Pediatric anesthesia & critical care

Risk factors for pediatric emergence delirium: a systematic review

Can J AnaesthPublished Systematic review of prospective observational studies and clinical trials

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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