儿童胃肠内镜检查前的年龄和疼痛评分是术后疼痛的预测因素。

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

机构信息

Pediatric Gastroenterology Unit, "Dana-Dwek" Children's Hospital, Tel Aviv Medical Center, 6 Weizmann Street, 6423906, Tel Aviv, Israel.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

BMC Gastroenterol. 2020 Nov 26;20(1):400. doi: 10.1186/s12876-020-01546-y.

DOI:10.1186/s12876-020-01546-y

PMID:33243150

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7689973/

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

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 < 0.001) and older age (OR 1.016, 95% CI 1.007-1.025, P < 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).

CONCLUSION

Older age and higher pain score before the procedure were identified as predictors for higher pain score after pediatric gastrointestinal endoscopies. Children with these risk factors should be identified before the procedure in order to personalize their post-procedure management.

摘要

背景

胃肠内镜检查可能会引起疼痛和焦虑。目前尚不清楚儿童内镜检查后疼痛评分较高的预测因素。本研究旨在确定儿童胃肠内镜检查后恢复时间延长和疼痛评分较高的危险因素。

方法

所有择期行胃肠内镜检查的患儿均纳入研究。我们回顾性收集了人口统计学、临床和内镜数据，以及恢复过程的信息。采用数字评分量表和面部、腿部、活动、哭泣和安抚量表进行疼痛评分。

结果

在研究期间（2016 年 1 月至 2016 年 10 月），共招募了 284 名患儿（中位年龄 10.7 岁，四分位间距 6.7-14.8）。单因素分析显示，年龄较大、术前疼痛评分较高、操作时间较长、活检次数较多和恢复时间较长与术后疼痛评分较高相关。多因素分析显示，术前疼痛评分较高（OR 12.42，95%CI 3.67-42，P<0.001）和年龄较大（OR 1.016，95%CI 1.007-1.025，P<0.001）与术后疼痛评分较高相关。术前疼痛评分较高的患儿恢复时间也较长（OR 5.28，95%CI 1.93-14.49，P=0.001）。