Douleur et troubles comportementaux après adénoïdectomie et pose d'aérateurs transtympaniques chez l'enfant

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_6C17125CA175
Type
Article: article from journal or magazin.
Collection
Publications
Title
Douleur et troubles comportementaux après adénoïdectomie et pose d'aérateurs transtympaniques chez l'enfant
Journal
Annales Françaises d'Anesthésie et de Réanimation
Author(s)
Amouroux R., Cohen-Salmon D., Gooze R., Rousseau-Salvador C., Annequin D.
ISSN
1769-6623
ISSN-L
0750-7658
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
28
Number
1
Pages
11-15
Language
french
Notes
Publication types: English Abstract ; Journal Article Publication Status: ppublish
Abstract
OBJECTIVES: The purpose of this study was to evaluate postoperative pain in the hospital and at home as well as behavioural changes at home following outpatient adenoidectomy (VG) and ear tube (ATT) surgery.
STUDY DESIGN: Prospective cohort study.
PATIENTS AND METHODS: Sixty-four children (mean age 4.3+/-2.4 years): 28 VG, 16 (ATT), 20 dual surgeries (VG-ATT). Postoperative pain was evaluated (arrival in recovery room, departure from wake-up room, departure from hospital) using the Objective Pain Scale (OPS). Parents evaluated their child's pain at home over a period of seven days using a numeric pain scale. Behavioural changes were measured with the Post-Hospital Behaviour Questionnaire (PHBQ).
RESULTS: At arrival in the recovery room, OPS=3.5 [0-6]. A statistically significant difference (p<0.05) was shown between the VG group (OPS=5 [2.25-7.75]), and the ATT (OPS=0 [0-5.5]) and VG-ATT (OPS=2 [0-5.75]) groups. OPS was 1.0 [0-2] when leaving the recovery room, and OPS was 0 [0-1] when leaving the hospital. Numeric pain scale scores recorded at home were extremely low. Postoperatively, 75% of parents at Day 1 and 40.6% at Day 7 reported at least one postoperative behavioural change.
DISCUSSION: In all three groups, parents reported frequent postoperative behaviour changes despite adequate analgesia.
CONCLUSION: The relatively high frequency of postoperative behaviour changes in this population demonstrates the need to systematically evaluate those changes in order to improve overall paediatric care.
Keywords
Adenoidectomy/psychology, Child, Child Behavior, Child, Preschool, Cohort Studies, Eustachian Tube/surgery, Female, Humans, Male, Pain Measurement, Pain, Postoperative/psychology, Parents, Postoperative Period, Prospective Studies, Prosthesis Implantation, Questionnaires
Pubmed
Web of science
Create date
17/08/2013 10:37
Last modification date
20/08/2019 15:26
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