Incidence of Emergence Delirium in the Pediatric PACU: Prospective Observational Trial
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F22%3A00076450" target="_blank" >RIV/65269705:_____/22:00076450 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/22:00127620 RIV/61989100:27240/22:10250938
Result on the web
<a href="https://www.mdpi.com/2227-9067/9/10/1591" target="_blank" >https://www.mdpi.com/2227-9067/9/10/1591</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.3390/children9101591" target="_blank" >10.3390/children9101591</a>
Alternative languages
Result language
angličtina
Original language name
Incidence of Emergence Delirium in the Pediatric PACU: Prospective Observational Trial
Original language description
Emergence delirium (ED) is a postoperative complication in pediatric anesthesia characterized by perception and psychomotor disorder and has a negative impact on morbidity in the form of maladaptive behavior, which can last weeks after anesthesia. Patients with developed ED present with psychomotor anxiety, agitation, and are at higher risk of unintentional extraction of an intravenous cannula, self-harm and nausea and vomiting. The described incidence of ED varies between 25-80%, with a higher prevalence among children younger than 6 years of age. We aimed to determine the incidence of ED in pediatric patients (>1 month) after general anesthesia in the post-anesthesia care unit (PACU), using Paediatric Anaesthesia Emergence Delirium (PAED) score, Watcha score and Richmond agitation and sedation scale (RASS). The incidence of ED was the highest in the PAED score with cutoff >= 10 points (89.0%, n = 1088). When using PAED score >12 points, ED incidence was 19.3% (n = 236). The lowest incidence was described by Watcha and RASS scores, 18.8% (n = 230) vs. 18.1% (n = 221), respectively. The threshold for PAED >= 10 points seems to give false-positive results, whereas the threshold >12 points is more accurate. RASS scale, although intended primarily for estimation of the depth of sedation, seems to have a good predictive value for ED.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30209 - Paediatrics
Result continuities
Project
—
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Children-Basel
ISSN
2227-9067
e-ISSN
2227-9067
Volume of the periodical
9
Issue of the periodical within the volume
10
Country of publishing house
CH - SWITZERLAND
Number of pages
10
Pages from-to
1591
UT code for WoS article
000872750000001
EID of the result in the Scopus database
2-s2.0-85140618295