Evidence map›Paper›PMID 34337164›Full record

SynthesisBMJ paediatrics open2021

Prevalence of traumatic psychological stress reactions in children and parents following paediatric surgery: a systematic review and meta-analysis.

David Paul Turgoose, Stephanie Kerr, Paolo De Coppi, Simon Blackburn, Simon Wilkinson, Natasha Rooney, Richard Martin, Suzanne Gray, Lee Duncan Hudson

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ paediatrics open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

David Paul TurgooseLeeds Institute of Health Sciences, Leeds medical school, University of Leeds, Leeds, UK.ORCID 0000-0001-5509-9122
Stephanie KerrDepartment of Specialist and Neonatal Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Paolo De CoppiDepartment of Specialist and Neonatal Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Simon BlackburnDepartment of Specialist and Neonatal Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Simon WilkinsonDepartment of Psychology and Mental Health Services, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Natasha RooneyDepartment of Psychology and Mental Health Services, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Richard MartinDepartment of Anaesthethics, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Suzanne GrayDepartment of Psychology and Mental Health Services, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Lee Duncan HudsonDepartment of Psychology and Mental Health Services, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.ORCID 0000-0003-0883-8791

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Children undergoing surgery and their parents are at risk of developing post-traumatic stress reactions. We systematically reviewed the literature to understand the prevalence of this issue, as well as potential risk factors. Methods: We conducted a systematic review and meta-analysis, using PubMed, PsycInfo, Web of Science and Google Scholar, with searches conducted in February 2021. Papers were included if they measured post-traumatic stress in children and/or parents following paediatric surgery and were excluded if they did not use a validated measure of post-traumatic stress. Data were extracted from published reports. Findings: Our search yielded a total of 1672 papers, of which 16 met our inclusion criteria. In meta-analysis, pooled studies of children estimated an overall prevalence of 16% meeting criteria for post-traumatic stress disorder post surgery (N=187, 95% CI 5% to 31%, I Interpretation: There is consistent evidence of traumatic stress following surgery in childhood which warrants further investigation. Those delivering surgical care to children would benefit from a raised awareness of the potential for post-traumatic stress in their patients and their families, including offering screening and support.

Indexed as

Stress Disorders, Post-TraumaticChildHumansParentsPrevalenceRisk FactorsStress, Psychologicalanaesthesiachild psychiatrypsychology

Identifiers

PMID34337164
PMCPMC8287603

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.