A logistic model to predict the rates of emergence agitation in pediatric patients after a cleft lip or palate surgery: a prospective study

Abstract

Abstract Objectives: To predict the occurrence rates and related factors that can lead to Emergence agitation (EA) among pediatric patients after a cleft lip or palate surgery. Materials and Methods: A prospective study was performed to analyze the influencing factors of EA amongst pediatric patients after cleft lip or palate surgeries. The cohort data were collected in the department of oral and maxillofacial surgery of a tertiary stomatological hospital in Chengdu, China, in which patient's demographic variables, monitorization recording of the patient's anesthesia and post-operative situations, and postoperative restlessness assessment records, etc were included. Results: One hundred ninety patients who aged from 3 months to 6 years old, underwent cleft lip/palate repair surgeries and were under general anesthesia participated in this study voluntarily. And this process was conducted from June 2020 to October 2020. The univariate analysis showed that the occurrence of EA was affected by weight, age, fasting duration, operation duration, anesthesia duration, usage of iodoform, and level of pain (p < 0.01). Logistic regression showed that age, fasting duration, operation duration, and level of pain influenced the occurrence of EA (p < 0.05). Conclusions: Age, operation duration, fasting duration, and level of pain could predict the occurrence of EA among postoperative pediatric patients. Clinical Relevance: EA impacts the safety of post-surgery pediatric patients under general anesthesia significantly. Age, operation duration, fasting duration, and level of pain could predict the occurrence of EA among postoperative pediatric patients.