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observational study of pediatric inpatient pain nausea vomiting and anxiety

descriptionPublicationkeyboard_double_arrow_right Article , Journal 03 May 2019Publisher:MDPI AGJournal:Children, volume 6, page 65 (eissn: 2227-9067,

Authors: Michael Schlegelmilch; Salima Punja; Hsing Jou; Andrew S. Mackie; Jennifer Conway; Bev Wilson; Maria Spavor; +2 Authors

doi: 10.3390/children6050065

pmid: 31058878

pmc: PMC6560414

observational study of pediatric inpatient pain nausea vomiting and anxiety

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Abstract

Background: The prevalence and severity of pain, nausea/vomiting, and anxiety (PNVA) among hospitalized children is not well established. We describe the prevalence and severity of PNVA among hospitalized patients from oncology, general pediatrics, and cardiology services in a tertiary care center. Methods: Patients were recruited on admission and enrolled if their caregiver consented, spoke English, and were anticipated to stay 2–30 days. Symptoms were measured weekdays using age-validated tools. PNVA symptoms were described and compared. Results: We enrolled 496 (49.4%) patients of 1005 admitted. Patients were predominantly Caucasian (57.9%) on their first admission (53.6%). The average (SD) age was 8.6 years (5.9) in oncology, 4.2 (5.3) in general pediatrics and 2.6 (4.0) in cardiology. 325 (65.6%) patients reported anxiety, 275 (55.4%) reported nausea and 256 (52.0%) reported pain. Mean (SD) severity out of 10 was 3.7 (2.5) for anxiety, 3.2 (2.1) for nausea and 3.0 (1.5) for pain. Prevalence of PNVA was no different between clinical programs, but pain (p = 0.008) and nausea (p = 0.006) severity were. PNVA symptom co-occurrence was positively correlated (p < 0.001). Conclusions: Anxiety was the most common and severe symptom for hospitalized children. Patients in oncology demonstrated the least severe pain and nausea with no difference in anxiety between services.

Related Organizations

University of Alberta
Canada

Keywords

vomiting, nausea, anxiety, Pediatrics, RJ1-570, Article, pediatric, pain, hospital

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Impact byBIP!

	citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	11
	popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.	Top 10%
	influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	Average
	impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.	Top 10%

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Top 10%

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Top 10%

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Fields of Science

medical and health sciences

clinical medicine

Fields of Science

medical and health sciences

clinical medicine

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