Journal of perinatology : official journal of the California Perinatal Association · 2025
Clinician knowledge, attitudes, and perceptions of delirium in patients with grade 3 bronchopulmonary dysplasia: A national survey.
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Munoz-Blanco Sara, Makker Kartikeya, McKinney Robin L, Bamat Nicolas A, Guaman Milenka Cuevas, Traube Chani, BPD Collaborative
Аннотация
OBJECTIVE: Delirium is an increasingly recognized diagnosis in neonatal intensive care unit (NICU) patients. Infants with grade 3 bronchopulmonary dysplasia (BPD) may be at high risk of delirium due to prolonged mechanical ventilation, critical illness, and polypharmacy, including various neurosedatives.
STUDY DESIGN: We conducted a national survey to explore clinicians' knowledge, attitudes, and perceptions of delirium in term-corrected infants with grade 3 BPD.
RESULT: Over 60% of responders screened infants for delirium and initiated non-pharmacologic and pharmacologic interventions. Most participants agreed that delirium is under-recognized but felt uncomfortable diagnosing it.
CONCLUSION: This highlights the urgent need for research to establish the incidence of delirium in infants with BPD and associated outcomes, educate NICU clinicians, validate screening tools in the NICU setting, and develop comprehensive interventions to prevent and treat delirium in this vulnerable population.
STUDY DESIGN: We conducted a national survey to explore clinicians' knowledge, attitudes, and perceptions of delirium in term-corrected infants with grade 3 BPD.
RESULT: Over 60% of responders screened infants for delirium and initiated non-pharmacologic and pharmacologic interventions. Most participants agreed that delirium is under-recognized but felt uncomfortable diagnosing it.
CONCLUSION: This highlights the urgent need for research to establish the incidence of delirium in infants with BPD and associated outcomes, educate NICU clinicians, validate screening tools in the NICU setting, and develop comprehensive interventions to prevent and treat delirium in this vulnerable population.