Observational studyJournal of clinical nursing2026
Factors Associated With Postsurgical Pain in Children and Adolescents With Cognitive Dysfunction.
Observational study in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimTo describe the characteristics of paediatric postoperative patients with cognitive dysfunction and assess the prevalence of pain and associated factors. DESING: A descriptive observational study.
methodsCross-sectional study in children and adolescents who had undergone surgery in the previous 72 h with cognitive dysfunction impeding verbal communication of pain. The Spanish-language version of the revised Face, Legs, Activity, Cry and Consolability scale was used to assess pain intensity.
resultsThe 51 included patients underwent 1072 pain assessments. Moderate to severe pain was detected in 12.1% of the evaluations (n = 130). Girls showed more intense pain after analgesia than boys. Higher pain intensity before analgesia was associated with neurodegenerative disease and autism spectrum disorder.
conclusionIn children with cognitive dysfunction, female sex and baseline cognitive conditions seem to be associated with more intense postsurgical pain. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Hospital pain management protocols should differentiate between patients with cognitive dysfunction and patients with neurotypical development. IMPACT: - This study addresses the prevalence of postsurgical pain in paediatric patients with cognitive dysfunction and associated factors - 12.1% of postsurgical evaluations showed moderate to severe pain. Female sex and baseline cognitive conditions seem to be associated with more intense postsurgical pain. - This research will have an impact on the care of paediatric patients with cognitive dysfunction in postsurgical hospitalization units. REPORTING
methodThis study was performed according to EQUATOR GUIDELINES and the STROBE statement. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.
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