
Charite University, Berlin, Germany
Eligibility Criteria
Inclusion Criteria
- •pediatric ICU patients
Exclusion Criteria
- •non-German-speaking
- •inability to communicate due to severe hearing loss or brain injury
- •preexisting psychosis
- •mental retardation due to a specific diseases (e.g. M. Crouzon, Kabuki Syndrome, Z.n. Battered Child, Atrogryposes multiplex congenita)
Outcomes
Primary Outcomes
Sensitivity of the pediatric confusing assessment method for the intensive care unit (pCAM-ICU)
Time Frame: The participants will be followed up in the sample period (1 to 21 days)
Secondary Outcomes
- Specifity of the Delirium Rating Scale (DRS)(The participants will be followed up in the sample period (1 to 21 days))
- Specifity of the pediatric confusing assessment method for the intensive care unit (pCAM-ICU)(The participants will be followed up in the sample period (1 to 21 days))
- Quality of Analgesia(The participants will be followed up in the sample period (1 to 21 days))
- Sensitivity of the Delirium Rating Scale (DRS)(The participants will be followed up in the sample period (1 to 21 days))
- Positive predictive value of the Delirium Rating Scale (DRS)(The participants will be followed up in the sample period (1 to 21 days))
- Depth of sedation(The participants will be followed up in the sample period (1 to 21 days))
- Prevalence of delirium(The participants will be followed up in the sample period (1 to 21 days))