دورية أكاديمية
أعرض في EDS

Analysis of pain perception associated with urodynamic testing in children over 3 years old.

التفاصيل البيبلوغرافية
العنوان: Analysis of pain perception associated with urodynamic testing in children over 3 years old.
عنوان ترانسليتريتد: Análisis de la percepción del dolor asociado al estudio urodinámico en niños mayores de tres años.
المؤلفون: March-Villalba JA; Sección de Urología Pediátrica. Hospital Universitario y Politécnico de la Fe, Valencia, España. Electronic address: joseantoniomarch@gmail.com., López Salazar A; Sección de Urología Pediátrica. Hospital Universitario y Politécnico de la Fe, Valencia, España., Romeu Magraner G; Sección de Urología Pediátrica. Hospital Universitario y Politécnico de la Fe, Valencia, España., Serrano Durbá A; Sección de Urología Pediátrica. Hospital Universitario y Politécnico de la Fe, Valencia, España., Valero Escribá ML; Enfermería de la Sección de Urología Funcional y Reconstructiva. Hospital Universitario y Politécnico de La Fe, Valencia, España., Ortega Checa M; Enfermería de la Sección de Urología Funcional y Reconstructiva. Hospital Universitario y Politécnico de La Fe, Valencia, España., Domínguez Hinarejos C; Sección de Urología Pediátrica. Hospital Universitario y Politécnico de la Fe, Valencia, España., Boronat Tormo F; Servicio de Urología. Hospital Universitario y Politécnico de La Fe, Valencia, España.
المصدر: Actas urologicas espanolas [Actas Urol Esp (Engl Ed)] 2021 Apr; Vol. 45 (3), pp. 232-238. Date of Electronic Publication: 2021 Feb 23.
نوع المنشور: Journal Article
اللغة: English; Spanish; Castilian
بيانات الدورية: Publisher: Elsevier España Country of Publication: Spain NLM ID: 101771154 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2173-5786 (Electronic) Linking ISSN: 21735786 NLM ISO Abbreviation: Actas Urol Esp (Engl Ed) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Madrid : Elsevier España
مواضيع طبية MeSH: Diagnostic Techniques, Urological* , Pain Perception* , Pain, Procedural* , Urodynamics*, Child ; Child, Preschool ; Cross-Sectional Studies ; Female ; Humans ; Male ; Visual Analog Scale
مستخلص: Objective: To measure the tolerance of urodynamic testing (UDT) in the pediatric patient by means of the Visual Analog Scale (VAS). To analyze which clinical and UDT-related variables influence pain perception.
Material and Methods: Cross-sectional study of 139 pediatric patients undergoing UDT (December 2013 - May 2018).
Inclusion Criteria: understanding and expressing their experience after UDT (preschool and school age). No adolescents were included. Measurement instrument Visual Analog Scale (0-10). Other clinical and UDT-associated variables were obtained.
Statistical Analysis: Mann-Whitney U test, Kruskal Wallis test. Spearman's rank correlation analysis (rs). Multivariate analysis through ordinal logistic regression. Significance p < 0.05.
Results: Mean age 7.7 years (SD 2.4), median VAS score, 2 (2-6). In 41% (n = 57), the score was ≥ 4 (moderate pain). Multivariate analysis. Explanatory variables for obtaining a high VAS score: high APUDT score (identifying patient anxiety prior to UDT), sensory-motor alteration in the lower limbs, difficult bladder catheterization and the appearance of pain during the filling phase. Age and duration of the UDT have not influenced the VAS score.
Conclusions: Although the UDT has resulted in 40% of the pediatric patients in our study expressing discomfort or pain, it is a well-tolerated test. The variables that have influenced on pain perception were patient's anxiety prior to UDT, a sensory-motor alteration located in the lumbosacral metameres, difficult bladder catheterization and the appearance of pain during bladder filling.
(Copyright © 2020 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.)
فهرسة مساهمة: Keywords: Diagnostic test; Estudio urodinámico; Paciente pediátrico; Pain assessment; Pediatric patient; Prueba diagnóstica; Urodynamic study; Valoración del dolor
تواريخ الأحداث: Date Created: 20210226 Date Completed: 20210921 Latest Revision: 20210921
رمز التحديث: 20240628
DOI: 10.1016/j.acuro.2020.10.005
PMID: 33632554
قاعدة البيانات: MEDLINE
الوصف
تدمد:2173-5786
DOI:10.1016/j.acuro.2020.10.005