PMID- 22806233
OWN - NLM
STAT- MEDLINE
DCOM- 20121127
LR  - 20220321
IS  - 1468-2044 (Electronic)
IS  - 0003-9888 (Linking)
VI  - 97
IP  - 10
DP  - 2012 Oct
TI  - Pain and behaviour changes in children following surgery.
PG  - 879-84
LID - 10.1136/archdischild-2011-301378 [doi]
AB  - OBJECTIVES: To quantify postoperative pain and problematic behaviour (PB) in 
      children at home following day-case (same day admission and discharge) or 
      inpatient (>/=1 night in hospital) surgery, to identify factors associated with PB 
      at 2 and 4 weeks after discharge and to determine whether pain is associated with 
      PB after adjustment for other factors. PATIENTS AND METHODS: Children scheduled 
      for elective surgery were recruited to a descriptive study involving direct 
      observation and self-report questionnaires. The principal outcomes were pain and 
      PB on the 2nd post-discharge day and after the 1st, 2nd and 4th weeks. RESULTS: 
      131 parents and their children (aged 2-12years) participated in the study. 93% of 
      children had pain and 73% exhibited PB on day 2 after discharge. The incidence of 
      pain and PB decreased over time, but 25% of children still had pain and 32% PB at 
      week 4. Factors associated with PB were child's previous pain experience, parent 
      and child anxiety and parent's level of education. CONCLUSIONS: There was a high 
      incidence of pain and PB persisting for several weeks after surgery in this 
      cohort of children. Previous painful medical experiences and anxiety were 
      important modifiable factors that require further attention from healthcare 
      providers and researchers to potentially improve health and social outcomes for 
      children after surgery.
FAU - Power, Nina Mary
AU  - Power NM
AD  - UCL Institute of Child Health, London, UK.
FAU - Howard, Richard F
AU  - Howard RF
FAU - Wade, Angie M
AU  - Wade AM
FAU - Franck, Linda S
AU  - Franck LS
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20120717
PL  - England
TA  - Arch Dis Child
JT  - Archives of disease in childhood
JID - 0372434
SB  - IM
MH  - Adaptation, Psychological
MH  - Child
MH  - Child Behavior/*psychology
MH  - Child, Preschool
MH  - Cohort Studies
MH  - *Elective Surgical Procedures
MH  - Female
MH  - Hospitalization
MH  - Humans
MH  - London
MH  - Male
MH  - Pain/*psychology
MH  - Pain Measurement/*psychology
MH  - Pain, Postoperative/*diagnosis
MH  - Parents/psychology
MH  - Surveys and Questionnaires
MH  - Time Factors
EDAT- 2012/07/19 06:00
MHDA- 2012/12/10 06:00
CRDT- 2012/07/19 06:00
PHST- 2012/07/19 06:00 [entrez]
PHST- 2012/07/19 06:00 [pubmed]
PHST- 2012/12/10 06:00 [medline]
AID - archdischild-2011-301378 [pii]
AID - 10.1136/archdischild-2011-301378 [doi]
PST - ppublish
SO  - Arch Dis Child. 2012 Oct;97(10):879-84. doi: 10.1136/archdischild-2011-301378. 
      Epub 2012 Jul 17.