Incidence and Associated Factors of Emergence Delirium in Pediatric Patients Undergoing ENT Surgery at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia 2024 G.C
| dc.contributor.advisor | Ayele Blen | |
| dc.contributor.advisor | Indris Semira | |
| dc.contributor.author | Beshah Hanna | |
| dc.date.accessioned | 2025-08-13T07:35:39Z | |
| dc.date.available | 2025-08-13T07:35:39Z | |
| dc.date.issued | 2024-05 | |
| dc.description.abstract | Background:Pediatric emergence delirium is a common phenomenon that occurs in children undergoing surgery under GA and is characterized by a brief period of disorientation, agitation and confusion upon waking up from anesthesia. Its duration is variable but is often self-limiting and typically resolves quickly but it can be distressing for both the child and their parents or caregivers as ED might be associated with severe adverse events, which might end up in the unintentional physical injury to the patient or personnel leading to prolongation of hospital stay and increased parental anxiety and dissatisfaction with perioperative care.This study aims to contribute to the current knowledge on ED in pediatrics undergoing ENT surgery, address knowledge gaps in its incidence and assess risk factors associated with it. Objective:To assess the incidence and associated factors of emergence delirium in pediatric patients undergoing ENT surgery under general anesthesia in TASH, Addis Abeba, Ethiopia. Method:An institutional-based prospective cross-sectional study was conducted from September 2023 to April 2024 G.C at TASH. During the study period 88 pediatric patients between the ages of 2 and 12 years, who have undergone elective ENT surgical procedures in the major OR were included in the study. Data was collected using a structured questionnaire by anesthetists and anesthesiology residents in the major OR and PACU. PAED scale was used to assess for ED and a PAED scale of 12 or more was taken as PED. Binary logistic regression analysis was performed to determine predictors of postoperative delirium in pediatric patients undergoing ENT surgery under general anesthesia. Results:The incidence of Pediatric emergence delirium in this study was 21.6%. Age (toddlers and preschoolers) (p-value 0.039, AOR=4.831; 95% CI:1.08,21.62), maladaptive behavior (p-value 0.003, AOR=12.16; 95% CI:2.278,64.91), premedication (p-value 0.043, AOR=0.11; 95% CI:0.013,0.928) and moderate to severe postoperative pain (p-value 0.005, AOR=11.05; 95% CI:2.058,59.34) were significantly associated with postoperative ED following ENT surgery. Conclusion:The incidence of ED in pediatric patients undergoing ENT surgery in TASH was found to be 21.6%. This study also highlights several factors emerging as significant predictors of ED with toddler and preschooler age group, preoperative maladaptive behaviors, lack of premedication and moderate to severe postoperative pain being highly associated with developing postoperative PED. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/6604 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Delirium | |
| dc.subject | Pediatric Patients | |
| dc.subject | ENT surgery | |
| dc.title | Incidence and Associated Factors of Emergence Delirium in Pediatric Patients Undergoing ENT Surgery at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia 2024 G.C | |
| dc.type | Thesis |