有关新生儿谵妄评估和管理的现有证据。

IF 5.5 2区医学 Q1 PSYCHIATRY Current Psychiatry Reports Pub Date : 2024-10-24 DOI:10.1007/s11920-024-01550-z

Olivia Ruth, Sheri Tomajko, Emman Dabaja, Erin Munsel, Kayla Rice, Christina Cwynar, Melissa Maye, Nasuh Malas

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引用次数: 0

摘要

审查目的：新生儿重症监护室（NICU）中的新生儿和婴儿患谵妄的风险极高。由于缺乏以新生儿重症监护室为重点的文献，医疗服务提供者必须依靠其他护理环境中年龄较大儿童和婴儿的证据来指导管理。我们对相关文献进行了严格审查，以突出新生儿和婴儿的特殊证据，并在此进行总结：谵妄在新生儿和婴儿中的发生率可能与其他护理环境中的发生率相似或更高。最近的文献特别提请注意缺乏在新生儿重症监护病房环境中经过验证的评估工具。目前还缺乏对新生儿重症监护室谵妄进行评估和管理的证据。我们需要针对新生儿重症监护室开展更多研究，以便就最佳实践达成共识。

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Current Evidence Regarding the Evaluation and Management of Neonatal Delirium.

Purpose of review: Newborns and infants in the neonatal intensive care unit (NICU) may be at uniquely high risk of developing delirium. Because there is a dearth of NICU-focused literature, providers must rely on evidence derived from older children and infants in other care settings to guide management. The literature was rigorously reviewed to highlight evidence specific to newborns and infants and is summarized here.

Recent findings: Delirium likely occurs in newborns and infants at similar or higher rates than what is seen in other care settings. Recent literature calls particular attention to the lack of assessment tools validated in a NICU setting. Evidence for the evaluation and management of delirium in the NICU is lacking. More study specific to the NICU is needed to build consensus toward best practice.

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.