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The Delirium Rating Scale in Children and Adolescents

Received April 11, 2002; revision received July 5, 2002; accepted July 24, 2002. From the Department of Psychiatry and the Department of Pediatrics, Childrens Hospital, University of Southern California Keck School of Medicine; the Department of Psychiatry, University of Mississippi School of Medicine, Jackson; the Department of Psychiatry, Tufts University Medical School, Boston; and U.S. Neurosciences, Eli Lilly and Company, Indianapolis. Address reprint requests to Dr. Turkel, Childrens Hospital, University of Southern California Keck School of Medicine, 4650 Sunset Blvd., No. 82, Los Angeles, CA 90027; sbturkel{at}hsc.usc.edu (e-mail).

The study of delirium has been neglected in pediatric patients, and there are no diagnostic criteria or rating scales adapted for use in this age group. The Delirium Rating Scale is widely used to diagnose and rate the severity of delirium in adults. It was retrospectively administered to 84 children and adolescents diagnosed with delirium to evaluate its applicability in pediatric patients. Delirium Rating Scale scores were comparable to those reported for delirium in adults, although single cross-sectional Delirium Rating Scale scores did not predict length of hospital stay or mortality outcome. Therefore, the Delirium Rating Scale can be used to evaluate delirium in the pediatric population.

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