4P: Persistent Postoperative Pediatric Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Postoperative Pain
- Sponsor
- Region Halland
- Enrollment
- 1000
- Locations
- 5
- Primary Endpoint
- Adherence to guidelines from ESPA regarding perioperative analgesia
- Status
- Completed
- Last Updated
- 3 months ago
Overview
Brief Summary
For children, adequate perioperative pain management is a right according to the UN convention on the rights of the child, a law in Sweden since 2020. Despite this, children are still under-treated in many cases. In addition to great suffering, this can lead to missing school and a long-term burden on the society.
ESPA, the European Society for Pediatric Anesthesia, has drawn up guidelines for perioperative pain management. With the study 4P: Persistent Postoperative Pediatric Pain, we want to investigate whether these guidelines are followed and how many children develop long-term pain postoperatively.
In order to map the prevalence of pain after surgery in children in Sweden, the investigators plan to include and follow 2000 children in southern Sweden who undergo surgery. The study provides a unique opportunity to follow a large number of children, evaluate given per- and postoperative pain treatment and identify factors linked to the development of acute and long-term postoperative pain. Our goal is to optimize peri- and postoperative pediatric pain management to promote rapid recovery after surgery.
Investigators
Anna Persson
Consultant in Anaesthesia and Intensive Care Medicine, PhD
Region Halland
Eligibility Criteria
Inclusion Criteria
- •Age 1-17 years
- •Scheduled surgery for hernia, penile surgery, retentio testis, adenotonsillectomy, appendectomy or acute fracture in southern Sweden.
- •Informed consent
Exclusion Criteria
- •Scheduled for several surgeries within the time-frame
- •Inability to understand swedish
- •Inability to understand the meaning of participation.
Outcomes
Primary Outcomes
Adherence to guidelines from ESPA regarding perioperative analgesia
Time Frame: Perioperative
How many patients are treated according to the suggested guidelines regarding pain treatment from ESPA (%)? Do they experience less postoperative pain (FLACC/FPS/NRS 0-10)? Groups compared with MannWhitney U-test. Also description of the deviation.
Incidence of acute postoperative pain
Time Frame: Within 24 hours after surgery
How many children experience acute postoperative pain after surgery in Sweden?
Incidence of persistent postoperative pain
Time Frame: At 1 year after surgery
How many children experience persistent postoperative pain after surgery in Sweden?
Incidence of persistent postoperative pain
Time Frame: At 3 months after surgery
How many children experience persistent postoperative pain after surgery in Sweden?
Incidence of persistent postoperative pain
Time Frame: At 6 months after surgery
How many children experience persistent postoperative pain after surgery in Sweden?
Secondary Outcomes
- Gender(Acute (24 hours) and persistent (3,6 months and 1 year))
- Parental stress(3 months after surgery)
- Do regional blocks influence the level of acute postoperative pain?(Acute - within 24 hours.)
- Do regional blocks influence the level of persistent pain?(3 months after surgery)
- Age(Acute (24 hours) and persistent (3,6 months and 1 year))
- Parental stress(Within 24 hours)