Observational study of perioperative behavior changes in children having teeth extracted under general anesthesia

Beringer, Richard; Segar, Philip; Pearson, Annabel; Greamspet, Mala; Kilpatrick, Nicky

doi:10.1111/pan.12362

Cited by 55 publications

(64 citation statements)

References 26 publications

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“…Behavioral changes after surgical anesthesia are not consistent across studies that vary in the nature of surgery or the country in which they were performed. Compared with studies from the United Kingdom using the same threshold as ours for behavioral changes, the incidence of NPOBCs in our study was higher . These studies enrolled children who had teeth extraction or other day case surgeries.…”

Section: Discussionmentioning

confidence: 74%

“…Postoperative behavioral changes were dichotomized as NPOBCs (score ≥ 1) and no NPOBCs (score ≤ 0). Furthermore, we identified PHBQ scores ≥7 as a significant deterioration in behavior …”

Section: Methodsmentioning

confidence: 98%

“…In our study, we used the translated version of the PHBQ, which has been widely used in research . We scored the PHBQ using two methods . First, each item of the PHBQ was rated on a five‐point Likert scale (1 = much less, 2 = less, 3 = unchanged, 4 = more, and 5 = much more).…”

Section: Methodsmentioning

confidence: 99%

“…Hypospadias is a common congenital defect with dislocation of the urethral opening. Because of limited medical resources in China, children with hypospadias come to our hospital from all over the country.…”

Section: Introductionmentioning

confidence: 99%

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Postoperative behavioral changes in Chinese children undergoing hypospadias repair surgery: A prospective cohort study

Luo

Zuo

Liu

et al. 2018

Pediatric Anesthesia

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Summary Background The perioperative period can be psychologically challenging, and children may exhibit behavioral changes following surgical anesthesia. It is unknown whether children in China have additional risk factors associated with negative behavioral changes. Objectives The aim of this study was to investigate the incidence of behavioral changes in children after hypospadias repair surgery and to identify potential risk factors associated with negative behavioral changes. Methods A prospective cohort of 177 children aged 2‐12 years scheduled for hypospadias repair surgery from 2016 to 2017 was studied. The primary outcome was the incidence of behavioral changes on postoperative days 14 and 30 evaluated with the Post‐Hospitalization Behavioral Questionnaire. Data collected included demographic data, anesthesia details, procedure details, admission details, child anxiety, child temperament, pain, and emergence delirium. Multivariable logistic regression was used to identify risk factors associated with postoperative negative behavioral changes. Results A total of 60.5% (107/177) of children exhibited negative postoperative behavioral changes on day 14 and 46.5% (79/170) exhibited changes on day 30 after the surgery. Approximately 2.3% (4/177) and 2.4% (4/170) of children showed improved behavior on postoperative days 14 and 30, respectively. The frequency of temper tantrums changed the most. The logistic regression results suggested that a younger age (odds ratio: 0.86; 95% confidence interval 0.76‐0.96), emotional temperament (odds ratio: 1.1; 95% confidence interval 1.0‐1.2) and maternal education (odds ratio: 2.2; 95% confidence interval 1.1‐4.5) were associated with negative postoperative behavioral changes on day 14. On day 30, a younger age (odds ratio: 0.87; 95% confidence interval 0.77 to 0.98) was the only factor associated with negative postoperative behavioral changes. Conclusion For children undergoing hypospadias repair surgery in our institution, approximately three in five showed postoperative behavioral changes. In addition to a younger age and a higher maternal education, an emotional temperament is associated with a high incidence of negative postoperative behavioral changes.

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Section: Discussionmentioning

confidence: 74%

Section: Methodsmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Postoperative behavioral changes in Chinese children undergoing hypospadias repair surgery: A prospective cohort study

Luo

Zuo

Liu

et al. 2018

Pediatric Anesthesia

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“…1 Hastaların diş tedavileri sırasında şiddetli kaygı ve korku duymaları lokal anestezi altında gerçekleştirilebilecek tedavi işlemlerini güçleştirmekte ve ek anestezi yöntemleri gerektirmektedir. [2][3][4] Öte yandan mental motor retardasyon gibi iletişim engelleri veya eşlik eden sistemik hastalıkların varlığı da dental tedaviler sırasında anestezi uygulanmasını zorunlu hale getirmektedir. Genel anesteziye kıyasla, kooperasyon ve fizyolojik reflekslerin korunduğu daha hızlı derlenme sağlayarak operasyon odasının verimliliğini, hasta konforunu, memnuniyetini ve işlemin güvenliğini arttıran sedoanaljezi [5][6][7] , kısa süreli günübirlik anestezi gerektiren minör cerrahi girişimlerde sıklıkla tercih edilir hale gelmiştir.…”

unclassified

Sedoanaljezi altında minör dental cerrahi girişimlerde anestezi deneyimlerimiz

Arpacı¹,

Bozkurt²

2015

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Purpose: The majority of dental practice is implemented under local anesthesia and do not require monitorization. However it is crucial to monitor the patient and apply the appropriate treatment when dental care is accompanied by health problems. In this study our goal is to present and evaluate the data obtained by Monitored Anesthesia Care (MAC) of patients who couldn't be administered local anesthesia, instead been applied sedoanalgesia. Material and Method: Data of 621 patients between the age of 1-75 years who administered to the operating room of Ankara University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery during one year for minor surgery attempts (tooth extraction) were examined. Intraoperative and postoperative side effects as well as parameters recorded on the anesthesia forms were evaluated. Results: As result of evaluations; in all patients aged between 1-75, minor surgery attempts (tooth extraction) were carried out under MAC which Observer Assessment of the Alertness/Sedation Scale (OAA/S): 3 level was aimed. Intraoperatively rashes occurred in %4, nausea was observed in %3.2 of all patients. Postoperatively nausea was observed in %6.4, vomitus was seen in %7.2 of all patients. No other side effects or complications were observed. Conclusion:When OAA/S:3 level is achieved in MAC with intravenous anesthetics, minor surgery attempts (tooth extractions) can be trustfully carried out.

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Verhaltensauffälligkeiten von Kindern und Jugendlichen nach Narkose

et al. 2014

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With the German translation of the PHBQ presented here an instrument is available to detect negative behavioral changes after anesthesia in children among German speaking populations. The translation is comparable to the English version with minor differences concerning its factorial structure, which may be due to the predominant role of anxiety in all items. Like the original, this questionnaire does not per se discriminate between anesthesia and hospitalization induced behavioral changes. However, the German translation of the PHBQ is a questionnaire that is feasible for clinical routine and scientific settings and can be easily and quickly completed by caregivers.

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Observational study of perioperative behavior changes in children having teeth extracted under general anesthesia

Abstract: Perioperative behavioral disturbance is common in children undergoing anesthesia. Predicting which children are at increased risk may allow us to adapt the management of these children in order to minimize adverse behavior changes.

Cited by 55 publications

References 26 publications

Postoperative behavioral changes in Chinese children undergoing hypospadias repair surgery: A prospective cohort study

Postoperative behavioral changes in Chinese children undergoing hypospadias repair surgery: A prospective cohort study

Sedoanaljezi altında minör dental cerrahi girişimlerde anestezi deneyimlerimiz

Verhaltensauffälligkeiten von Kindern und Jugendlichen nach Narkose

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