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.
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 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
Psychophysical evaluation of the descriptors of pain in the postoperative
by: Pereira,Lilian Varanda, et al.
Published: (2007) -
Paravertebral block for management of acute postoperative pain and intercostobrachial neuralgia in major breast surgery
by: Gacio,Mercedes Fernández, et al.
Published: (2016) -
Categorization of postoperative pain descriptors in the sensitive, affective and evaluative dimensions of painful experiences
by: Pereira,Lilian Varanda, et al.
Published: (2007) -
Dimensioning of painful procedures and interventions for acute pain relief in premature infants
by: Bonutti,Deise Petean, et al.
Published: (2017) -
Intraoperative oliguria does not predict postoperative acute kidney injury in major abdominal surgery: a cohort analysis
by: Inácio,Rita, et al.
Published: (2021)