Incidence of Emergence Delirium in the Pediatric PACU: Prospective Observational Trial

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216224:14110/22:00127620 RIV/61989100:27240/22:10250938

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

Incidence of Emergence Delirium in the Pediatric PACU: Prospective Observational Trial

Popis výsledku v původním jazyce

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 (&gt;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 &gt;= 10 points (89.0%, n = 1088). When using PAED score &gt;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 &gt;= 10 points seems to give false-positive results, whereas the threshold &gt;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.

Název v anglickém jazyce

Incidence of Emergence Delirium in the Pediatric PACU: Prospective Observational Trial

Popis výsledku anglicky

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 (&gt;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 &gt;= 10 points (89.0%, n = 1088). When using PAED score &gt;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 &gt;= 10 points seems to give false-positive results, whereas the threshold &gt;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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30209 - Paediatrics

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Children-Basel

ISSN

2227-9067

e-ISSN

2227-9067

Svazek periodika

9

Číslo periodika v rámci svazku

10

Stát vydavatele periodika

CH - Švýcarská konfederace

Počet stran výsledku

10

Strana od-do

1591

Kód UT WoS článku

000872750000001

EID výsledku v databázi Scopus

2-s2.0-85140618295