Pediatric anesthesia & critical care
The effect on perioperative anxiety and emergence delirium of the child or parent's preference for parental accompaniment during anesthesia induction in children undergoing adenotonsillectomy surgery
Authors' conclusion
The incidence or severity of ED did not decrease significantly even though lower anxiety scores were obtained during anesthesia induction in children who were allowed to make the decision of accompanying parent.
Study context
- Population
- Children aged 5–12 years undergoing day-case adenotonsillectomy
- Participants
- 80 children
- Comparison
- Group 1 vs Group 2
- Group 1n = 40
- Group 2n = 40reference
- Primary endpoint
- Postoperative delirium scores and incidence (Pediatric Anesthesia Emergence Delirium (PAED) scale)
Primary result
As reported in the abstract
Emergence delirium (PAED)
Group 1 vs Group 2Mean difference (95% CI)
Mean PAED scores similar
−0.1(−2.8 to 0.7)
Group 1 vs Group 2Relative risk (95% CI)
Incidence of ED similar
0.9(0.4–1.8)
Further findings
| Outcome | Mean difference (95% CI) | |
|---|---|---|
| Child anxiety during induction (mYPAS) | −8.4 (−15.2 to −1.6) | |
| Child anxiety in preoperative waiting area (mYPAS) | −1.9 (−7.5 to 3.5) | |
| −20−10010Difference (linear scale) |
Parental anxiety (State-Trait Anxiety Inventory (STAI)) · all measurement times
- Similar in both groups; higher in mothers than fathers
Original publication
The effect on perioperative anxiety and emergence delirium of the child or parent's preference for parental accompaniment during anesthesia induction in children undergoing adenotonsillectomy surgery. Paediatr Anaesth. Published 26 April 2024. doi:10. 1111/ pan. 14912
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