[HTML][HTML] Predictors of perioperative respiratory adverse events among children with upper respiratory tract infection undergoing pediatric ambulatory ilioinguinal …
A Jarraya, M Kammoun, S Ammar, W Feki… - World Journal of …, 2023 - ncbi.nlm.nih.gov
A Jarraya, M Kammoun, S Ammar, W Feki, K Kolsi
World Journal of Pediatric Surgery, 2023•ncbi.nlm.nih.govObjectives Anesthesia for children with an upper respiratory tract infection (URI) has an
increased risk of perioperative respiratory adverse events (PRAEs) that may be predicted
according to the COLDS score. The aims of this study were to evaluate the validity of the
COLDS score in children undergoing ilioinguinal ambulatory surgery with mild to moderate
URI and to investigate new predictors of PRAEs. Methods This was a prospective
observational study including children aged 1–5 years with mild to moderate symptoms of …
increased risk of perioperative respiratory adverse events (PRAEs) that may be predicted
according to the COLDS score. The aims of this study were to evaluate the validity of the
COLDS score in children undergoing ilioinguinal ambulatory surgery with mild to moderate
URI and to investigate new predictors of PRAEs. Methods This was a prospective
observational study including children aged 1–5 years with mild to moderate symptoms of …
Abstract
Objectives
Anesthesia for children with an upper respiratory tract infection (URI) has an increased risk of perioperative respiratory adverse events (PRAEs) that may be predicted according to the COLDS score. The aims of this study were to evaluate the validity of the COLDS score in children undergoing ilioinguinal ambulatory surgery with mild to moderate URI and to investigate new predictors of PRAEs.
Methods
This was a prospective observational study including children aged 1–5 years with mild to moderate symptoms of URI who were proposed for ambulatory ilioinguinal surgery. The anesthesia protocol was standardized. Patients were divided into two groups according to the incidence of PRAEs. Multivariate logistic regression was performed to assess predictors for PRAEs.
Results
In this observational study, 216 children were included. The incidence of PRAEs was 21%. Predictors of PRAEs were respiratory comorbidities (adjusted OR (aOR)= 6.3, 95% CI 1.19 to 33.2; p= 0.003), patients postponed before 15 days (aOR= 4.3, 95% CI 0.83 to 22.4; p= 0.029), passive smoking (aOR= 5.31, 95% CI 2.07 to 13.6; p= 0.001), and COLDS score of> 10 (aOR= 3.7, 95% CI 0.2 to 53.4; p= 0.036).
Conclusions
Even in ambulatory surgery, the COLDS score was effective in predicting the risks of PRAEs. Passive smoking and previous comorbidities were the main predictors of PRAEs in our population. It seems that children with severe URI should be postponed to receive surgery for more than 15 days.
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