Effect of Daily Screen Time on Postoperative Emergence Delirium in Children Aged 2-11 Years

NCT07552896 | Not Yet Recruiting

• 1 other identifier: screen time and agitation
• Study Type: observational
• Target: 288
• Locations: 1 country
• Sites: 1

Brief Summary

This prospective observational study aims to evaluate the association between daily screen exposure duration and postoperative emergence delirium in children aged 2 to 11 years undergoing elective lower abdominal surgery. Daily screen time will be assessed using a parent-reported questionnaire administered preoperatively. Postoperative emergence delirium will be evaluated using the Pediatric Anesthesia Emergence Delirium (PAED) scale at 5, 10, 15, and 30 minutes after surgery. The primary outcome is the association between daily screen time and PAED score within the first 30 minutes postoperatively. Secondary outcomes include the associations between PAED score and age at first screen exposure, type of viewed content, parental screen use, passive screen exposure, and the presence of a screen in the child's bedroom. The study is designed to improve understanding of whether screen-related environmental factors are associated with postoperative behavioral recovery in pediatric surgical patients.

Conditions

Agitation; Postoperative Agitation

Outcome Measures

Primary Outcomes (1)

• Association Between Daily Screen Time and PAED Score

  Correlation between daily screen exposure duration (continuous variable) and PAED score.

  Within the first 30 minutes after emergence from anesthesia

Secondary Outcomes (5)

• Age at First Screen Exposure and Emergence Delirium

  Within the first 30 minutes postoperatively

• Influence of Sociodemographic Factors on Emergence Delirium

  Within the first 30 minutes postoperatively

• Type of Screen Content and Emergence Delirium

  Within the first 30 minutes postoperatively

• Parental Screen Use and Emergence Delirium

  Within the first 30 minutes postoperatively

• Passive Screen Exposure and Emergence Delirium

  Within the first 30 minutes postoperatively

Study Arms (2)

Low Screen Exposure (<2 Hours/Day)

Children aged 2-11 years undergoing elective lower abdominal surgery with daily screen exposure of less than 2 hours, as reported by parents. Postoperative emergence delirium will be assessed using the PAED score.

Diagnostic Test: Daily Screen Exposure Duration

High Screen Exposure (>2 Hours/Day)

Children aged 2-11 years undergoing elective lower abdominal surgery with daily screen exposure of more than 2 hours, as reported by parents. Postoperative emergence delirium will be assessed using the PAED score.

Diagnostic Test: Daily Screen Exposure Duration

Interventions

Daily Screen Exposure Duration DIAGNOSTIC_TEST

This is a non-interventional observational study. The exposure of interest is the daily screen time duration of children aged 2-11 years, as reported by parents. Participants are categorized into two groups based on screen exposure (\<2 hours/day and \>2 hours/day). No active intervention is applied.

High Screen Exposure (>2 Hours/Day); Low Screen Exposure (<2 Hours/Day)

Eligibility Criteria

• Age: 2 Years - 11 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

The study population consists of children aged 2-11 years undergoing elective lower abdominal surgery, including inguinal hernia repair, orchiopexy for undescended testis, and circumcision, at a tertiary care hospital. Participants are classified according to daily screen exposure duration based on parent-reported data. Only patients meeting the inclusion criteria and whose parents provide written informed consent will be enrolled. Children with developmental, neurological, or psychiatric disorders, or those receiving premedication, will be excluded to ensure reliable behavioral assessment using the PAED scale.

You may qualify if:

• Children aged 2 to 11 years
• Scheduled for elective lower abdominal surgery
• Planned procedures include inguinal hernia repair, orchiopexy for undescended testis, or circumcision
• American Society of Anesthesiologists (ASA) physical status I-II
• Parent or legal guardian able to provide written informed consent
• Parent or legal guardian able to complete the study questionnaire

You may not qualify if:

• Planned or administered premedication before surgery
• Emergency surgery
• Reoperation
• Developmental delay, neurodevelopmental disorder, or known psychiatric disease
• Visual or hearing impairment that may interfere with behavioral assessment
• Current use of sedative, antipsychotic, or antiepileptic medication
• Anticipated postoperative intensive care unit requirement
• Incomplete or unreliable parent-reported questionnaire data

Sponsors & Collaborators

• Kanuni Sultan Suleyman Training and Research Hospital: lead

Study Sites (1)

Health Science University İstanbul Kanuni Sultan Süleyman Education and Training Hospital

Istanbul, Istanbul, 34303, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Psychomotor Agitation

Condition Hierarchy (Ancestors)

Dyskinesias; Neurologic Manifestations; Nervous System Diseases; Psychomotor Disorders; Neurobehavioral Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Aberrant Motor Behavior in Dementia; Behavioral Symptoms; Behavior

Central Study Contacts

Engin ihsan Turan, principal investigator

CONTACT

+905382431114; enginihsan@hotmail.com

Study Design

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

Study Record Dates

• First Submitted: April 20, 2026
• First Posted: April 27, 2026
• Study Start: May 1, 2026
• Primary Completion (Estimated): May 1, 2027
• Study Completion (Estimated): May 2, 2027
• Last Updated: April 27, 2026

Record last verified: 2026-04

Locations

TU (1)