Abstract
to estimate the incidence and the risk factors for severe acute postoperative pain self-reported on the first day after hospital discharge. cohort study with 279 children from both sexes (5-12 years old), indicated for ambulatory surgery in two Brazilian hospitals. Children were assessed at the pre-surgery, immediate postoperative and first postoperative day. Faces Pain Scale-Revised and Yale Preoperative Anxiety Scale Modified were used. Severe postoperative pain was defined as score ≥6. Cox regression analyses were used. the incidence of severe postoperative pain was 15.8% (95%CI:10.7%-20.4%) on the first postoperative day. Preoperative anxiety (HR=2.23; p=0.049), severe preoperative pain (HR=2.78; p=0.031) and having undergone two surgical procedures (HR=2.91; p=0.002) were associated with severe postoperative pain. the incidence of severe postoperative pain self-reported after hospital discharge was high. Anxiety and severe preoperative pain, in addition to performing two surgical procedures at the same time were confirmed as risk factors.
Highlights
Children often experience severe postoperative pain after hospital discharge despite the many advantages offered to patients in pediatric ambulatory surgery
The study produced evidence on the risk factors for severe postoperative pain such as preoperative anxiety, preoperative pain and two surgical procedures performed at the same time in children undergoing ambulatory surgery
In hospitals where the surgeries were performed, there was no protocol for analgesia and individualized care for children with pain, which may have influenced the rate of severe pain in the sample studied
Summary
Children often experience severe postoperative pain after hospital discharge despite the many advantages offered to patients in pediatric ambulatory surgery. Studies have shown that children undergoing ambulatory surgeries are evaluated with severe pain in their first day at home(1-3). The pain persisted for up to two weeks after surgery in some instances(2-3). The inadequate management of postoperative pain negatively affects children’s health(1). Exposure to pain has been associated with negative behavioral manifestations(4) and the risk of patients presenting persistent postoperative pain for periods that go beyond wound healing(5). A relevant fact is the consistent association between postoperative pain severity and chronic post-surgical pain in children(6)
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
