In children aged 0-6 years, we collected data from standard monitoring, depth of anesthesia, and preoperative glucose and ketone body levels. These variables were studied as risk or protective factors for increased PAED >0 scores using multivariate logistic regression.
Of the 105 children analyzed, only five children (4.7%) had emergence delirium according to a threshold PAED score ≥10, while 37 children (35%) had PAED scores >0. Statistical analysis of the PAED outcome identified two significant positive associations with pain (P<0.001) and preoperative blood glucose levels (P=0.006) and one negative association with preoperative ketone body levels (P<0.001).
Our cohort observed a lower incidence of emergence delirium than in the literature. Higher pain intensity and lower blood glucose levels were risk factors for PAED > 0, whereas preoperative ketone body levels were protective.
方法:在0-6岁的儿童中,我们从标准监测中收集数据,麻醉深度,术前葡萄糖和酮体水平。使用多变量逻辑回归将这些变量作为PAED>0评分增加的风险或保护因素进行研究。
结果:在分析的105名儿童中,根据阈值PAED评分≥10,只有5名儿童(4.7%)出现谵妄,而37名儿童(35%)的PAED评分>0.对PAED结果的统计分析发现,疼痛(P<0.001)和术前血糖水平(P=0.006)有两个显着正相关,而术前酮体水平则有一个负相关(P<0.001)。
结论:我们的队列观察到出现谵妄的发生率低于文献。较高的疼痛强度和较低的血糖水平是PAED>0的危险因素,而术前酮体水平是保护性的。