| Title | Delirium in children and adolescents. | | Author(s) | Grover S, Malhotra S, Bharadwaj R, Bn S, Kumar S | | Institution | Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India. drsandeepg2002@yahoo.com | | Source | Int J Psychiatry Med 2009; 39(2):179-87. | | Abstract | OBJECTIVE: To study the clinical profile of children and adolescents (< or = 14 years) referred to the Consultation-Liaison (CL) psychiatry services of a Tertiary Care Centre.
DESIGN: Retrospective chart review.
SETTING: Patients seen by the CL psychiatry services of Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh.
PARTICIPANTS: Subjects diagnosed as delirium (as per ICD-10) during their inpatient stay was done.
Main outcome measures: phenomenology of delirium and response to treatment.
RESULT: Forty-six children and adolescents were diagnosed as delirium by the psychiatry consultation-liaison team. The most common underlying pathology was infection of various types, followed by neoplasms. All subjects exhibited sleep-wake cycle disturbance and impaired orientation. Other common symptoms were impaired attention (89.5%), impaired short-term memory (84.2%), agitation (68.4%), and lability of affect (60.5%). Delusions and hallucinations were reported by only a few patients. Most of the patients were treated with low dose haloperidol and they responded well.
CONCLUSION: Sleep wake cycle disturbances and cognitive dysfunction are common in children and adolescents with delirium. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 19860076 |
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