• Gabrielle Silver, Chani Traube, Linda M Gerber, Xuming Sun, Julia Kearney, Anita Patel, and Bruce Greenwald.
• Weill Cornell Medical College.
• Pediatr Crit Care Me. 2015 May 1; 16 (4): 303309303-309.

ObjectiveTo describe a single-institution pilot study regarding prevalence and risk factors for delirium in critically ill children.DesignA prospective observational study, with secondary analysis of data collected during the validation of a pediatric delirium screening tool, the Cornell Assessment of Pediatric Delirium.SettingThis study took place in the PICU at an urban academic medical center.PatientsNinety-nine consecutive patients, ages newborn to 21 years.InterventionSubjects underwent a psychiatric evaluation for delirium based on the Diagnostic and Statistical Manual IV criteria.Measurements And Main ResultsPrevalence of delirium in this sample was 21%. In multivariate analysis, risk factors associated with the diagnosis of delirium were presence of developmental delay, need for mechanical ventilation, and age 2-5 years.ConclusionsIn our institution, pediatric delirium is a prevalent problem, with identifiable risk factors. Further large-scale prospective studies are required to explore multi-institutional prevalence, modifiable risk factors, therapeutic interventions, and effect on long-term outcomes.

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