Evidence map›Paper›PMID 39087110›Full record

ArticleWorld journal of gastrointestinal surgery2024

Influencing factors and risk prediction model for emergence agitation after general anesthesia for primary liver cancer.

Shu-Shu Song, Li Lin, Li Li, Xiao-Dong Han

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Article in World journal of gastrointestinal surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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2citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Shu-Shu SongDepartment of Anesthesia and Surgery, Wenzhou Central Hospital, Wenzhou 325099, Zhejiang Province, China.
Li LinDepartment of Anesthesia and Surgery, Wenzhou Central Hospital, Wenzhou 325099, Zhejiang Province, China.
Li LiDepartment of Anesthesia and Surgery, Wenzhou Central Hospital, Wenzhou 325099, Zhejiang Province, China.
Xiao-Dong HanDepartment of Anesthesia and Surgery, Wenzhou Central Hospital, Wenzhou 325099, Zhejiang Province, China. hxd1980115@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral anesthesia is commonly used in the surgical management of gastrointestinal tumors; however, it can lead to emergence agitation (EA). EA is a common complication associated with general anesthesia, often characterized by behaviors, such as crying, struggling, and involuntary limb movements in patients. If treatment is delayed, there is a risk of incision cracking and bleeding, which can significantly affect surgical outcomes. Therefore, having a proper understanding of the factors influencing the occurrence of EA and implementing early preventive measures may reduce the incidence of agitation during the recovery phase from general anesthesia, which is beneficial for improving patient prognosis.

aimTo analyze influencing factors and develop a risk prediction model for EA occurrence following general anesthesia for primary liver cancer.

methodsRetrospective analysis of clinical data from 200 patients who underwent hepatoma resection under general anesthesia at Wenzhou Central Hospital (January 2020 to December 2023) was conducted. Post-surgery, the Richmond Agitation-Sedation Scale was used to evaluate EA presence, noting EA incidence after general anesthesia. Patients were categorized by EA presence postoperatively, and the influencing factors were analyzed using logistic regression. A nomogram-based risk prediction model was constructed and evaluated for differentiation and fit using receiver operating characteristics and calibration curves.

resultsEA occurred in 51 (25.5%) patients. Multivariate analysis identified advanced age, American Society of Anesthesiologists (ASA) grade III, indwelling catheter use, and postoperative pain as risk factors for EA (

conclusionAge, ASA grade, catheter use, postoperative pain, and analgesia significantly influence EA occurrence. A nomogram constructed using these factors demonstrates strong predictive accuracy.

Indexed as

Emergence agitationForecastGeneral anesthesiaNomographPrimary hepatocellular carcinoma resectionRisk factors

Identifiers

PMID39087110
PMCPMC11287673

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