Perioperative Risk Factors for Postoperative Delirium in Children

Perioperative Risk Factors for Postoperative Delirium in Children Following General Anesthesia

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01032161

Enrollment

300

Registered

2009-12-15

Start date

2009-12-31

Completion date

2012-12-31

Last updated

2013-02-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Delirium, Postoperative

Keywords

Delirium, Postoperative, Non-cardiovascular surgery, Post-anaesthesia care unit, patients between 3 to 12 years old, undergoing selective non-cardiac surgery, under general anesthesia, surgery, general anesthesia

Brief summary

Despite recent advances in postoperative delirium research, the proportion of children with postoperative delirium is still high. Although postoperative delirium is a frequent complication and is associated with the need for more inpatient hospital care and longer length of hospital stay, little is known about risk factors for recovery room delirium (RRD) occurred in postanaesthesia care unit. The aim of the study was to determine pre- and intraoperative risk factors for the development of RRD among children undergoing non cardiovascular surgery.

Detailed description

Recovery room delirium (RRD) defined as delirium occurred in PACU was diagnosed according to RASS-PAEDS criteria. Pre-, intra-, and postoperative data of patients undergoing elective non cardiovascular surgery were prospectively collected, univariate and multivariate logistic regression were performed to find the risk factors related to postoperative delirium.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

3 Years to 12 Years

Healthy volunteers

Inclusion criteria

* between 3 to 12 years old * elective non-cardiovascular surgery * general anesthesia

Exclusion criteria

* under regional anaesthesia * instable vital sign * without consent form * underwent neurosurgery * history of primary neurologic diseases * stayed less than 10min in PACU * received general anaesthesia but recovered in locations outside the recovery room

Design outcomes

Primary

Measure	Time frame
The presence of delirium in post anesthesia care unit (PACU) and in ward determined by RASS-PAEDS criteria	at 1, 8, 16, 24, 48 and 72 postoperative hour

Secondary

Measure	Time frame
Maximal and minimal heart rate in PACU	every 15 min during PACU stay
Pulse Oximeter Oxygen Saturation (SpO2) in PACU	every 15 min during PACU stay
Hospital-length of stay	before discharge
Total health care fees	during hospital stay
Quality of recovery measured by PACBIS criteria	at 1, 8, 16, 24, 48 and 72 postoperative hour

Countries

China

Outcome results