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Gastrointestinal (GI) endoscopy plays an increasingly important role in the diagnosis and treatment of gastrointestinal diseases.
However, these actions may be associated with physical discomfort, pain, and anxiety, especially in children, where side effects are more pronounced, and children may experience many negative experiences associated with medical procedures, including feelings of fear and pain.
understanding the risk factors for higher pain scores during recovery from gastrointestinal endoscopy will help to provide more accurate and personalized treatment for children and families.
, the purpose of this study was to identify risk factors for longer recovery times and higher pain scores after gastrointestinal endoscopy in children.
researchers included all children who were selectively admitted for gastroscopy in the study, which retrospectively collected demographic, clinical and endoscopy data, and information on the recovery process.
used a digital score scale and a "face, leg, activity, crying and comfort scale" to score pain.
the correlation between baseline information prior to operation and pain after operation.
284 children (with a medium age of 10.7 years) were recruited for this study.
in a single-variable analysis, the older you get, the higher the preoperative pain score, the longer the surgery, the more biopsies and the longer the recovery time associated with a higher postoperative pain score.
in multivariative analysis, preoperative pain scores (OR 12.42, 95% CI 3.67-42, P slt;0.001) and older (OR 1.016,95% CI 1.007-y 1.025, P .lt;0.001) was associated with a higher postoperative pain score, and children with a higher preoperative pain score also had a longer recovery period (OR 5.28,95% CI (1.93-14.49), P s 0.001).
, we can conclude that patients with older pre-surgery and higher pain scores also have higher pain scores after endoscopy.
should identify children with these risk factors before performing surgery to personalize their postoperative management.
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