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Children's Pain at Home After Laparoscopic Appendectomy

Renee C B Manworren1, Jessica Cooper2, Trishla Mishra3

  • 1Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago 60611, Illinois; Northwestern University Feinberg School of Medicine, Chicago 60611, Illinois.

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
|March 21, 2021
PubMed

Insights

Children often experience severe pain at home for up to two weeks after laparoscopic appendectomy. This study highlights the need for effective pain management strategies post-discharge for adolescents.

Area of Science:

  • Pediatric Surgery
  • Pain Management
  • Adolescent Health

Background:

  • Hospitalized children frequently experience significant pain post-laparoscopic appendectomy.
  • Limited data exists on pediatric pain experiences after hospital discharge.
  • Accurate pain assessment is crucial for effective post-operative pain management.

Purpose of the Study:

  • To characterize the pain experienced by children at home following laparoscopic appendectomy.
  • To describe the trajectory of pain over the first 14 days post-discharge.

Main Methods:

  • A prospective, exploratory study involving 100 pediatric patients (aged 10-17) undergoing laparoscopic appendectomy.
  • Participants completed 14-day pain diaries at home.
  • Visual analytic techniques were employed to analyze pain patterns.

Main Results:

  • Over 50% of patients reported severe pain on the first day home.
  • Significant percentages reported pain on day 7 (40%) and day 14 (16%).
  • Pain intensity and frequency generally decreased over time, with limited improvement shortly after pain treatment.

Conclusions:

  • Adolescents commonly experience severe post-laparoscopic appendectomy pain at home, persisting for up to 14 days.
  • Visual analytics offer a dynamic representation of pain experiences compared to traditional measures.
Abstract

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