Abstract
AIM: Pediatric delirium remains understudied among oncology patients. This study aimed to evaluate the prevalence of delirium and associated factors among children admitted to the pediatric intensive care unit (PICU) in Jordan. METHODS: A cross-sectional study was conducted over 6 months, including 165 pediatric oncology patients aged 1 month to 18 years. Delirium was assessed twice daily using the Cornell Assessment of Pediatric Delirium (CAPD). Demographic and clinical variables were analyzed for associations with delirium. RESULTS: Delirium occurred in 29% of patients. Younger age (<5 years), prolonged PICU stay (>7 days), and higher night-shift acuity scores were significantly associated with delirium (P < .05). Delirium was also more frequent among patients receiving low-flow oxygen therapy, likely reflecting greater illness severity. CONCLUSION: Delirium was common among critically ill pediatric oncology patients admitted to the PICU. These findings highlight the importance of routine delirium screening using validated tools in this population.