Association of Preoperative Inflammatory Markers With Preoperative Anxiety and Emergence Agitation in Children - Report - MDSpire
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Link Between Preoperative Inflammatory Biomarkers, Anxiety Levels, and Emergence Agitation in Pediatric Patients

  • By

  • Nezahat Merve Ata Soylu

  • Zehra Hatipoglu

  • Ersel Gulec

  • Mediha Turktan

  • Nurefsan Sadıkoglu

  • Yusuf Kemal Arslan

  • Dilek Ozcengiz

  • June 18, 2026

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Clinical Report: Link Between Preoperative Inflammatory Biomarkers, Anxiety Levels, and Emergence Agitation in Pediatric Patients

Overview

This study investigates the association between preoperative inflammatory biomarkers and emergence agitation (EA) in pediatric patients, alongside the relationship between these biomarkers and preoperative anxiety.

Background

Preoperative anxiety is prevalent in pediatric patients and is linked to emergence agitation, which can affect children post-anesthesia. Understanding the relationship between inflammatory markers and these conditions may provide insights into managing perioperative care in children.

Data Highlights

No numerical data or trial data provided in the source material.

Key Findings

  • Preoperative anxiety is a significant risk factor for emergence agitation in pediatric patients.
  • Emergence agitation manifests within 30 minutes after anesthesia and typically resolves within 5-15 minutes.
  • Neuroinflammatory mediators may link preoperative anxiety to postoperative neurocognitive dysfunction.
  • Inflammatory markers such as neutrophil-to-lymphocyte ratio (NLR) and systemic immune-inflammation index (SII) may serve as indicators of neuroinflammatory risk.
  • There is limited research on the relationship between inflammatory markers and emergence agitation in children.

Clinical Implications

Clinicians should consider assessing preoperative anxiety levels in pediatric patients as a potential risk factor for emergence agitation.

Conclusion

The study highlights the need for further research into the role of inflammatory biomarkers in pediatric preoperative anxiety and emergence agitation.

Related Resources & Content

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  7. https://oss.jocpd.com/files/article/20251231-594/pdf/JOCPD2025022801.pdf
  8. Effectiveness of parental presence during induction of anaesthesia in managing perioperative anxiety in children: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials - PubMed

Original Source(s)

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