Perioperative Pain Management of Pediatric Appendectomy Patients

NCT02580487 | Completed

• 1 other identifier: KUH01012012
• Study Type: observational
• Target: 178
• Locations: 1 country
• Sites: 1

Brief Summary

Acute appendicitis is the most common illness that brings pediatric patients to the hospital for surgical treatment. Abdominal pain is the symptom because of which the patients go to the hospital. Some patients have severe pain and need analgesics before the final diagnosis and before surgery. After surgery most patient experience pain and at least 80 % of the patients need postoperative pain medication. For two decades there has been a clinical guideline for pain management in Kuopio University Hospital (KUH). The investigators aim was to evaluate how well the pain management for pediatric patient works in clinical practice.

Conditions

Appendicitis

Keywords

acute appendicitis; pain management; analgesics; pediatric patients; laparoscopy; open surgery

Outcome Measures

Primary Outcomes (1)

• Pain

  pain is asked preoperatively and at the first postoperative day measured with numeral rating scale

  from preoperative evaluation until the patient left hospital maximum of 7 days

Secondary Outcomes (1)

• amount of opioids used during hospital stay

  from preoperative evaluation until the patient left hospital maximum of 7 days

Study Arms (2)

retrospective group

Patients whose pain evaluation, analgesics used and details of surgery were collected from patient files

Procedure: appendicectomy

Prospective group

Patients who were interviewed before and after surgery when they were at the hospital

Procedure: appendicectomy

Interventions

appendicectomy PROCEDURE

Appendix was removed either laparoscopically or open surgery

Prospective group; retrospective group

Eligibility Criteria

• Age: Up to 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Probability Sample

Study Population

152 pediatric patients that were operated on in KUH during the years 2010-2012 due to acute appendicitis. In addition we assessed 26 pediatric appendectomy patients and their pain at rest, when coughing and when compressing the wound area propsectively when they were at hospital

You may qualify if:

• In prospective patients informed consent obtained
• Appendectomy performed

You may not qualify if:

• No informed consent

Sponsors & Collaborators

• Kuopio University Hospital: lead

Study Sites (1)

Kuopio University Hospital

Kuopio, Northern Savonia, 70029, Finland

Location

MeSH Terms

Conditions

Appendicitis; Agnosia

Interventions

Appendectomy

Condition Hierarchy (Ancestors)

Intraabdominal Infections; Infections; Gastroenteritis; Gastrointestinal Diseases; Digestive System Diseases; Cecal Diseases; Intestinal Diseases; Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Digestive System Surgical Procedures; Surgical Procedures, Operative

Study Design

• Study Type: observational
• Observational Model: COHORT
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, PhD

Study Record Dates

• First Submitted: October 14, 2015
• First Posted: October 20, 2015
• Study Start: January 1, 2012
• Primary Completion: September 1, 2015
• Study Completion: October 1, 2015
• Last Updated: October 20, 2015

Record last verified: 2015-10

Locations

FI (1)