The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
Preoperative Anxiety, Postoperative Pain, and Behavioral Recovery in Young Children Undergoing Surgery
Abstract
OBJECTIVE. Findings from published studies suggest that the postoperative recovery process is more painful, slower, and more complicated in adult patients who had high levels of preoperative anxiety. To date, no similar investigation has ever been conducted in young children. METHODS. We recruited 241 children aged 5 to 12 years scheduled to undergo elective outpatient tonsillectomy and adenoidectomy. Before surgery, we assessed child and parental situational anxiety and temperament. After surgery, all subjects were admitted to a research unit in which postoperative pain and analgesic consumption were assessed every 3 hours. After 24 hours in the hospital, children were discharged and followed up at home for the next 14 days. Pain management at home was standardized. RESULTS. Parental assessment of pain in their child showed that anxious children experienced significantly more pain both during the hospital stay and over the first 3 days at home. During home recovery, anxious children also consumed, on average, significantly more codeine and acetaminophen compared with the children who were not anxious. Anxious children also had a higher incidence of emergence delirium compared with the children who were not anxious (9.7% vs 1.5%) and had a higher incidence of postoperative anxiety and sleep problems. CONCLUSIONS. Preoperative anxiety in young children undergoing surgery is associated with a more painful postoperative recovery and a higher incidence of sleep and other problems.
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Cites
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Preoperative Anxiety in Children: Predictors and Outcomes
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Self-citationPsychological influences on surgical recovery: Perspectives from psychoneuroimmunology.
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The Yale Preoperative Anxiety Scale: How Does It Compare with a "Gold Standard"?
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Self-citationVERNON, D. T. A. (1966) · American Journal of Diseases of Children · doi:10.1001/archpedi.1966.02090090053003 · Cited by 308
Preoperative anxiety and postoperative pain in women undergoing hysterectomy
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Self-citation
Cited by
Bringuier, S., Dadure, C., Raux, O., Dubois, A., Picot, M.-C., & Capdevila, X. (2009) · Anesthesia & Analgesia · doi:10.1213/ane.0b013e3181af00e4 · Cited by 149
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Bray, L., Sharpe, A., Gichuru, P., Fortune, P.-M., Blake, L., & Appleton, V. (2020) · Journal of Medical Internet Research · doi:10.2196/17367 · Cited by 50
Eijlers, R., Legerstee, J. S., Dierckx, B., Staals, L. M., Berghmans, J., van der Schroeff, M. P., Wijnen, R. M., & Utens, E. M. (2017) · JMIR Research Protocols · doi:10.2196/resprot.7617 · Cited by 48
Tablet-Based Intervention for Reducing Children's Preoperative Anxiety: A Pilot Study
Chow, C. H. T., Van Lieshout, R. J., Schmidt, L. A., & Buckley, N. (2017) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000000454 · Cited by 31
Metadata
- Authors
- Kain, Z. N., Mayes, L. C., Caldwell-Andrews, A. A., Karas, D. E., & McClain, B. C.
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2006-08-01
- Volume
- 118
- Issue
- 2
- Pages
- 651-658
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1982010188
- Cited by
- 819
- References
- 32
- FWCI
- 12.71
- Type
- journal article
- Language
- en
- Open access
- closed
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- Kain, Z. N., Mayes, L. C., Caldwell-Andrews, A. A., Karas, D. E., & McClain, B. C. (2006). Preoperative Anxiety, Postoperative Pain, and Behavioral Recovery in Young Children Undergoing Surgery. Pediatrics. https://doi.org/10.1542/peds.2005-2920
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