Related Experiment Video

Updated: Apr 28, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

9.8K

The Relationship Between Socioeconomic Status and Emergence Delirium: A Retrospective Cohort Study

Katie Burns1, Shauna Rakshe2, Shangyuan Ye2

  • 1Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, USA.

Paediatric Anaesthesia
|April 27, 2026
PubMed

Insights

Children from lower socioeconomic backgrounds face a higher risk of emergence delirium (ED) after outpatient procedures. This study is the first to link socioeconomic status to ED in pediatric patients, highlighting a critical area for future research and intervention.

Area of Science:

  • Pediatric Anesthesiology
  • Health Services Research
  • Socioeconomic Determinants of Health

Background:

  • Emergence delirium (ED) is a common post-anesthesia complication in children, presenting as agitation or hypoactive states.
  • While socioeconomic status (SES) is linked to chronic stress and health outcomes, its impact on ED in pediatric populations remains unexplored.

Purpose of the Study:

  • To investigate the association between socioeconomic status and the incidence of emergence delirium in pediatric patients undergoing outpatient procedures.
  • To identify potential disparities in anesthesia-related complications based on socioeconomic factors.

Main Methods:

  • Analysis of pediatric patients undergoing venting myringotomy, intestinal endoscopy, or dermatologic laser surgery at a tertiary care center.
  • Utilized the Pediatric Anesthesia Emergence Delirium (PAED) scale and Area Deprivation Index (ADI) to assess ED and socioeconomic status, respectively.
  • Employed logistic regression to determine the relationship between ADI categories and the probability of ED, adjusting for age and pain scores.

Main Results:

  • Pediatric patients in the highest ADI group (lowest SES) exhibited a significantly increased probability of experiencing emergence delirium.
  • This association remained significant after adjusting for confounding variables such as age and postoperative pain.

Conclusions:

  • Children from lower socioeconomic backgrounds are disproportionately affected by emergence delirium.
  • This study establishes the first evidence linking socioeconomic status to ED in pediatric anesthesia.
  • Further research is warranted to develop targeted interventions and explore SES associations with other anesthesia complications.
Abstract

Keywords:
emergence deliriumpediatric anesthesiasocial classsocial determinants of health

More Related Videos

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis05:52

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis

Published on: November 21, 2013

13.6K
Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression04:33

Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression

Published on: April 26, 2024

1.8K

Related Concept Videos

Psychological and Sociocultural Causes of Schizophrenia01:29

Psychological and Sociocultural Causes of Schizophrenia

Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
969
Alzheimer Disease l: Introduction01:29

Alzheimer Disease l: Introduction

Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
20
Close Relationships and Culture01:29

Close Relationships and Culture

Culture shapes how people approach attraction, choose partners, and build long-term relationships. While some preferences in mate selection appear consistent across cultures, such as men valuing physical attractiveness and women emphasizing financial resources, cultural contexts influence how these preferences are expressed and prioritized. Marriage extends beyond romantic ideals in many societies and is deeply embedded in social, economic, and religious frameworks.The Role of Culture in Mate...
382
Intellectual Disability01:29

Intellectual Disability

Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
1.1K
Dementia l: Introduction01:22

Dementia l: Introduction

Dementia is an acquired, progressive syndrome characterized by a decline in multiple cognitive domains severe enough to impair daily functioning and reduce independence. Although memory loss is a central feature, the diagnosis requires additional deficits involving language, executive function, visuospatial skills, judgment, calculation, or abstract reasoning. These cognitive impairments reflect underlying neurodegenerative or vascular processes that gradually disrupt neuronal networks...
31
Factors Affecting Illness01:18

Factors Affecting Illness

When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
5.4K