Age and pain score before gastrointestinal endoscopies in children are predictors for post procedure pain

Gastrointestinal endoscopy may be associated with pain and anxiety. Predictors for high pain scores after endoscopies in children are not known. The aim of our study was to identify risk factors for prolonged recovery and higher pain scores after gastrointestinal endoscopy in children. All the child...

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Published in:BMC gastroenterology 2020-11, Vol.20 (1), p.400-400, Article 400
Main Authors: Galai, Tut, Yerushalmy-Feler, Anat, Heller, Nathan P, Ben-Tov, Amir, Weintraub, Yael, Amir, Achiya, Moran-Lev, Hadar, Zac, Lilach, Cohen, Shlomi
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Language:English
Subjects:
Abdomen
Adolescent
Age
Anesthesia
Anxiety
Biopsy
Celiac disease
Child
Children
Endoscopic surgery
Endoscopy
Endoscopy, Gastrointestinal - adverse effects
Female
Females
Gastroenterology
Gastrointestinal
Gastrointestinal system
Gender
Humans
Information processing
Male
Males
Multivariate Analysis
Pain
Pain - etiology
Pain in children
Pain, Postoperative
Pain, Procedural
Pediatric research
Pediatrics
Predictors
Retrospective Studies
Risk factors
Statistical analysis
Vital signs
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Cohen, Shlomi
description Gastrointestinal endoscopy may be associated with pain and anxiety. Predictors for high pain scores after endoscopies in children are not known. The aim of our study was to identify risk factors for prolonged recovery and higher pain scores after gastrointestinal endoscopy in children. All the children that were electively admitted for gastrointestinal endoscopies were included. We retrospectively collected demographic, clinical and endoscopic data as well as information on the recovery process. A numerical rating scale and the Faces, Legs, Activity, Cry, and Consolability Scale were used for pain scoring. During the study period (01/2016-10/2016), 284 children (median age 10.7 years, interquartile range 6.7-14.8) were recruited. In a univariate analysis, older age, higher pre-procedure pain scores, longer procedure durations, higher number of biopsies and longer recovery duration were associated with higher post-procedure pain scores. In a multivariate analysis higher pain scores before the procedure (OR 12.42, 95% CI 3.67-42, P 
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Predictors for high pain scores after endoscopies in children are not known. The aim of our study was to identify risk factors for prolonged recovery and higher pain scores after gastrointestinal endoscopy in children. All the children that were electively admitted for gastrointestinal endoscopies were included. We retrospectively collected demographic, clinical and endoscopic data as well as information on the recovery process. A numerical rating scale and the Faces, Legs, Activity, Cry, and Consolability Scale were used for pain scoring. During the study period (01/2016-10/2016), 284 children (median age 10.7 years, interquartile range 6.7-14.8) were recruited. In a univariate analysis, older age, higher pre-procedure pain scores, longer procedure durations, higher number of biopsies and longer recovery duration were associated with higher post-procedure pain scores. In a multivariate analysis higher pain scores before the procedure (OR 12.42, 95% CI 3.67-42, P &lt; 0.001) and older age (OR 1.016, 95% CI 1.007-1.025, P &lt; 0.001) were associated with higher pain scores after the procedure. Children with a higher pain score before the procedure also had a longer recovery period (OR 5.28, 95% CI (1.93-14.49), P = 0.001). Older age and higher pain score before the procedure were identified as predictors for higher pain score after pediatric gastrointestinal endoscopies. 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subjects Abdomen
Adolescent
Age
Anesthesia
Anxiety
Biopsy
Celiac disease
Child
Children
Endoscopic surgery
Endoscopy
Endoscopy, Gastrointestinal - adverse effects
Female
Females
Gastroenterology
Gastrointestinal
Gastrointestinal system
Gender
Humans
Information processing
Male
Males
Multivariate Analysis
Pain
Pain - etiology
Pain in children
Pain, Postoperative
Pain, Procedural
Pediatric research
Pediatrics
Predictors
Retrospective Studies
Risk factors
Statistical analysis
Vital signs
title Age and pain score before gastrointestinal endoscopies in children are predictors for post procedure pain
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