Inflammatory Biomarkers as Predictors of PONV Following Pediatric Orchiopexy

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age1-8
SponsorDiskapi Yildirim Beyazit Education and Research Hospital

About this trial

Orchiopexy is a common surgical procedure for the treatment of cryptorchidism in the pediatric population, with a high incidence of postoperative nausea and vomiting (PONV).

Recent evidence suggests that systemic inflammation may contribute to PONV pathogenesis, and preoperative inflammatory biomarkers such as NLR, PLR, SII, MLR, and SIRI could serve as predictive indicators.

This prospective observational study aims to evaluate the relationship between these biomarkers and PONV incidence in children undergoing orchiopexy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients aged between 1 and 8 years

Patients with ASA physical status I-II

Patients scheduled for elective orchiopexy

Obtained written informed consent from parents/guardians

Disqualifiers

Patients younger than 1 year or older than 8 years

Patients with ASA physical status III or higher

Presence of acute infection signs

History of previous nausea or vomiting

Trial population

Children aged 1-8 years with ASA physical status I-II who are scheduled to undergo elective orchiopexy under general anaesthesia

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Measurement of Preoperative Inflammatory Biomarkers

    Other intervention

    Blood samples will be collected preoperatively to measure inflammatory biomarkers, including neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), systemic immune-inflammation index, monocyte-to-lymphocyte ratio (MLR), and systemic inflammation response index. These values will be analysed in relation to the incidence of postoperative nausea and vomiting within the first 6 hours after pediatric orchiopexy. No experimental drug or device will be administered as part of the study; all procedures will be conducted within the scope of standard perioperative care.

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Incidence of Postoperative Nausea and Vomiting (PONV)

PONV will be assessed using a standardized nausea-vomiting scoring system by an anesthesiologist blinded to biomarker results.

Time frame
Within 6 hours postoperatively

Secondary outcomes

1

Need for Antiemetic Treatment

The number of patients who receive at least one dose of rescue antiemetic medication will be recorded within the first 6 hours after surgery.

Time frame
Within 6 hours postoperatively

Other outcomes

Sponsors and contacts

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