Evaluation of Preoperative Risk Factors in Children

Preoperative Risk Factors for ICU Admission in Children

This study aimed to evaluate preoperative risk factors in pediatric patients and to determine their effectiveness in predicting intensive care unit admission within 72 hours. The study also aimed to better define the pediatric population and identify factors associated with perioperative risk.

Study Overview

• Status: Completed
• Conditions: Pediatric Surgical Patients

Detailed Description

The aim of this study was to evaluate preoperative risk factors and determine their effectiveness in predicting ICU admission after emergency or elective surgery in pediatric patients . To achieve this aim, data such as gender, age, height, weight, history of prematurity, post-conceptional week, ASA physical status (ASA-PS), comorbidites, history of previous anesthesia, type of surgery, tumor surgery, chemotherapy and radiotherapy history, surgical risk classification, and difficult airway were recorded.

• Study Type: Observational
• Enrollment (Actual): 326

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Istanbul, Fatih
    • Istanbul, Istanbul, Fatih, Turkey (Türkiye), 34098
      • Tuğba Yeşilyurt Doğu

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Pediatric patients (<18 years) undergoing elective or emergency surgery in the pediatric surgery operating room at Cerrahpasa Medical Faculty. Patients were evaluated preoperatively and followed for postoperative intensive care unit (PICU) admission.

Description

Inclusion Criteria:

• Pediatric patients (<18 years) undergoing elective or emergency surgery in the pediatric surgery operating room.

Exclusion Criteria:

• Patients admitted to the operating room directly from the intensive care unit.
• Patients with incomplete clinical data.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Postoperative PICU admission	Number of participants of Postoperative Pediatric Intensive Care Unit admission	postoperative follow-up ( in 72 hours)
Postoperative Pediatric Intensive Care Unit (PİCU) Admission	Number of participants requiring admission to the pediatric intensive care unit (PICU) within 72 hours after surgery. PICU admission was recorded as a binary outcome (yes/no).	Within 72 hours after surgery

Collaborators and Investigators

• Sponsor: Istanbul University - Cerrahpasa
• Investigators: Principal Investigator: Tugba Yesilyurt Dogu, MD, Istanbul University- Cerrahpaşa (IUC); Study Director: Pinar Kendigelen, MD, Istanbul University- Cerrahpaşa (IUC); Study Chair: Ayse Cigdem Tutuncu, MD, Istanbul University- Cerrahpaşa (IUC)

Study record dates

Study Major Dates

• Study Start (Actual): June 1, 2022
• Primary Completion (Actual): January 1, 2023
• Study Completion (Actual): January 4, 2023

Study Registration Dates

• First Submitted: May 1, 2023
• First Submitted That Met QC Criteria: May 1, 2023
• First Posted (Actual): May 10, 2023

Study Record Updates

• Last Update Posted (Actual): April 22, 2026
• Last Update Submitted That Met QC Criteria: April 17, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Keywords: pediatric surgery; pediatric anesthesia; perioperative risk; ASA Physical Status; preoperative risk assessment; ICU admission prediction
• Additional Relevant MeSH Terms: Pregnancy Complications; Obstetric Labor Complications; Obstetric Labor, Premature; Premature Birth
• Other Study ID Numbers: 144674

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED
• IPD Plan Description: Indıvidual participant data (IPD) sharing plans have not yet been determined.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No