None listed
Conditions
Brief summary
Abstract Background: Postoperative delirium is a commonly encountered condition that can arise from multiple factors, and its occurrence varies based on the type of surgery in pediatric patients. This study aimed to investigate the occurrence of delirium during the recovery from anesthesia in children undergoing eye surgery and its association with the sociocultural and economic status of their families. Methods: This prospective observational study included children aged 2-12 who underwent eye surgeries. Demographic data, socioeconomic and educational status of parents, parental separation and cooperation scores, Cravero agitation score and FLACC score (at 0, 5, 15, and 30 minutes in the postoperative period) were recorded. Patients who scored above 3 on the Cravero agitation scale for at least 5 minutes were considered to have postoperative delirium. Results: A total of 104 patients were included in the study, of which 65 were male. The mean age of the patients was 6.5±2.9 years, and 43 patients belonged to the preschool age group. The incidence of delirium was found to be 65.4%. No significant relationship was observed between delirium and age, educational status, duration of anesthesia, or type of surgery. However, a significant correlation was found between delirium and pain, family income level, cooperative score, and family size. Conclusions: This study identified several factors that influenced the occurrence of delirium, including postoperative pain, family economic status, family size, and cooperative score. The findings highlight the importance of considering the socio-cultural and economic conditions of families in relation to the development of delirium.
Interventions
After being admitted to the Post-Anesthesia Care Unit (PACU), two assessment scales were employed to evaluate the level of postoperative agitation and delirium in patients at four time intervals: 0, 5, 15, and 30 minutes. The first scale used was the Cravero Emergence Agitation Score, a 5-point scale ranging from 1 (Obtunded with no response to stimulation) to 5 (Thrashing behavior that requires restraint). Patients who scored higher than 3 on the Cravero agitation scale for a minimum of 5 minut
After being admitted to the Post-Anesthesia Care Unit (PACU), two assessment scales were employed to evaluate the level of postoperative agitation and delirium in patients at four time intervals: 0, 5, 15, and 30 minutes. The first scale used was the Cravero Emergence Agitation Score, a 5-point scale ranging from 1 (Obtunded with no response to stimulation) to 5 (Thrashing behavior that requires restraint). Patients who scored higher than 3 on the Cravero agitation scale for a minimum of 5 minutes were categorized as experiencing postoperative delirium. To assess the postoperative pain status, the FLACC score (Face, Legs, Activity, Cry, Consolability score) was documented at the same time intervals: 0, 5, 15, and 30 minutes. A FLACC score of 4 or higher was used as the threshold to define the presence of pain. The data in this study were recorded by the participating anesthetists.
Sponsors
Tuba Kuvvet Yoldas
Eligibility
Sex/Gender
All
Age
2 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
ASA I-II 2-12 aged pediatric patients Cataracts, glaucoma, and strabismus surgery
Exclusion criteria
Patients who had psychiatric-neurological disorders, central nervous system diseases and hearing impairment were also excluded from the study.
Outcome results
None listed