Sleep quality and emergence delirium in children undergoing strabismus surgery: a comparison between preschool- and school-age patients

Abstract Background Emergence delirium (ED) is common in pediatric patients undergoing general anesthesia with sevoflurane. Preoperative sleep quality is associated with the risk factors for ED. However, research on the relationship between sleep quality and ED is limited. We aimed to investigate th...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Wangseok Do, Hyo-Sung Kim, Seung Ha Kim, Hyunjong Kang, Dowon Lee, Jiseok Baik, Hyeon Jeong Lee, Jeong-Min Hong
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Emergence delirium Preoperative sleep quality Pediatrics Strabismus surgery Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/36c1834e2ab540cabeed0141695a9eea
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:36c1834e2ab540cabeed0141695a9eea
record_format	dspace
spelling	oai:doaj.org-article:36c1834e2ab540cabeed0141695a9eea2021-11-28T12:09:38ZSleep quality and emergence delirium in children undergoing strabismus surgery: a comparison between preschool- and school-age patients10.1186/s12871-021-01507-21471-2253https://doaj.org/article/36c1834e2ab540cabeed0141695a9eea2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12871-021-01507-2https://doaj.org/toc/1471-2253Abstract Background Emergence delirium (ED) is common in pediatric patients undergoing general anesthesia with sevoflurane. Preoperative sleep quality is associated with the risk factors for ED. However, research on the relationship between sleep quality and ED is limited. We aimed to investigate the relationship between ED and preoperative sleep quality in pediatric patients undergoing strabismus surgery. Methods This clinical trial included pediatric patients aged 4–12 years who underwent elective strabismus surgery. The patients and their parents were questioned about the patients’ preoperative sleep quality using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. For anesthesia induction, thiopental (5 mg/kg) and rocuronium (0.6 mg/kg) were used, and anesthesia was maintained with sevoflurane (minimum alveolar concentration, 1–1.5). After administration of a reversal drug, extubation was performed, and the patients were transferred to a post-anesthesia recovery unit. At 10 min after extubation, the degree of ED was measured using the pediatric anesthesia emergence delirium (PAED) and Watcha scale scores. Results Of the 62 enrolled patients, three pediatric patients were excluded. The overall incidence of ED was 22%. A total of 59 patients were divided into the two groups. The ED group and the non-ED group comprised 13 and 46 patients. Age, height and weight were significantly lower in the ED group than in the non-ED group. Preoperative PSQI and Watcha scale score were significantly higher in the ED group than in the non-ED group. Multivariate analysis showed that age (adjusted OR [95% CI]: 0.490 [0.290–0.828], p = 0.008) and preoperative PSQI score (adjusted OR [95% CI]: 2.149[1.224–3.771], p = 0.008) was associated with ED. In sub-group analysis, PAED scale and Watcha scale scores showed a moderate correlation with preoperative sleep quality in preschool-age patients. Conclusion In conclusion, the incidence of ED tended to be higher in younger age and poorer preoperative sleep quality in pediatric patients. In particular, the poorer sleep quality score was associated with higher incidence of ED in the preschool-age. Large-scale clinical studies and long-term follow-up studies on ED and sleep quality are required. Trial registration This study was registered with Clinicaltrials.gov ( NCT03332407 ) at November 5th 2017.Wangseok DoHyo-Sung KimSeung Ha KimHyunjong KangDowon LeeJiseok BaikHyeon Jeong LeeJeong-Min HongBMCarticleEmergence deliriumPreoperative sleep qualityPediatricsStrabismus surgeryAnesthesiologyRD78.3-87.3ENBMC Anesthesiology, Vol 21, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Emergence delirium Preoperative sleep quality Pediatrics Strabismus surgery Anesthesiology RD78.3-87.3
spellingShingle	Emergence delirium Preoperative sleep quality Pediatrics Strabismus surgery Anesthesiology RD78.3-87.3 Wangseok Do Hyo-Sung Kim Seung Ha Kim Hyunjong Kang Dowon Lee Jiseok Baik Hyeon Jeong Lee Jeong-Min Hong Sleep quality and emergence delirium in children undergoing strabismus surgery: a comparison between preschool- and school-age patients
