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Children
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11 August 2025

Correction: de Almeida et al. The Challenges of Diagnosing, Managing, and Preventing Pediatric Delirium. Children 2025, 12, 918

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1
Pediatric Intensive Care Unit, Department of Pediatrics, Federal Hospital of Lagoa, Rio de Janeiro 22470-050, Brazil
2
Department of Pediatrics, Souza Marques School of Medicine, Rio de Janeiro 21310-310, Brazil
3
Department of Pediatrics, Division of Pediatric Critical Care Medicine, Mayo Clinic Children’s, Rochester, MN 55905, USA
4
Department of Pediatrics, D’Or Institute of Teaching and Research (IDOR), Rio de Janeiro 22281-100, Brazil

Text Correction

In the published publication [1], there were three errors regarding the text. The original expression is not clear enough.
A correction has been made to “6.3. Cornell Assessment of Pediatric Delirium”, Paragraph 4:
“Assessments with the CAP-D can only be performed when the Richmond Agitation-Sedation Scale (RASS) score is between −3 and +4 or the State Behavioral Scale (SBS) is between −1 and +2 [62]. In screening for delirium in patients with developmental delay, if there was a RASS fluctuation of at least two points during a 24 h period along with a positive CAP-D, the specificity of diagnosis increased to 97%, the positive predictive value increased to 89%, and the negative predictive value remained similar at 87%, so this is superior than relying on the CAP-D alone [66]. The CAP-D is also available in multiple languages—Table 1”.
A correction has been made to “6.8. Which Tools Are Recommended Today?”, Paragraph 2:
“Another example is an international survey study conducted by Ista et al., which showed that only 44% of the 161 PICUs in North America, South America, and Europe routinely monitored for PD with a validated tool [95]. Finally, a study conducted in 28 United Kingdom and Ireland PICUs found that only 64% of the units implemented a PD screening protocol in 2023 despite large efforts for widespread PD education and training as well as building a national PD database [11]. These studies illustrate that, despite guidelines to routinely screen and diagnose PD to improve patient outcomes, buy-in from unit staff may be challenging, which reinforces the importance of frequent literature reviews and unit education among multidisciplinary staff”.
A correction has been made to “7.2. Pharmacological Approach”, Paragraph 6:
“Studies show that polypharmacy is an independent risk factor for delirium, and therefore, a daily review of each prescription with consequent reduction in medications has been suggested [108,109]”.

References Correction

The replacement of references 66 and 95 appears below:
  • 66. Kaur, S.; Silver, G.; Samuels, S.; Rosen, A.H.; Weiss, M.; Mauer, E.A.; Geber, L.M.; Greenwald, B.M.; Traube, C. Delirium and Developmental Disability: Improving Specificity of a Pediatric Delirium Screen. Pediatr. Crit. Care Med. 2020, 21, 409–414.
  • 95. Ista, E.; Redivo, J.; Kananur, P.; Choong, K.; Colleti, J., Jr.; Needham, D.M.; Awojoodu, R.; Kudchadkar, S.R. ABCDEF Bundle Practices for Critically Ill Children: An International Survey of 161 PICUs in 18 Countries. Crit. Care Med. 2022, 50, 114–125.
The authors state that the scientific conclusions are unaffected. This correction was approved by the Academic Editor. The original publication has also been updated.

Reference

  1. de Almeida, J.P.C.; Kawai, Y.; Prata-Barbosa, A.; de Castro, R.E.V. The Challenges of Diagnosing, Managing, and Preventing Pediatric Delirium. Children 2025, 12, 918. [Google Scholar] [CrossRef] [PubMed]
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