Evidence map›Paper›PMID 35433300›Full record

ArticleWorld journal of clinical pediatrics2022

Pediatric Anesthesia Emergence Delirium Scale: A diagnostic meta-analysis.

Paul Swamidhas Sudhakar Russell, Priya Mary Mammen, Satya Raj Shankar, Shonima Aynipully Viswanathan, Grace Rebekah, Sushila Russell, Richa Earnest, Swetha Madhuri Chikkala

Open access · diamondAbstract read
In one paragraph

Article in World journal of clinical pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Paul Swamidhas Sudhakar RussellChild and Adolescent Psychiatry Unit, Christian Medical College, Vellore 632 002, Tamil Nadu, India. russell@cmcvellore.ac.in.
Priya Mary MammenChild and Adolescent Psychiatry Unit, Christian Medical College, Vellore 632 002, Tamil Nadu, India.
Satya Raj ShankarChild and Adolescent Psychiatry Unit, Christian Medical College, Vellore 632 002, Tamil Nadu, India.
Shonima Aynipully ViswanathanChild and Adolescent Psychiatry Unit, Christian Medical College, Vellore 632 002, Tamil Nadu, India.
Grace RebekahDepartment of Biostatistics, Christian Medical College, Vellore 632 002, Tamil Nadu, India.
Sushila RussellChild and Adolescent Psychiatry Unit, Christian Medical College, Vellore 632 002, Tamil Nadu, India.
Richa EarnestChild and Adolescent Psychiatry Unit, Christian Medical College, Vellore 632 002, Tamil Nadu, India.
Swetha Madhuri ChikkalaChild and Adolescent Psychiatry Unit, Christian Medical College, Vellore 632 002, Tamil Nadu, India.
Christian Medical College & Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergence delirium (EmD) is a troublesome motoric, emotional, and cognitive disturbance associated with morbidity. It is often misdiagnosed despite being present in a substantial proportion of children and adolescents during emergence from anesthesia.

aimTo evaluate the summary diagnostic accuracy of Pediatric Anesthesia Emergence Delirium Scale (PAEDS) for EmD among children and adolescents.

methodsTwo researchers electronically and hand searched the published literature from May 2004 to February 2021 that evaluated the diagnostic accuracy of PAEDS for EmD among children and adolescents, using appropriate terms. Two independent researchers extracted the diagnostic parameters and appraised the study quality with QUADAS-2. Overall, the diagnostic accuracy of the measures was calculated with the summary receiver operating characteristic curve (SROC), the summary sensitivity and specificity, and diagnostic odds ratio (DOR) for EmD. Various diagnostic cut-off points were evaluated for their diagnostic accuracy. Heterogeneity was analyzed by meta-regression.

resultsNine diagnostic accuracy studies of EmD that conformed to our selection criteria and PRISMA guidelines were included in the final analysis. There was no publication bias. The area under the SROC was 0.97 (95% confidence interval [CI]: 95%-98%). Summary sensitivity and specificity were 0.91 (95%CI: 0.81-0.96;

conclusionThe PAEDS is an accurate diagnostic measure for the diagnosis of EmD among children and adolescents. Further studies should document its clinical utility.

Indexed as

AnesthesiaChildrenDiagnostic accuracyEmergence deliriumMeasureMeta-analysis

Identifiers

PMID35433300
PMCPMC8985492
OpenAlexW4220925461

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.