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Current Pediatric Research| Volume: 22
November 28-29, 2018 | Dubai, UAE
15
th
World Congress on
Pediatrics, Clinical Pediatrics and Nutrition
28
th
International Conference on
Nursing Practice
Joint Event
&
T
his is a retrospective and observational study to evaluate
the diagnosis of delirium and withdrawal syndrome in
patients undergoing mechanical ventilation (MV) in a Pediatric
Intensive Care Unit (PICU) in Rio de Janeiro from 01 January to
30 June 2011 and correlate with the degree of nutrition. We
recruited 61 charts and data were obtained through analysis of
medical records, following a standardized questionnaire: 42%
were normal weight, 39.4% were malnourished and 18.6%
were overweight. The most frequent main diagnoses were
pneumonia (34.5%), congenital heart disease (24.6%) and brain
tumors (10%). The mean age of patients was five months. We
diagnosed two cases of withdrawal syndrome and one case of
delirium. Patients were classified according to the degree of
nutrition through the Z score and to severity through the PRISM
score. Data were collected regarding the demographic aspects,
need for MV with the respective total time, main diagnosis
and clinical outcomes. Malnutrition promoted an increase in
MV use, especially when associated with: less than one year
of age, children admitted to the PICU with low severity scores
and patients admitted for respiratory problems. MV time was
significantly higher in the group of malnourished children, but
mortality was not significantly affected by the presence of
malnutrition. There was one case of delirium associated with
withdrawalsyndromeandthepatientwasclassifiedaseutrophic.
The patient with a diagnosis of withdrawal syndrome who did
not present deliriumwas classified as overweight. We found no
association between the degree of nutrition of the patients and
the diagnosis of withdrawal syndrome and/or delirium. More
studies are needed to assess the nutritional status of patients
and the association of these conditions with delirium and/or
withdrawal syndrome. It is possible that during the study period
there was no association between the degree of nutrition and
themain outcomes due to the presence of comorbidities as well
as the low occurrence of delirium and withdrawal syndrome.
Speaker Biography
GabrielaSousaMoreira,Brazilian,28yearsold,graduatedfromCollegeofMedicineofMarília
in 2014. She completed the specialization in pediatrics in 2017 at the Hospital of Child and
MaternityofSãoJosédoRioPreto,andinthesameyearshereceivedthepediatriciandegree
by Brazilian Society of Pediatrics. She did internships in Pediatric Oncology at University
Hospital Motol in Prague, Czech Republic, in 2013, in Neonatal ICU of Hospital São Francisco
Xavier in Lisbon, Portugal, in 2018. She presented works at the following congresses: XIII
Brazilian Congress of Pediatric Intensive Medicine in 2014, XVII Latin American Congress of
Pediatrics in 2015 in Peru; XIV Latin American Congress of Pediatric Intensive Care in 2017 in
Paraguay, among others. She was a member of the state team of the Renewed Universities
Ministry of the Catholic Church. Sheparticipated in the dissemination of theWorld Delirium
AwarenessDay inBrazil in2017.Currently,sheworks inNeonatal ICUofRondonópolis–MT.
e:
gabriela_gsm@hotmail.comGabriela Sousa Moreira
Santa Casa de Rondonópolis, Brazil
Delirium, withdrawal and the degree of Nutrition: Are there associations?
Gabriela Sousa Moreira, Pediatrics and Clinical Pediatrics 2018
& Nursing Practice 2018, Volume 22
DOI: 10.4066/0971-9032-C2-004