Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Mar 21;6(2):e000524.
doi: 10.1136/wjps-2022-000524. eCollection 2023.

Predictors of perioperative respiratory adverse events among children with upper respiratory tract infection undergoing pediatric ambulatory ilioinguinal surgery: a prospective observational research

Anouar Jarraya  1   2 , Manel Kammoun  1   2 , Saloua Ammar  2   3 , Wiem Feki  2 , Kamel Kolsi  1   2
Affiliations

Predictors of perioperative respiratory adverse events among children with upper respiratory tract infection undergoing pediatric ambulatory ilioinguinal surgery: a prospective observational research

Anouar Jarraya et al. World J Pediatr Surg. .

Abstract

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 score. The 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 PRAEs.

Methods: 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 surgery. The anesthesia protocol was standardized. Patients were divided into two groups according to the incidence of PRAEs. Multivariate logistic regression was performed to assess predictors for PRAEs.

Results: In this observational study, 216 children were included. The 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 of >10 (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 PRAEs. Passive smoking and previous comorbidities were the main predictors of PRAEs in our population. It seems that children with severe URI should be postponed to receive surgery for more than 15 days.

Keywords: anesthetics; infectious disease medicine; patient outcome assessment; pulmonary medicine.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Patients’ selection and study groups. URI, upper respiratory tract infection.
See this image and copyright information in PMC

References

    1. Becke K. Anesthesia in children with a cold. Curr Opin Anaesthesiol 2012;25:333–9. 10.1097/ACO.0b013e3283534e80 - DOI - PubMed
    1. Dadure C, Sabourdin N, Veyckemans F, et al. Management of the child’s airway under anaesthesia: the French guidelines. Anaesth Crit Care Pain Med 2019;38:681–93. 10.1016/j.accpm.2019.02.004 - DOI - PubMed
    1. Lee LK, Bernardo MKL, Grogan TR, et al. Perioperative respiratory adverse event risk assessment in children with upper respiratory tract infection: validation of the colds score. Paediatr Anaesth 2018;28:1007–14. 10.1111/pan.13491 - DOI - PubMed
    1. Fisman EZ, Shapira I, Motro M, et al. The combined cough frequency/severity scoring: a new approach to cough evaluation in clinical settings. J Med 2001;32:181–7. - PubMed
    1. White PF, Song D. New criteria for fast-tracking after outpatient anesthesia: a comparison with the modified aldrete’s scoring system. Anesth Analg 1999;88:1069–72. 10.1097/00000539-199905000-00018 - DOI - PubMed

LinkOut - more resources