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Perioperative Risk Factors for Postoperative Delirium in Children

Completed
Conditions
Delirium, Postoperative
Registration Number
NCT01032161
Lead Sponsor
Huazhong University of Science and Technology
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
300
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

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The presence of delirium in post anesthesia care unit (PACU) and in ward determined by RASS-PAEDS criteriaat 1, 8, 16, 24, 48 and 72 postoperative hour
Secondary Outcome Measures
NameTimeMethod
Maximal and minimal heart rate in PACUevery 15 min during PACU stay
Pulse Oximeter Oxygen Saturation (SpO2) in PACUevery 15 min during PACU stay
Hospital-length of staybefore discharge
Total health care feesduring hospital stay
Quality of recovery measured by PACBIS criteriaat 1, 8, 16, 24, 48 and 72 postoperative hour

Trial Locations

Locations (1)

Department of Anaesthesiology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology

🇨🇳

Wuhan, Hubei, China

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