Severe acute postoperative pain self-reported by children after ambulatory surgeries: a cohort study

ABSTRACT Objectives: to estimate the incidence and the risk factors for severe acute postoperative pain self-reported on the first day after hospital discharge. Methods: 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. Results: 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. Conclusions 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.

Bibliographic Details

Main Authors:	Moura,Louise Amália de, Pereira,Lilian Varanda, Minamisava,Ruth, Borges,Natália de Carvalho, Castral,Thaila Corrêa, Souza,Layz Alves Ferreira
Format:	Digital revista
Language:	English
Published:	Associação Brasileira de Enfermagem 2021
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021001100210
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