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Observational Study of Pediatric Inpatient Pain, Nausea/Vomiting and Anxiety

Background: The prevalence and severity of pain, nausea/vomiting, and anxiety (PNVA) among hospitalized children is not well established. We describe the prevalence and severity of PNVA among hospitalized patients from oncology, general pediatrics, and cardiology services in a tertiary care center....

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Autores principales: Schlegelmilch, Michael, Punja, Salima, Jou, Hsing, Mackie, Andrew S., Conway, Jennifer, Wilson, Bev, Spavor, Maria, Hartfield, Dawn, Vohra, Sunita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6560414/
https://www.ncbi.nlm.nih.gov/pubmed/31058878
http://dx.doi.org/10.3390/children6050065
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author Schlegelmilch, Michael
Punja, Salima
Jou, Hsing
Mackie, Andrew S.
Conway, Jennifer
Wilson, Bev
Spavor, Maria
Hartfield, Dawn
Vohra, Sunita
author_facet Schlegelmilch, Michael
Punja, Salima
Jou, Hsing
Mackie, Andrew S.
Conway, Jennifer
Wilson, Bev
Spavor, Maria
Hartfield, Dawn
Vohra, Sunita
author_sort Schlegelmilch, Michael
collection PubMed
description Background: The prevalence and severity of pain, nausea/vomiting, and anxiety (PNVA) among hospitalized children is not well established. We describe the prevalence and severity of PNVA among hospitalized patients from oncology, general pediatrics, and cardiology services in a tertiary care center. Methods: Patients were recruited on admission and enrolled if their caregiver consented, spoke English, and were anticipated to stay 2–30 days. Symptoms were measured weekdays using age-validated tools. PNVA symptoms were described and compared. Results: We enrolled 496 (49.4%) patients of 1005 admitted. Patients were predominantly Caucasian (57.9%) on their first admission (53.6%). The average (SD) age was 8.6 years (5.9) in oncology, 4.2 (5.3) in general pediatrics and 2.6 (4.0) in cardiology. 325 (65.6%) patients reported anxiety, 275 (55.4%) reported nausea and 256 (52.0%) reported pain. Mean (SD) severity out of 10 was 3.7 (2.5) for anxiety, 3.2 (2.1) for nausea and 3.0 (1.5) for pain. Prevalence of PNVA was no different between clinical programs, but pain (p = 0.008) and nausea (p = 0.006) severity were. PNVA symptom co-occurrence was positively correlated (p < 0.001). Conclusions: Anxiety was the most common and severe symptom for hospitalized children. Patients in oncology demonstrated the least severe pain and nausea with no difference in anxiety between services.
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spelling pubmed-65604142019-06-17 Observational Study of Pediatric Inpatient Pain, Nausea/Vomiting and Anxiety Schlegelmilch, Michael Punja, Salima Jou, Hsing Mackie, Andrew S. Conway, Jennifer Wilson, Bev Spavor, Maria Hartfield, Dawn Vohra, Sunita Children (Basel) Article Background: The prevalence and severity of pain, nausea/vomiting, and anxiety (PNVA) among hospitalized children is not well established. We describe the prevalence and severity of PNVA among hospitalized patients from oncology, general pediatrics, and cardiology services in a tertiary care center. Methods: Patients were recruited on admission and enrolled if their caregiver consented, spoke English, and were anticipated to stay 2–30 days. Symptoms were measured weekdays using age-validated tools. PNVA symptoms were described and compared. Results: We enrolled 496 (49.4%) patients of 1005 admitted. Patients were predominantly Caucasian (57.9%) on their first admission (53.6%). The average (SD) age was 8.6 years (5.9) in oncology, 4.2 (5.3) in general pediatrics and 2.6 (4.0) in cardiology. 325 (65.6%) patients reported anxiety, 275 (55.4%) reported nausea and 256 (52.0%) reported pain. Mean (SD) severity out of 10 was 3.7 (2.5) for anxiety, 3.2 (2.1) for nausea and 3.0 (1.5) for pain. Prevalence of PNVA was no different between clinical programs, but pain (p = 0.008) and nausea (p = 0.006) severity were. PNVA symptom co-occurrence was positively correlated (p < 0.001). Conclusions: Anxiety was the most common and severe symptom for hospitalized children. Patients in oncology demonstrated the least severe pain and nausea with no difference in anxiety between services. MDPI 2019-05-03 /pmc/articles/PMC6560414/ /pubmed/31058878 http://dx.doi.org/10.3390/children6050065 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Schlegelmilch, Michael
Punja, Salima
Jou, Hsing
Mackie, Andrew S.
Conway, Jennifer
Wilson, Bev
Spavor, Maria
Hartfield, Dawn
Vohra, Sunita
Observational Study of Pediatric Inpatient Pain, Nausea/Vomiting and Anxiety
title Observational Study of Pediatric Inpatient Pain, Nausea/Vomiting and Anxiety
title_full Observational Study of Pediatric Inpatient Pain, Nausea/Vomiting and Anxiety
title_fullStr Observational Study of Pediatric Inpatient Pain, Nausea/Vomiting and Anxiety
title_full_unstemmed Observational Study of Pediatric Inpatient Pain, Nausea/Vomiting and Anxiety
title_short Observational Study of Pediatric Inpatient Pain, Nausea/Vomiting and Anxiety
title_sort observational study of pediatric inpatient pain, nausea/vomiting and anxiety
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6560414/
https://www.ncbi.nlm.nih.gov/pubmed/31058878
http://dx.doi.org/10.3390/children6050065
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