Pediatric anesthesia & critical care
Risk factors for pediatric emergence delirium: a systematic review
Authors' conclusion
Although quantitative analyses were not feasible, the current systematic review qualitatively identified three risk factors for pediatric ED with robust evidence.
Study context
- Population
- Pediatric patients (< 18 yr) undergoing GA for any surgical or imaging procedure
- Participants
- 6,068 patients · 31 studies
- Outcome
- Risk factors for pediatric emergence delirium (measured preoperatively/intraoperatively)
Methodological detailsqualitative synthesis, levels of evidence
- Qualitative synthesis
- Levels of evidence
Pooled result
As reported in the abstract
Risk factors for pediatric emergence delirium
- Younger age (strong evidence)
- Agitated/excited induction behaviour (strong evidence)
- Sevoflurane (moderate evidence)
- Quantitative synthesis not feasible
Further pooled results
Incidence of emergence delirium
- Median incidence
- 32%
Study quality
- High quality
- 12
- Acceptable quality
- 15
- Low quality
- 4
Original publication
Risk factors for pediatric emergence delirium: a systematic review. Can J Anaesth. Published 26 February 2025. doi:10. 1007/ s12630-024-02889-w
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