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Roadmap to Wellness: Exploring Live Customized Music at the Bedside for Hospitalized Children
R Serene Perkins1, Maura Boyce2, Megan C Byrtek2
1Legacy Research Institute, Legacy Health, Portland, OR, United States.
Insights
A single music session did not significantly reduce pain or analgesic use in postsurgical children. Further research is needed to explore music medicine
Area of Science:
- Pediatric Surgery
- Music Medicine
- Pain Management
Background:
- Clinical outcomes of music interventions in pediatric surgery are not well-established.
- Existing research on music's effect on clinical outcomes is conflicting.
- Few studies have specifically investigated music interventions in the postoperative pediatric population.
Purpose of the Study:
- To determine the benefit of a live, customized bedside music program (MyMusicRx) for children after surgery.
- To assess the impact of music intervention on pain, analgesia, and vital signs in postsurgical pediatric patients.
- To present a perspective on music medicine utility and discuss future research directions.
Main Methods:
- A randomized controlled trial comparing a live, customized music session (MyMusicRx) with a control group.
- Participants were postsurgical children aged 5–18 years.
- Outcomes measured included pain scores, cumulative analgesia dosage, and vital signs within 12 hours of unit arrival.
Main Results:
- No significant differences were found between the music intervention group and the control group in pain scores, analgesic use, or vital signs.
- Thirty-two participants (16 per group) were enrolled, with no demographic or surgical differences between groups.
- Specific medications analyzed included narcotics, ibuprofen, acetaminophen, and ketorolac.
Conclusions:
- A single music intervention in the acute postoperative period was insufficient to improve pain and hemodynamic control.
- Prior studies show conflicting results regarding music's impact on clinical outcomes.
- Future research should focus on developing tools to assess music medicine's effect on children's emotions and behaviors, as psychological well-being was not evaluated.
Background:
Randomized trials on clinical outcomes of music are conflicting, with few performed in the postoperative pediatric population. We aimed to determine if there was a benefit of a live, customized bedside music delivery program (MyMusicRx®) for children hospitalized after pediatric surgery. We present our perspective on the utility of music medicine, review others' work in this area, and discuss future directions.
Methods:
All admitted postsurgical patients aged between 5 and 18 years were considered. One live, customized music session was delivered by a MyMusicRx® music specialist to intervention participants, and compared with matched controls who did not receive music intervention. Pain, cumulative analgesia dosage, and vital signs within 12 h after unit arrival were compared between groups.
Results:
Thirty-two participants (16 intervention, 16 controls; 8:8 females:males per group) were enrolled. No differences in age, surgery length, or duration of music intervention were found between groups. No differences in pain scores (p = 0.73), heart rate (p = 0.82), respirations (p = 84), narcotic (p = 0.92) or non-narcotic medication usage (p = 0.88, 0.86, 0.95; ibuprofen, acetaminophen, and ketorolac, respectively), or time to first narcotic dose (p = 0.64) were found.
Conclusion:
A single music intervention in the acute postoperative period did not appear to be adequate to augment traditional methods of pain and hemodynamic control. Prior studies have similar outcome measures but conflicting results. We did not evaluate psychological well-being, patient engagement, or family perception in this pilot study. Future directions include developing and validating a tool that explores the observable impact of music medicine on children's emotions and behaviors.
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