儿科出现妄想的危险因素:系统性审查
Kazuyoshi Aoyama1,2,3,4, Machiko Furuta5, Lieven Ameye6
1Department of Anesthesia and Pain Medicine, The Hospital for Sick Children (SickKids), Toronto, ON, Canada. kazu.aoyama@utoronto.ca.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
|February 26, 2025
概括
在麻醉后,儿童出现痴呆症 (ED) 是常见的. 这次审查确定了年轻的年龄,兴奋的诱导,和sevoflurane作为儿科ED的关键风险因素.
科学领域:
- 麻醉学 麻醉学
- 儿科医学 儿科医学
- 关键的护理关键的护理
背景情况:
- 出现妄想 (ED) 影响大约25%的儿科患者在麻醉后.
- ED与患者和工作人员受伤有关,突出显示了对预测工具的需求.
- 目前对于儿科ED的风险预测模型缺乏可用性.
研究的目的:
- 系统地审查和识别已公布的儿科突发 Delirium 的风险因素.
- 解决儿童ED风险预测模型缺乏可用性的问题.
主要方法:
- 在2023年1月11日之前对潜在的观察性研究和临床试验进行系统的文献搜索.
- 包括对接受全身麻醉的儿科患者 (<18岁) 的研究,测量ED的手术前/手术内风险因素.
- 风险因素的定性评估与证据水平 (强烈,中等,不确定的,缺乏证据) 的综合评估.
主要成果:
- 分析了31项涉及6068名患者的研究,中位数ED发病率为32%.
- 强有力的证据确定年轻的年龄和兴奋/兴奋的诱导行为是危险因素.
- 适度的证据将塞沃兰使用与儿科ED的风险增加联系在一起.
结论:
- 尽管在量化综合方面存在局限性,但本次审查在质量上确定了儿科ED的三个重要风险因素.
- 年轻的年龄,兴奋的诱导和黄是有充分证据的危险因素.
- 进一步的研究可能将重点放在开发基于这些发现的可用风险预测模型上.
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