{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T07:16:40Z","timestamp":1792653400196,"version":"4.5.0"},"reference-count":57,"publisher":"American Academy of Pediatrics (AAP)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11,1]]},"abstract":"<jats:p>Pediatric delirium is an important comorbidity of medical illness in inpatient pediatric care that has lacked a consistent approach for detection and management. A clinical pathway (CP) was developed to address this need. Pediatric delirium contributes significantly to morbidity, mortality, and costs of inpatient care of medically ill children and adolescents. Screening for delirium in hospital settings with validated tools is feasible and effective in reducing delirium and improving outcomes; however, multidisciplinary coordination is required for implementation. The workgroup, composed of international experts in child and adolescent consultation psychiatry, reviewed the literature and developed a flowchart for feasible screening and management of pediatric delirium. When evidence was lacking, expert consensus was reached; stakeholder feedback was included to create the final pathway. A CP expert collaborated with the workgroup. Two sequential CPs were created: (1) \u201cPrevention and Identification of Pediatric Delirium\u201d emphasizes the need for systematic preventive measures and screening, and (2) \u201cDiagnosis and Management of Pediatric Delirium\u201d recommends an urgent and ongoing search for the underlying causes to reverse the syndrome while providing symptomatic management focused on comfort and safety. Detailed accompanying documents explain the supporting literature and the rationale for recommendations and provide resources such as screening tools and implementation guides. Additionally, the role of the child and adolescent consultation-liaison psychiatrist as a resource for collaborative care of patients with delirium is discussed.<\/jats:p>","DOI":"10.1542\/hpeds.2019-0115","type":"journal-article","created":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T13:15:20Z","timestamp":1572614120000},"page":"909-916","source":"Crossref","is-referenced-by-count":36,"title":["A Clinical Pathway to Standardize Care of Children With Delirium in Pediatric Inpatient Settings"],"prefix":"10.1542","volume":"9","author":[{"given":"Gabrielle H.","family":"Silver","sequence":"first","affiliation":[{"name":"NewYork-Presbyterian\/Weill Cornell Medical Center, Weill Cornell Medicine, Cornell University, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia A.","family":"Kearney","sequence":"additional","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonali","family":"Bora","sequence":"additional","affiliation":[{"name":"Children\u2019s Healthcare of Atlanta, Atlanta, Georgia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"De Souza","sequence":"additional","affiliation":[{"name":"Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Giles","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics and Psychiatry, School of Medicine, The University of Utah, Salt Lake City, Utah;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Hrycko","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willough","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine, University of California, San Diego, La Jolla, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasuh","family":"Malas","sequence":"additional","affiliation":[{"name":"Division of Child and Adolescent Psychiatry, Departments of Psychiatry and Pediatrics, C.S. 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