ArticleFrontiers in pediatrics2026
A nomogram for predicting emergence agitation after laparoscopic high ligation of the hernia sac in children.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Emergence agitation (EA) is a frequent recovery complication in children and may compromise postoperative safety. This study aimed to develop and internally validate an exploratory model for predicting Pediatric Anesthesia Emergence Delirium (PAED)-defined EA after laparoscopic high ligation of the hernia sac. Methods: This single-center retrospective prediction-model study screened 342 consecutive procedures performed from January 2022 to December 2024. Complete-case analysis included 287 children. The prediction time was immediately before planned tracheal extubation and before the first PAED assessment. After review of the original data-driven selection results, a Results: PAED-defined EA occurred in 93 children (32.4%). Increasing age was associated with lower odds of EA, whereas baseline preoperative anxiety was associated with higher odds; sedative premedication and intraoperative regional block were associated with lower odds. The model showed an apparent area under the receiver operating characteristic curve of 0.768 (95% confidence interval, 0.710-0.826) and an optimism-corrected value of 0.755. The optimism-corrected calibration slope and intercept were 0.943 and -0.028, respectively, and the corrected Brier score was 0.185. Conclusions: The
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