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. 2024 Aug;281(8):4385-4392.
doi: 10.1007/s00405-024-08683-0. Epub 2024 May 13.

Keep Calm: Does parental preoperative anxiety affect post-tonsillectomy pain scores in children?

Clara Serdoura Alves  1 , Joana Dias  2 , Sara Azevedo  2 , Francisco Sousa  2 , Mariline Santos  2 , Joao Lino  2 , Luis Meireles  2
Affiliations

Keep Calm: Does parental preoperative anxiety affect post-tonsillectomy pain scores in children?

Clara Serdoura Alves et al. Eur Arch Otorhinolaryngol. 2024 Aug.

Abstract

Purpose: To understand if high parental anxiety leads to increased post-tonsillectomy pain in children.

Methods: Prospective study including parents of children aged 3-10 years old submitted to tonsillectomy with or without adenoidectomy. To evaluate anxiety, parents were asked to fill the State-Trait Anxiety Inventory form-Y, with postoperative pain being evaluated with the Wong-Baker FACES pain scale at postoperative days 1, 3 and 7. Parents were also asked to register the number of days during which children took analgesic and the number of analgesic intakes needed.

Results: 41 parents were enrolled, of which 95.1% (n = 39) were female with a mean age of 35.64 years (SD 5.751), with 41 children also being enrolled, of which 85.4% of children (n = 35) underwent tonsillectomy and adenoidectomy. 43.9% (n = 18) of parents presented State anxiety scores above the cut-off level and 53.7% (n = 22) above the Trait anxiety scores above the cut-off. Children of parents with high State anxiety presented statistically higher pain scores in both the third (p = 0.035) and the seventh postoperative days (p = 0.006), with significantly longer use of analgesic medication (p = 0.043) being found, as well as a statistically higher number of analgesic intakes (p = 0.045) (Table 4).

Conclusion: The present study establishes an association between preoperative parental anxiety, postoperative pain scores and the need for longer analgesic use in children undergoing tonsillectomy. This reinforces the importance of reducing parental anxiety and opens the door for further strategies to better post-tonsillectomy outcomes.

Keywords: Parental anxiety; Pediatric otolaryngology; Postoperative recovery; Tonsillectomy.

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Figures

Fig. 1
Fig. 1
State anxiety minum, maximun and median scores
Fig. 2
Fig. 2
Trait anxiety minum, maximun and median scores
See this image and copyright information in PMC

References

    1. Kain ZN, Mayes LC, Caldwell-Andrews AA, Karas DE, McClain BC (2006) Preoperative anxiety, postoperative pain, and behavioral recovery in young children undergoing surgery. Pediatrics 118(2):651–658. 10.1542/peds.2005-2920 10.1542/peds.2005-2920 - DOI - PubMed
    1. Chow CHT, Schmidt LA, Buckley DN (2020) The role of anxiety and related states in pediatric postsurgical pain. Can J Pain 4(4):26–36. 10.1080/24740527.2020.1847600 10.1080/24740527.2020.1847600 - DOI - PMC - PubMed
    1. Rosenberg RE, Clark RA, Chibbaro P, Hambrick HR, Bruzzese JM, Feudtner C, Mendelsohn A (2017) Factors predicting parent anxiety around infant and toddler postoperative and pain. Hosp Pediatr 7(6):313–319. 10.1542/hpeds.2016-0166. (Epub 2017 May 16) 10.1542/hpeds.2016-0166 - DOI - PMC - PubMed
    1. Sarkisova N, Andras LM, Yang J, Tolo VT, Skaggs DL (2020) High parental anxiety increases narcotic use in adolescent patients following spinal fusion. J Pediatr Orthop 40(9):e794–e797. 10.1097/BPO.0000000000001549 10.1097/BPO.0000000000001549 - DOI - PubMed
    1. Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA, Friedman NR, Giordano T, Hildrew DM, Kim TW, Lloyd RM, Parikh SR, Shulman ST, Walner DL, Walsh SA, Nnacheta LC (2019) Clinical practice guideline: tonsillectomy in children (update). Otolaryngol Head Neck Surg 160(1_suppl):S1–S42. 10.1177/0194599818801757 10.1177/0194599818801757 - DOI - PubMed