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 Anouar Jarraya;Manel Kammoun;Saloua Ammar;Wiem Feki;Kamel Kolsi

作者机构：The anesthesiology DepartmentHedi Chaker University HospitalUniversity of SfaxSfaxTunisia Faculty of Medicine of SfaxUniversity of SfaxSfaxTunisiaFaculty of Medicine of SfaxUniversity of SfaxSfaxTunisia Department of Pediatric SurgeryHedi Chaker HospitalSfaxTunisiaFaculty of Medicine of SfaxUniversity of SfaxSfaxTunisia 

出 版 物：《World Journal of Pediatric Surgery》 (世界小儿外科杂志（英文）)

年 卷 期：2023年第6卷第2期

页      面：97-102页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

基　　金：Hedi Chaker University Hospital 

主　　题：surgery ambulatory respiratory 

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 *** 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 *** 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 *** anesthesia protocol was *** were divided into two groups according to the incidence of *** logistic regression was performed to assess predictors for *** In this observational study,216 children were *** 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 of10(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 *** smoking and previous comorbidities were the main predictors of PRAEs in our *** seems that children with severe URI should be postponed to receive surgery for more than 15 days.