Timeline of diagnosed pain causes in children with severe neurological impairment
ObjectivePain's causes in children with severe cognitive impairment may be challenging to diagnose. This study aimed to investigate if there is a relationship between pain causes and the age of children.MethodsWe conducted a multicenter retrospective study in three Italian Pediatric Units. Elig...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1365152/full |
| _version_ | 1827325573058265088 |
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| author | Francesca Peri Francesca Peri Elena Magni Filippo Pigani Raffaella Romoli Simona Vetrella Lucia De Zen Raffaella Sagredini Egidio Barbi Egidio Barbi Giorgio Cozzi |
| author_facet | Francesca Peri Francesca Peri Elena Magni Filippo Pigani Raffaella Romoli Simona Vetrella Lucia De Zen Raffaella Sagredini Egidio Barbi Egidio Barbi Giorgio Cozzi |
| author_sort | Francesca Peri |
| collection | DOAJ |
| description | ObjectivePain's causes in children with severe cognitive impairment may be challenging to diagnose. This study aimed to investigate if there is a relationship between pain causes and the age of children.MethodsWe conducted a multicenter retrospective study in three Italian Pediatric Units. Eligible subjects were patients from 1 to 18 years with severe neurological impairment. We collected data regarding diagnoses, pain causes and medical or surgical procedures. The timing of pain episodes was categorized into age-related periods: infants and toddlers (0–24 months), preschool children (3–5 years), schoolchildren (6–12 years), and adolescents (13–17 years).ResultsEighty children with severe neurological impairment were enrolled. The mean age was 11 years (±5.8). Gastroenterological pain was most common in the first years of life (p = 0.004), while orthopaedic and tooth pain was the most typical in schoolchildren and adolescents (p = 0.001 and p = 0.02). Concerning surgical procedures, PEG placement and gastric fundoplication were significantly more common in the first 5 years of age (p = 0.03), and heart surgery was typical of infants (p = 0.04). Orthopaedic surgery was more commonly reported in older children and adolescents (p < 0.001).ConclusionsSome causes of pain are more frequent in children with severe neurological impairment in defined age-related periods. Specific age-related pain frequencies may help physicians in the diagnostic approach. |
| first_indexed | 2024-03-07T14:31:11Z |
| format | Article |
| id | doaj.art-91a9c5e14fe94201a0f695646d7f1443 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-03-07T14:31:11Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-91a9c5e14fe94201a0f695646d7f14432024-03-06T04:48:07ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602024-03-011210.3389/fped.2024.13651521365152Timeline of diagnosed pain causes in children with severe neurological impairmentFrancesca Peri0Francesca Peri1Elena Magni2Filippo Pigani3Raffaella Romoli4Simona Vetrella5Lucia De Zen6Raffaella Sagredini7Egidio Barbi8Egidio Barbi9Giorgio Cozzi10Department of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, ItalyDepartment of Pediatrics, Institute for Maternal and Child Health-IRCCS “Burlo Garofolo”, Trieste, ItalyClinical Epidemiology and Public Health Research Unit, Institute for Maternal and Child Health-IRCCS “Burlo Garofolo”, Trieste, ItalyDepartment of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, ItalyPediatric Unit, Saint Anna Hospital ASST, Como, ItalyDepartment of Primary Assistance—U.O.S.D. Palliative Home-Care, A.S.L. Napoli 1 Centro, Naples, ItalyDepartment of Pediatrics, Institute for Maternal and Child Health-IRCCS “Burlo Garofolo”, Trieste, ItalyInstitute for Maternal and Child Health-IRCCS “Burlo Garofolo”, Trieste, ItalyDepartment of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, ItalyDepartment of Pediatrics, Institute for Maternal and Child Health-IRCCS “Burlo Garofolo”, Trieste, ItalyDepartment of Pediatrics, Institute for Maternal and Child Health-IRCCS “Burlo Garofolo”, Trieste, ItalyObjectivePain's causes in children with severe cognitive impairment may be challenging to diagnose. This study aimed to investigate if there is a relationship between pain causes and the age of children.MethodsWe conducted a multicenter retrospective study in three Italian Pediatric Units. Eligible subjects were patients from 1 to 18 years with severe neurological impairment. We collected data regarding diagnoses, pain causes and medical or surgical procedures. The timing of pain episodes was categorized into age-related periods: infants and toddlers (0–24 months), preschool children (3–5 years), schoolchildren (6–12 years), and adolescents (13–17 years).ResultsEighty children with severe neurological impairment were enrolled. The mean age was 11 years (±5.8). Gastroenterological pain was most common in the first years of life (p = 0.004), while orthopaedic and tooth pain was the most typical in schoolchildren and adolescents (p = 0.001 and p = 0.02). Concerning surgical procedures, PEG placement and gastric fundoplication were significantly more common in the first 5 years of age (p = 0.03), and heart surgery was typical of infants (p = 0.04). Orthopaedic surgery was more commonly reported in older children and adolescents (p < 0.001).ConclusionsSome causes of pain are more frequent in children with severe neurological impairment in defined age-related periods. Specific age-related pain frequencies may help physicians in the diagnostic approach.https://www.frontiersin.org/articles/10.3389/fped.2024.1365152/fullpainpediatric painchronic painsevere neurologic disordersevere neurologic impairment |
| spellingShingle | Francesca Peri Francesca Peri Elena Magni Filippo Pigani Raffaella Romoli Simona Vetrella Lucia De Zen Raffaella Sagredini Egidio Barbi Egidio Barbi Giorgio Cozzi Timeline of diagnosed pain causes in children with severe neurological impairment Frontiers in Pediatrics pain pediatric pain chronic pain severe neurologic disorder severe neurologic impairment |
| title | Timeline of diagnosed pain causes in children with severe neurological impairment |
| title_full | Timeline of diagnosed pain causes in children with severe neurological impairment |
| title_fullStr | Timeline of diagnosed pain causes in children with severe neurological impairment |
| title_full_unstemmed | Timeline of diagnosed pain causes in children with severe neurological impairment |
| title_short | Timeline of diagnosed pain causes in children with severe neurological impairment |
| title_sort | timeline of diagnosed pain causes in children with severe neurological impairment |
| topic | pain pediatric pain chronic pain severe neurologic disorder severe neurologic impairment |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1365152/full |
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