Pediatric Emergency Department, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Via dell'Istria 65/1, 34137, Trieste, Italy.
Department of Paediatrics and Emergency, Giovanni XXIII Children's Hospital, University of Bari, Bari, Italy.
Ital J Pediatr. 2021 Mar 25;47(1):74. doi: 10.1186/s13052-021-01029-0.
Children and adolescents affected by somatization and somatic symptom disorder commonly refer to emergency services. Due to the absence of specific guidelines for the emergency setting and to a possible lack of knowledge, these patients are at risk of being unrecognized and mismanaged. This study aims at proposing a clinical practice to approach and manage these patients and their families in the emergency setting.
This manuscript derived from the work of a research group of italian pediatric emergency physicians and anesthesiologists, with an expertise in pain management, members of the PIPER group. The research group reviewed the literature about psychosomatic pain and somatic symptom disorder and developed a clinical practice specific for the pediatric emergency setting.
The manuscript provides information about the main clinical features shared by patients with psychosomatic pain and about current diagnostic criteria and appropriate management in the emergency setting. Furthermore, it highlights the possible pitfalls in which the emergency physician may run into dealing with these patients.
This clinical practice should be seen as a starting point toward a better understanding of patients with psychosomatic pain and a standardization of care in the pediatric emergency setting.
受躯体化和躯体症状障碍影响的儿童和青少年通常会前往急诊部门就诊。由于缺乏针对急诊环境的特定指南，并且可能存在知识上的欠缺，这些患者面临着被忽视和处理不当的风险。本研究旨在提出一种在急诊环境中处理这些患者及其家庭的临床实践方法。
本文源自意大利儿科急诊医生和麻醉师研究小组的工作成果，该研究小组成员在疼痛管理方面具有专业知识，是 PIPER 小组的成员。研究小组查阅了关于心身性疼痛和躯体症状障碍的文献，并为儿科急诊环境制定了特定的临床实践方案。
本文提供了有关具有心身性疼痛的患者的主要临床特征的信息，以及当前在急诊环境中的诊断标准和适当的管理方法。此外，还强调了急诊医生在处理这些患者时可能遇到的潜在陷阱。
本临床实践应被视为更好地理解心身性疼痛患者并在儿科急诊环境中规范护理的起点。
