Association between pre-procedural anxiety and vomiting in children who undergo procedural sedation and analgesia in the emergency department.
BMC emergency medicine October 9, 2024 Elham Mahmoodi, Seyed Hossein Seyed Hosseini Davarani, Sarah Yang et al. 1 citation
Among children aged 2–14 years receiving ketamine for procedural sedation in the emergency department, pre-procedural anxiety was not associated with vomiting. Vomiting occurred in 23 of 93 children (about 25%), with most episodes happening in the hospital. Anxiety scores averaged 58.3 in those who vomited and 51.0 in those who did not. Statistical analysis showed no significant relationship between anxiety level and vomiting, with an adjusted odds ratio of 1.03 (95% confidence interval 1.0–1.05) that was borderline significant. The findings suggest that anxiety before the procedure does not meaningfully predict vomiting in this setting.