description	Abstract Background Emergence delirium (ED) is common in pediatric patients undergoing general anesthesia with sevoflurane. Preoperative sleep quality is associated with the risk factors for ED. However, research on the relationship between sleep quality and ED is limited. We aimed to investigate the relationship between ED and preoperative sleep quality in pediatric patients undergoing strabismus surgery. Methods This clinical trial included pediatric patients aged 4–12 years who underwent elective strabismus surgery. The patients and their parents were questioned about the patients’ preoperative sleep quality using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. For anesthesia induction, thiopental (5 mg/kg) and rocuronium (0.6 mg/kg) were used, and anesthesia was maintained with sevoflurane (minimum alveolar concentration, 1–1.5). After administration of a reversal drug, extubation was performed, and the patients were transferred to a post-anesthesia recovery unit. At 10 min after extubation, the degree of ED was measured using the pediatric anesthesia emergence delirium (PAED) and Watcha scale scores. Results Of the 62 enrolled patients, three pediatric patients were excluded. The overall incidence of ED was 22%. A total of 59 patients were divided into the two groups. The ED group and the non-ED group comprised 13 and 46 patients. Age, height and weight were significantly lower in the ED group than in the non-ED group. Preoperative PSQI and Watcha scale score were significantly higher in the ED group than in the non-ED group. Multivariate analysis showed that age (adjusted OR [95% CI]: 0.490 [0.290–0.828], p = 0.008) and preoperative PSQI score (adjusted OR [95% CI]: 2.149[1.224–3.771], p = 0.008) was associated with ED. In sub-group analysis, PAED scale and Watcha scale scores showed a moderate correlation with preoperative sleep quality in preschool-age patients. Conclusion In conclusion, the incidence of ED tended to be higher in younger age and poorer preoperative sleep quality in pediatric patients. In particular, the poorer sleep quality score was associated with higher incidence of ED in the preschool-age. Large-scale clinical studies and long-term follow-up studies on ED and sleep quality are required. Trial registration This study was registered with Clinicaltrials.gov ( NCT03332407 ) at November 5th 2017.
format	article
author	Wangseok Do Hyo-Sung Kim Seung Ha Kim Hyunjong Kang Dowon Lee Jiseok Baik Hyeon Jeong Lee Jeong-Min Hong
author_facet	Wangseok Do Hyo-Sung Kim Seung Ha Kim Hyunjong Kang Dowon Lee Jiseok Baik Hyeon Jeong Lee Jeong-Min Hong
author_sort	Wangseok Do
title	Sleep quality and emergence delirium in children undergoing strabismus surgery: a comparison between preschool- and school-age patients
title_short	Sleep quality and emergence delirium in children undergoing strabismus surgery: a comparison between preschool- and school-age patients
title_full	Sleep quality and emergence delirium in children undergoing strabismus surgery: a comparison between preschool- and school-age patients
title_fullStr	Sleep quality and emergence delirium in children undergoing strabismus surgery: a comparison between preschool- and school-age patients
title_full_unstemmed	Sleep quality and emergence delirium in children undergoing strabismus surgery: a comparison between preschool- and school-age patients
title_sort	sleep quality and emergence delirium in children undergoing strabismus surgery: a comparison between preschool- and school-age patients
publisher	BMC
publishDate	2021
url	https://doaj.org/article/36c1834e2ab540cabeed0141695a9eea
work_keys_str_mv	AT wangseokdo sleepqualityandemergencedeliriuminchildrenundergoingstrabismussurgeryacomparisonbetweenpreschoolandschoolagepatients AT hyosungkim sleepqualityandemergencedeliriuminchildrenundergoingstrabismussurgeryacomparisonbetweenpreschoolandschoolagepatients AT seunghakim sleepqualityandemergencedeliriuminchildrenundergoingstrabismussurgeryacomparisonbetweenpreschoolandschoolagepatients AT hyunjongkang sleepqualityandemergencedeliriuminchildrenundergoingstrabismussurgeryacomparisonbetweenpreschoolandschoolagepatients AT dowonlee sleepqualityandemergencedeliriuminchildrenundergoingstrabismussurgeryacomparisonbetweenpreschoolandschoolagepatients AT jiseokbaik sleepqualityandemergencedeliriuminchildrenundergoingstrabismussurgeryacomparisonbetweenpreschoolandschoolagepatients AT hyeonjeonglee sleepqualityandemergencedeliriuminchildrenundergoingstrabismussurgeryacomparisonbetweenpreschoolandschoolagepatients AT jeongminhong sleepqualityandemergencedeliriuminchildrenundergoingstrabismussurgeryacomparisonbetweenpreschoolandschoolagepatients
_version_	1718408130325381120

Sleep quality and emergence delirium in children undergoing strabismus surgery: a comparison between preschool- and school-age patients

Ejemplares similares