Predictors of perioperative respiratory adverse events among children with upper respiratory tract infection undergoing pediatric ambulatory ilioinguinal surgery:a prospective observational research  

作　　者：Anouar Jarraya Manel Kammoun Saloua Ammar Wiem Feki Kamel Kolsi 

机构地区：[1]The anesthesiology Department,Hedi Chaker University Hospital,University of Sfax,Sfax,Tunisia [2]Faculty of Medicine of Sfax,University of Sfax,Sfax,Tunisia,Faculty of Medicine of Sfax,University of Sfax,Sfax,Tunisia [3]Department of Pediatric Surgery,Hedi Chaker Hospital,Sfax,Tunisia,Faculty of Medicine of Sfax,University of Sfax,Sfax,Tunisia

出　　处：《World Journal of Pediatric Surgery》2023年第2期97-102,共6页世界小儿外科杂志（英文）

摘　　要：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.

关 键 词：SURGERY AMBULATORY RESPIRATORY 

分 类 号：R725.6[医药卫生—儿科]