An examination of child temperament as a predictor of parental post-operative analgesic administration

Zolghadr, Sheeva; Fortier, Michelle A.; Winckler, Britanny; Kain, Zeev N.

doi:10.1016/j.jpedsurg.2014.03.019

Cited by 6 publications

(1 citation statement)

References 18 publications

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“…A prior study by our group found that child temperament and emotionality played a role in how children expressed pain following surgery, and was subsequently predictive of parental analgesic administration. 25 Though not directly assessed in this study, it is likely that such cultural factors as stoicism play a role in development of child temperament and emotionality and in the manner in which they report pain. A greater understanding of the relationship between cultural norms and pain assessment would aid providers in delivering culturally sensitive care for Hispanic children and improving the translation of care guidelines to the home setting.…”

Section: Discussionmentioning

confidence: 94%

Postoperative Pain Management in Children of Hispanic Origin

Brown

Fortier

Zolghadr

et al. 2016

Anesthesia &Amp; Analgesia

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Background It has been established that pain is frequently undertreated in children following outpatient surgery. Very few studies, however, have investigated this phenomenon in ethnically diverse populations. Methods This study included 105 families of children age 2–15 years of Hispanic origin and low income undergoing outpatient tonsillectomy and adenoidectomy surgery. Participating parents completed baseline and demographic packets. Recorded postoperative pain ratings and administration of analgesics at home for one week were collected during home visits. Results Despite the high (70%, 99% CI[57%, 82%]) incidence of significant pain in the first 24 hours home, 32% (95% CI[20%, 45%]) of the children received 0–1 dose of analgesia. Overall, 21% children (99% CI[11%, 35%]) received 4 or less total doses of pain medication over the entire week following surgery. Of the total analgesic doses administered to children in the week following surgery, only 44% (99% CI[40%, 47%]) were in accepted ranges. Conclusions Despite experiencing significant postoperative pain, Hispanic children assessed in this study received suboptimal analgesic therapy at home.

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Section: Discussionmentioning

confidence: 94%