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Feature Analysis for Evaluating the Risk of Postoperative Delirium in Pediatric Patients
Andrzej Czyrski1, Jowita Rosada-Kurasińska2, Weronika Ziętkiewicz3
1Poznan University of Medical Sciences, Department of Physical Pharmacy and Pharmacokinetics, Rokietnicka 3 Street, 60-806 Poznań, Poland.
Journal of Clinical Medicine
|March 14, 2026
Summary
Postoperative delirium in children is common after general anesthesia, affecting up to 60% of patients. Chronic disease and pain are key risk factors, impacting behavior post-discharge.
Area of Science:
- Pediatric Anesthesiology
- Intensive Care Medicine
- Neuroscience
Background:
- Postoperative delirium is a frequent complication in pediatric patients undergoing general anesthesia.
- Symptoms include disturbances in consciousness, attention, perception, and disorientation.
- The Confusion Assessment Protocol for the Demented (CAPD) and Pediatric Anesthesia Emergence Delirium (PAED) scales assess delirium occurrence.
Purpose of the Study:
- To evaluate the incidence and risk factors of postoperative delirium in pediatric patients.
- To assess the correlation between the CAPD and PAED scales in this population.
- To identify factors associated with delirium development and its impact on behavior.
Main Methods:
- A single-center observational cohort study included 89 pediatric patients.
- Delirium was assessed post-anesthesia using the CAPD and PAED scales.
- Correlation and feature analyses were performed to identify risk factors and scale relationships.
Main Results:
- Delirium incidence was 60% (CAPD) and 39% (PAED), with 21% positive on both scales.
- A strong correlation was found between the CAPD and PAED scales.
- Chronic disease and postoperative pain were identified as significant risk factors for delirium.
Conclusions:
- The CAPD and PAED scales show a significant positive correlation in assessing pediatric postoperative delirium.
- Chronic diseases are associated with an increased risk of delirium.
- Postoperative delirium is linked to negative behavioral changes in children within seven days of discharge.
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