What postoperative outcomes matter to pediatric patients?

Anesthesia and Analgesia
Giovanni CucchiaroYuelin Li

Abstract

Children are often excluded from making decisions related to their medical treatment, and parents' proxy reports are often used. This approach fails to consider that parents and children may differ in their perception of the child's health. In this study, we assessed children's decision-making processes related to postoperative pain management. Forty-five children who underwent an anterior cruciate ligament repair or Nuss procedure for pectus excavatum repair were studied. A standard gamble technique was used to assess children's perceptions of the utility of a hypothetical treatment that would provide them with perfect pain control, with respect to different rates of risk for vomiting during the postoperative period. The maximum risk of vomiting that the overall study population was willing to accept to decrease the pain level to zero was 32% +/- 24%. Girls were willing to take a significantly higher risk (41% +/- 24%) compared to boys (25% +/- 22%) (P = 0.02). Children who actually experienced vomiting before they were questioned were willing to take a higher risk (46% +/- 26%) compared to those who did not (23% +/- 17%) (P = 0.035). Children can express opinions about preferred postoperative outcomes and provide useful input...Continue Reading

References

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Citations

Oct 25, 2007·Journal for Specialists in Pediatric Nursing : JSPN·Margie CrandallMarilyn Savedra
Apr 14, 2010·Anaesthesia·H WillschkeP-A Lönnqvist
Dec 30, 2014·The Journal of Pain : Official Journal of the American Pain Society·Jennifer A RabbittsTonya M Palermo
Dec 9, 2016·Worldviews on Evidence-based Nursing·Qian Wen SngLixia Zhu
May 22, 2009·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Joan Simons, Laurence Moseley
Jan 14, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Daniel S TszePeter S Dayan

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