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Table 5 Multivariate Cox regression of laryngospasm based on period of anesthesia (n = 42,055)

From: Risk over time and risk factors of intraoperative respiratory events: a historical cohort study of 14,153 children

Variable

All periods (75)

Induction (27)

Maintenance (38)

Emergence (10)

Adjusted hazard ratio (95% CI) p-value

Adjusted hazard ratio (95% CI) p-value

Adjusted hazard ratio (95% CI) p-value

Adjusted hazard ratio (95% CI) p-value

Age (ref= > 6)

 

1a 0.08

1a 0.004

1a 0.002

1-6

_

1.4 (0.57, 3.6)a

3.4 (1.5, 7.8)b

8.5 (1.8, 40.3)b

< 1

 

3.7 (1.2, 11.3)b

3.4 (0.99, 11.6)a

27.4 (5.2, 143.2)c

Respiratory disease (ref = no)

1a 0.02

 

s

 

URI

1.7 (0.78, 3.7)a

_

_

_

Pulmonary disease

3.1 (1.5, 6.4)b

   

ASA classification (ref = 1)

1a 0.23

   

2

0.82 (0.47, 1.4)a

_

_

_

3

0.39 (0.12, 1.3)a

   

Airway device (ref = ETT-C)

1a < 0.001

   

Jet ventilation-C

_

   

Facemask-A

18.1 (6.4, 51.4)b

   

LMA-A

12.5 (4.6, 33.9)b

   

Intubating agent (ref = NDMR)

 

1a < 0.001

1a 0.67

 

Succinylcholine

_

13.5 (3.9, 46.3)b

1.4 (0.28, 6.9)a

_

Sevoflurane

 

1.9 (0.18, 19.5)a

2.8 (0.6, 13.0)a

 

Inhalation agent (ref = sevoflurane)

1a < 0.001

   

Isoflurane

0.75 (0.38, 1.5)a

_

_

_

Halothane

1.6 (0.37, 6.5)a

   

Desflurane

11.0 (5.1, 23.9)b

   
  1. p-value from likelihood ratio test, ASA: American Society of Anesthesiologist; CI: Confidence interval; ETT-C: Endotracheal tube with controlled ventilation; LMA-A: Laryngeal mask airway with assisted ventilation; NDMR: Non-depolarizing muscle relaxant; URI: Upper respiratory tract infection, hazard ratios within columns and variables that have no superscript (a bc) in common differ significantly at p < 0.05.