Effects of Preoperative Child and Parental Anxiety on Emergence Agitation

NCT07486427 | Completed

• 1 other identifier: EA140324
• Study Type: observational
• Target: 99
• Locations: 1 country
• Sites: 1

Brief Summary

Investigation of the effect of preoperative parental anxiety and sociodemographic characteristics on emergence agitation in patients undergoing pediatric adenotonsil surgery

Conditions

Emergence Agitation

Keywords

emergence agitation; parental anxiety; sociodemographic characteristics

Outcome Measures

Primary Outcomes (1)

• Incidence and severity of emergence agitation

  The incidence and severity of emergence agitation (EA) were evaluated in the postoperative recovery room using the Watcha Behavior Scale (WBS). The Watcha Behavior Scale is a four-point scale used to assess the severity of emergence agitation in pediatric patients after anesthesia: (1) calm and cooperative; (2) mild restlessness but easily consoled; (3) agitated and inconsolable; and (4) severely agitated, thrashing, or combative.

  From 1 to 30 minutes after extubation

Secondary Outcomes (3)

• Parental preoperative anxiety

  during the preoperative day and the day of surgery

• Preoperative anxiety in children

  During the day of surgery

• Postoperative pain

  During the first 30 minutes in the post-anesthesia care unit (PACU)

Study Arms (1)

observational

No intervention - cross sectional analysis

Other: No intervention - observational study

Interventions

No intervention - observational study OTHER

no group

observational

Eligibility Criteria

• Age: 3 Years - 7 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

Pediatric patients aged 3-7 years who underwent adenotonsil surgery in the ear, nose, throat (ENT) operating room of Ondokuz Mayıs University Hospital and their parents

You may qualify if:

• Patients aged 3-7 years who will undergo adenoidectomy, adenotonsillectomy or tonsillectomy surgery and their parents
• Patients with ASA (American Society of Anesthesiologists) physical status I/II

You may not qualify if:

• Patients with ASA score III and above
• Conditions that prevent communication with the patient or parent (mental retardation, disability etc.)
• Patients in whom routinely scheduled anesthetic and analgesic drugs cannot be administered due to allergy or contraindication
• Patients who have previously received anesthesia or entered the operating room for a surgical procedure

Sponsors & Collaborators

• Ondokuz Mayıs University: lead

Study Sites (1)

Ondokuz Mayis University

Samsun, 55139, Turkey (Türkiye)

Location

Related Publications (5)

• Kain ZN, Caldwell-Andrews AA, Maranets I, McClain B, Gaal D, Mayes LC, Feng R, Zhang H. Preoperative anxiety and emergence delirium and postoperative maladaptive behaviors. Anesth Analg. 2004 Dec;99(6):1648-1654. doi: 10.1213/01.ANE.0000136471.36680.97.

  PMID: 15562048 RESULT

• Ali AB, Khan F. Emergence Delirium and Its Association with Preoperative Anxiety in Paediatric Patients Undergoing Infra Umbilical Surgery Under Combined General and Caudal Anaesthesia: An Observational Study from a Tertiary Care Centre in a South Asian Country. Turk J Anaesthesiol Reanim. 2022 Apr;50(2):129-134. doi: 10.5152/TJAR.2021.1104.

  PMID: 35544252 RESULT

• Alves CS, Dias J, Azevedo S, Sousa F, Santos M, Lino J, Meireles L. Keep Calm: Does parental preoperative anxiety affect post-tonsillectomy pain scores in children? Eur Arch Otorhinolaryngol. 2024 Aug;281(8):4385-4392. doi: 10.1007/s00405-024-08683-0. Epub 2024 May 13.

  PMID: 38739185 RESULT

• Kain ZN, Mayes LC, Caldwell-Andrews AA, Karas DE, McClain BC. Preoperative anxiety, postoperative pain, and behavioral recovery in young children undergoing surgery. Pediatrics. 2006 Aug;118(2):651-8. doi: 10.1542/peds.2005-2920.

  PMID: 16882820 RESULT

• Yu H, Sun X, Li P, Deng X. Prevalence and risk factors of emergence agitation among pediatric patients undergo ophthalmic and ENT Surgery: a cross-sectional study. BMC Pediatr. 2023 Nov 24;23(1):598. doi: 10.1186/s12887-023-04434-y.

  PMID: 37996779 RESULT

Related Links

• The Association between Preoperative Parental Anxiety and Emergence Agitation in Preschoolers, 2017, Erkılıc, E. , Kesimci, E. , Doger, C. , Gumus, T. and Kanbak, O. , Open Journal of Epidemiology, 7, 18-26

MeSH Terms

Conditions

Emergence Delirium

Condition Hierarchy (Ancestors)

Delirium; Confusion; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Neurocognitive Disorders; Mental Disorders

Study Officials

• Dilek Gemici, Specialist physician

  Ondokuz Mayıs University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: November 17, 2025
• First Posted: March 20, 2026
• Study Start: March 1, 2024
• Primary Completion: October 31, 2024
• Study Completion: February 15, 2025
• Last Updated: March 20, 2026

Record last verified: 2026-03

Locations

TU (1)