학술논문
Sedation Management for Critically Ill Children with Pre-Existing Cognitive Impairment
Document Type
article
Author
Best, Kaitlin M; Asaro, Lisa A; Curley, Martha AQ; Investigators, Randomized Evaluation of Sedation Titration for Respiratory Failure Study; Wypij, David; Allen, Geoffrey L; Angus, Derek C; Ascenzi, Judy A; Bateman, Scot T; Borasino, Santiago; Bowens, Cindy Darnell; Bysani, G Kris; Cheifetz, Ira M; Cowl, Allison S; Dodson, Brenda L; Faustino, E Vincent S; Fineman, Lori D; Flori, Heidi R; Franck, Linda S; Gedeit, Rainer G; Grant, Mary Jo C; Harabin, Andrea L; Haskins-Kiefer, Catherine; Hertzog, James H; Hutchins, Larissa; Kirby, Aileen L; Lebet, Ruth M; Matthay, Michael A; McLaughlin, Gwenn E; Natale, JoAnne E; Oren, Phineas P; Polavarapu, Nagendra; Schneider, James B; Schwarz, Adam J; Shanley, Thomas P; Simone, Shari; Singer, Lewis P; Sorce, Lauren R; Truemper, Edward J; Heyden, Michele A Vander; Watson, R Scott; Wells, Claire R
Source
Subject
Language
Abstract
ObjectiveTo compare current analgesia and sedation management practices between critically ill children with pre-existing cognitive impairment and critically ill neurotypical children, including possible indicators of therapeutic efficacy.Study designThis study used secondary analysis of prospective data from the RESTORE clinical trial, with 2449 children admitted to the pediatric intensive care unit and receiving mechanical ventilation for acute respiratory failure. Subjects with a baseline Pediatric Cerebral Performance Category ≥3 were defined as subjects with cognitive impairment, and differences between groups were explored using regression methods accounting for pediatric intensive care unit as a cluster variable.ResultsThis study identified 412 subjects (17%) with cognitive impairment. Compared with neurotypical subjects, subjects with cognitive impairment were older (median, years, 6.2 vs 1.4; P