Recurrent pain in a child with cerebral palsy: Answers

Trombetta, Andrea; Benvenuto, Simone; Barbi, Egidio

doi:10.1007/s00467-021-05156-y

Cited by 1 publication

(1 citation statement)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Common factors in children with SNI such as incomplete bladder emptying, immobility, repeated catheterizations, poor fluid intake, anti-epileptic treatment can lead to repeated urinary tract infections that can further result in struvite stones development ( 27 , 28 ). Most of the pain episodes in our research has been detected in the first five years probably due to the easy accessibility to urine dipstick and abdomen ultrasound, a reminder that these diagnostic tools are an essential part of the diagnostic work-up ( 1 , 2 ).…”

Section: Discussionmentioning

confidence: 99%

Timeline of diagnosed pain causes in children with severe neurological impairment

Peri,

Magni,

Pigani

et al. 2024

Front. Pediatr.

Self Cite

View full text Add to dashboard Cite

ObjectivePain's causes in children with severe cognitive impairment may be challenging to diagnose. This study aimed to investigate if there is a relationship between pain causes and the age of children.MethodsWe conducted a multicenter retrospective study in three Italian Pediatric Units. Eligible subjects were patients from 1 to 18 years with severe neurological impairment. We collected data regarding diagnoses, pain causes and medical or surgical procedures. The timing of pain episodes was categorized into age-related periods: infants and toddlers (0–24 months), preschool children (3–5 years), schoolchildren (6–12 years), and adolescents (13–17 years).ResultsEighty children with severe neurological impairment were enrolled. The mean age was 11 years (±5.8). Gastroenterological pain was most common in the first years of life (p = 0.004), while orthopaedic and tooth pain was the most typical in schoolchildren and adolescents (p = 0.001 and p = 0.02). Concerning surgical procedures, PEG placement and gastric fundoplication were significantly more common in the first 5 years of age (p = 0.03), and heart surgery was typical of infants (p = 0.04). Orthopaedic surgery was more commonly reported in older children and adolescents (p < 0.001).ConclusionsSome causes of pain are more frequent in children with severe neurological impairment in defined age-related periods. Specific age-related pain frequencies may help physicians in the diagnostic approach.

show abstract