Age and pain score before gastrointestinal endoscopies in children are predictors for post procedure pain
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RESEARCH ARTICLE
Open Access
Age and pain score before gastrointestinal endoscopies in children are predictors for post procedure pain Tut Galai1,3†, Anat Yerushalmy‑Feler1,3†, Nathan P. Heller3, Amir Ben‑Tov1,3, Yael Weintraub1,3, Achiya Amir1,3, Hadar Moran‑Lev1,3, Lilach Zac2,3 and Shlomi Cohen1,3*
Abstract Background: Gastrointestinal endoscopy may be associated with pain and anxiety. Predictors for high pain scores after endoscopies in children are not known. The aim of our study was to identify risk factors for prolonged recovery and higher pain scores after gastrointestinal endoscopy in children. Methods: All the children that were electively admitted for gastrointestinal endoscopies were included. We retro‑ spectively collected demographic, clinical and endoscopic data as well as information on the recovery process. A numerical rating scale and the Faces, Legs, Activity, Cry, and Consolability Scale were used for pain scoring. Results: During the study period (01/2016–10/2016), 284 children (median age 10.7 years, interquartile range 6.7– 14.8) were recruited. In a univariate analysis, older age, higher pre-procedure pain scores, longer procedure durations, higher number of biopsies and longer recovery duration were associated with higher post-procedure pain scores. In a multivariate analysis higher pain scores before the procedure (OR 12.42, 95% CI 3.67–42, P
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