Predictors of Postoperative pharyngeal complaints in children undergoing surgery under general anesthesia at Hawassa university comprehensive specialized hospital, a prospective observational study

Abstract

Background Postoperative pharyngeal complaints are common but minor complications following surgery and are commonly reported during postoperative visits. These complaints includes sore throat, dysphagia, and hoarseness, which can significantly impact a child's comfort, overall well-being and satisfaction after surgery. Identifying and understanding the predictors of these postoperative pharyngeal complaints is crucial to improve the overall outcomes in children undergoing surgery. This study aimed to assess the predictors of postoperative pharyngeal complaints in children undergoing surgery under general anesthesia. Methods A prospective observational study was conducted among children aged 6 to 16 years who underwent emergency and elective surgical procedures under general anesthesia. The data was entered and analyzed using SPSS version 26 software packages. Univariate and multivariate analyses were performed to investigate the independent predictors of postoperative pharyngeal complaint. The postoperative pharyngeal complaints (Sore throat, dysphagia and hoarseness) were assessed at 2nd, 6th, 12th, and 24th hours postoperatively. Result A total of 102 patients were included in this study, of which 68 of them male. The result of this study showed the overall incidence of postoperative pharyngeal complaints was 32.4%; whereas the incidence of postoperative sore throat 26.5%, cough 5.9%, Postoperative hoarseness 2.9% and dysphagia 4.9% of participants. Endotracheal intubation was identified as the only independent predictors of postoperative pharyngeal complaints with p-values of 0.01 (AOR-3.846, 95% CI [1.385-10.682]). Conclusion This study revealed the overall incidence of postoperative pharyngeal complaints was 32.4%. Endotracheal intubation was identified as the only independent predictors of postoperative pharyngeal complaints in children in this study.

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

The author(s) received no specific funding for this work.

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

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The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

ethical clearance with reference number duchm/irb/055/2022 were secured from Dilla University institutional review board.

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

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I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

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I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

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Data Availability

data will be available by contacting the corresponding author through email.

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