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Int J Psychiatry Med. 2009;39(2):179-87.

Delirium in children and adolescents.

Author information

  • 1Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India. drsandeepg2002@yahoo.com

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.

PMID:
19860076
[PubMed - indexed for MEDLINE]
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