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- W2156454378 abstract "Delirium is characterized by an acute onset and fluctuating course, impairment in attention, disorientation, deficits in language and visuospatial skills, and a deterioration in cognition not explained by an underlying dementia ( Murphy, 2000 Murphy B Delirium. Emerg Med Clin North Am. 2000; 18: 243-252 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar ). The disorder appears as a consequence of an illness or its treatment. In adult patients, delirium is considered an independent predictor of higher 6-month mortality and longer hospital stays ( Ely et al., 2004 Ely EW Shintani A Truman B et al. Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA. 2004; 291: 1753-1761 Crossref PubMed Scopus (2215) Google Scholar ). Pediatric patients seem to be especially vulnerable to toxic, metabolic, or traumatic CNS insults and are at greater risk of delirium with fever regardless of the etiology. Developmental limitations, in the areas of communication and cognition, prevent a thorough evaluation of the young patient for delirium. Only the most severe cases are identified, and the remainder is either ignored or mismanaged under incorrect diagnoses. Despite the importance of the diagnosis in the care of medically ill patients, few studies examine delirium in pediatric patients. Schieveld and Leentjens take on this task through the case reports of two young children. They describe the profound effects of delirium on the care of these patients and the emotional stability of both the child and caregiver." @default.
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- W2156454378 date "2005-04-01" @default.
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- W2156454378 title "Commentary: The Diagnosis of Delirium in Pediatric Patients" @default.
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- W2156454378 doi "https://doi.org/10.1097/01.chi.0000153716.52154.cf" @default.
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