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Behavior changes after minor emergency procedures

Holly Brodzinski1, Srikant Iyer

  • 1From the Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

Pediatric Emergency Care
|October 1, 2013
PubMed

Insights

Pediatric emergency procedures can cause distress, with 20% of children showing negative behavior changes like anxiety and aggression one week later. Further research is needed to understand and prevent these post-procedure effects.

Area of Science:

  • Pediatric Emergency Medicine
  • Child Psychology
  • Behavioral Science

Background:

  • Pediatric emergency department (ED) procedures are frequent and often induce pain and anxiety.
  • Understanding the long-term behavioral impact of these procedures is crucial for child well-being.

Purpose of the Study:

  • To describe the incidence, types, and magnitude of long-term behavior changes in children following common ED procedures.
  • To identify potential predictors of negative behavioral sequelae.

Main Methods:

  • A descriptive pilot study involving children undergoing abscess drainage or laceration repair.
  • Behavioral changes were assessed at 1-week follow-up using the Post Hospitalization Behavior Questionnaire.
  • Significant behavior change was defined as 5 or more negative changes on the 27-item questionnaire.

Main Results:

  • Twenty percent of children experienced significant negative behavior changes one week post-procedure.
  • Younger children (average 3.6 years) were more likely to exhibit these changes.
  • Separation anxiety, sleep disturbances, and aggression were the most reported behavioral issues.

Conclusions:

  • A notable percentage of children exhibit negative behavior changes after common ED procedures.
  • These findings highlight the need for further research into predictors and interventions for these behavioral changes.
  • Further investigation is warranted to develop strategies to mitigate post-procedural distress in pediatric patients.
Abstract

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