This is a prospective study that compared anesthesiologist prediction to a random forest model for identifying pediatric emergence delirium following ENT surgery. There was no significant difference in sensitivity between the model and the anesthesiologist, though anesthesiologists demonstrated better overall accuracy at a PAED >12 threshold, while the model showed higher sensitivity but much lower specificity at a PAED >10 cutoff. Overall, the model did not outperform clinical judgment and may be better suited as a supportive screening tool rather than a replacement for clinician assessment.
