Delirium among children and adolescents in an urban sub-Saharan African setting

Journal of Psychosomatic Research
Sean HatherillRene Nassen

Abstract

The purpose of this study is to describe the demographic and clinical profile, mortality rates, and effectiveness of a multifaceted treatment approach in hospitalized children and adolescents with delirium referred to psychiatry. We report a series of 23 children and adolescents prospectively diagnosed with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, delirium after referral to a consultation-liaison psychiatry service based in a large, regional, dedicated children's hospital in South Africa. Children and adolescents with delirium referred to psychiatrists appear to represent a subgroup of delirious patients with a high risk of mortality, an underrepresentation of hypoactive cases, and complex, multifactorial, and often uncertain etiologies. A significant minority of these cases may be managed without the use of psychotropic medications. Uncontrolled data provide supportive evidence for the moderate effectiveness of both haloperidol and risperidone in childhood delirium when explicit criteria guiding the use of antipsychotic medications are utilized. Delirium is an important and underresearched disorder in children and adolescents. Although the evidence base for the use of antipsychotic ...Continue Reading

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Citations

Mar 13, 2012·Intensive Care Medicine·Gabrielle SilverMary Jo Ward
Aug 22, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Erwin IstaMonique van Dijk
Apr 21, 2012·General Hospital Psychiatry·Sandeep GroverAjit Avasthi
Dec 4, 2014·Journal of the Neurological Sciences·S-M PaddickE B Mukaetova-Ladinska
Apr 22, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kate MaddenRobert C Tasker
Jun 3, 2017·Critical Care Nurse·Amanda Bettencourt, Jodi E Mullen

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