Altered Mental Status and Delirium in Pediatric Patients.

IF 1.8 4区 医学 Q3 CLINICAL NEUROLOGY Seminars in Neurology Pub Date : 2024-12-01 Epub Date: 2024-09-30 DOI:10.1055/s-0044-1791227
Ewa D Bieber, Heidi A B Smith, D Catherine Fuchs, Maalobeeka Gangopadhyay
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Abstract

Mental status is the collection of an individual's consciousness, perception, emotion, memory, and cognition at a particular point in time, which is inferred by the clinician through careful observation and interaction. The pediatric mental status assessment must be approached with an understanding of cognitive, language, and psychosocial development. Alterations must then be comprehensively and clearly described. Delirium is a phenotypic diagnosis with a specific set of criteria in the DSM and is a serious neurocognitive disorder caused by physiologic changes due to illness, injury, toxins, medications, and/or substances. Recognition of delirium in children is improved by monitoring of predisposing risks and precipitating factors, as well as the regular use of validated pediatric screening tools. Management of delirium is focused on treatment of the underlying etiology, prevention of iatrogenic deliriogenic factors, and patient safety.

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儿科患者的精神状态改变和谵妄。
精神状态是临床医生通过仔细观察和互动推断出的个人在某一特定时间点的意识、知觉、情感、记忆和认知的集合。儿科精神状态评估必须在了解认知、语言和社会心理发展的基础上进行。然后,必须全面、清晰地描述各种变化。谵妄是一种表型诊断,在 DSM 中有一套特定的标准,是一种严重的神经认知障碍,由疾病、损伤、毒素、药物和/或物质导致的生理变化引起。通过监测易发风险和诱发因素,以及定期使用有效的儿科筛查工具,可以提高对儿童谵妄的识别能力。谵妄的管理重点在于治疗潜在病因、预防先天性谵妄诱发因素和患者安全。
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来源期刊
Seminars in Neurology
Seminars in Neurology 医学-临床神经学
CiteScore
4.60
自引率
3.70%
发文量
65
审稿时长
6-12 weeks
期刊介绍: Seminars in Neurology is a review journal on current trends in the evaluation, diagnosis, and treatment of neurological diseases. Areas of coverage include multiple sclerosis, central nervous system infections, muscular dystrophy, neuro-immunology, spinal disorders, strokes, epilepsy, motor neuron diseases, movement disorders, higher cortical function, neuro-genetics and neuro-ophthamology. Each issue is presented under the direction of an expert guest editor, and invited contributors focus on a single, high-interest clinical topic. Up-to-the-minute coverage of the latest information in the field makes this journal an invaluable resource for neurologists and residents.
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