Perioperative Pain Management of Pediatric Appendectomy Patients (umpikipu)

Perioperative Pain Management of Pediatric Appendectomy Patients in Kuopio University Hospital During the Years 2010-2012

Acute appendicitis is the most common illness that brings pediatric patients to the hospital for surgical treatment. Abdominal pain is the symptom because of which the patients go to the hospital. Some patients have severe pain and need analgesics before the final diagnosis and before surgery. After surgery most patient experience pain and at least 80 % of the patients need postoperative pain medication. For two decades there has been a clinical guideline for pain management in Kuopio University Hospital (KUH). The investigators aim was to evaluate how well the pain management for pediatric patient works in clinical practice.

Study Overview

• Status: Completed
• Conditions: Appendicitis
• Intervention / Treatment: Procedure: appendicectomy

• Study Type: Observational
• Enrollment (Actual): 178

Contacts and Locations

Study Locations

• Finland
  • Northern savo
    • Kuopio, Northern savo, Finland, 70029
      • Kuopio University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: No older than 18 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

152 pediatric patients that were operated on in KUH during the years 2010-2012 due to acute appendicitis.

In addition we assessed 26 pediatric appendectomy patients and their pain at rest, when coughing and when compressing the wound area propsectively when they were at hospital

Description

Inclusion Criteria:

• In prospective patients informed consent obtained
• Appendectomy performed

Exclusion Criteria:

• No informed consent

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
retrospective group; Patients whose pain evaluation, analgesics used and details of surgery were collected from patient files	Procedure: appendicectomy; Appendix was removed either laparoscopically or open surgery
Prospective group; Patients who were interviewed before and after surgery when they were at the hospital	Procedure: appendicectomy; Appendix was removed either laparoscopically or open surgery

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain	pain is asked preoperatively and at the first postoperative day measured with numeral rating scale	from preoperative evaluation until the patient left hospital maximum of 7 days

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
amount of opioids used during hospital stay	collected from patient files	from preoperative evaluation until the patient left hospital maximum of 7 days

Collaborators and Investigators

• Sponsor: Kuopio University Hospital

Study record dates

Study Major Dates

• Study Start: January 1, 2012
• Primary Completion (Actual): September 1, 2015
• Study Completion (Actual): October 1, 2015

Study Registration Dates

• First Submitted: October 14, 2015
• First Submitted That Met QC Criteria: October 19, 2015
• First Posted (Estimate): October 20, 2015

Study Record Updates

• Last Update Posted (Estimate): October 20, 2015
• Last Update Submitted That Met QC Criteria: October 19, 2015
• Last Verified: October 1, 2015

More Information

Terms related to this study

• Keywords: laparoscopy; analgesics; pain management; pediatric patients; open surgery; acute appendicitis
• Additional Relevant MeSH Terms: Digestive System Diseases; Infections; Gastrointestinal Diseases; Gastroenteritis; Intestinal Diseases; Cecal Diseases; Intraabdominal Infections; Appendicitis
• Other Study ID Numbers: KUH01012012