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Based on the risk matrix theory, a risk matrix was constructed for pediatric delirium in the ICU using literature research, Delphi expert consultation, and the Borda method. The 2-dimensional risk matrix revealed that of the 52 risk factors. 17, 20, and 15 were classified as extremely high risk, high risk, and medium risk, respectively. The Borda sequence value method revealed that the use of psychoactive drugs (medium and high doses) and the Pediatric Risk of Mortality score of &gt;15 were classified as critical risk points. The risk matrix method can accurately identify the key risk factors for pediatric delirium and aid in developing evidence-based risk control measures and managing pediatric delirium in the ICU.<\/jats:p>","DOI":"10.1177\/00099228251356861","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T06:10:53Z","timestamp":1752559853000},"page":"1663-1670","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Construction of a Risk Matrix for Pediatric Delirium in the Intensive Care Unit"],"prefix":"10.1177","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8978-3134","authenticated-orcid":false,"given":"Rong","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Guizhou Provincial People\u2019s Hospital, Guiyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9510-4245","authenticated-orcid":false,"given":"Xingyu","family":"Pan","sequence":"additional","affiliation":[{"name":"School of Nursing, Zunyi Medical University, Zunyi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nursing, Guizhou Provincial People\u2019s Hospital, Guiyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7193-5296","authenticated-orcid":false,"given":"Tingting","family":"Meng","sequence":"additional","affiliation":[{"name":"Department of Nursing, Guizhou Branch of Shanghai Children\u2019s Medical Center, Guiyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiali","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Shanghai Children\u2019s Medical Center, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0153-6056","authenticated-orcid":false,"given":"Chunxiang","family":"Ye","sequence":"additional","affiliation":[{"name":"Children\u2019s Intensive Care Unit, Guizhou Provincial People\u2019s Hospital, Guiyang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,14]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Van Tuijl SG Van Cauteren YJ Pikhard T Engel M Schieveld JN. 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