Cold Therapy for Pain Control in Pediatric Appendectomy Patients : A Randomized Controlled Trial
Copyright © 2024 Elsevier Inc. All rights reserved..
PURPOSE: Topical ice has been shown to reduce pain scores and opioid use in adults with midline abdominal incisions. This study was designed to evaluate the efficacy of a cold therapy system in children following laparoscopic appendectomy.
METHODS: Patients 7 years and older who underwent laparoscopic appendectomy at our institution from December 2021-September 2022 were eligible. Patients were randomized to standard pain therapy (control) or standard plus cold therapy (treatment) utilizing a modified ice machine system with cool abdominal pad postoperatively. Pain scores on the first 3 postoperative days (PODs), postoperative narcotic consumption, and patient satisfaction were analyzed.
RESULTS: Fifty-eight patients were randomized, 29 to each group. Average survey response rate was 74% in control and 89% in treatment patients. There was no significant difference in median pain scores or narcotic use between groups. Cold therapy contributed to subjective pain improvement in 71%, 74%, and 50% of respondents on PODs 1, 2, and 3 respectively.
CONCLUSION: A majority of patients reported cold therapy to be a helpful adjunct in pain control after appendectomy, though it did not reduce postoperative pain scores or narcotic use in our cohort - likely due to this population's naturally expedient recovery and low baseline narcotic requirement.
TYPE OF STUDY: Randomized Controlled Trial.
LEVEL OF EVIDENCE: Level I.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Journal of pediatric surgery - (2024) vom: 14. März |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Scalise, P Nina [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Revised 03.04.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1016/j.jpedsurg.2024.02.036 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM370596900 |
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| 500 | |a Date Revised 03.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a Copyright © 2024 Elsevier Inc. All rights reserved. | ||
| 520 | |a PURPOSE: Topical ice has been shown to reduce pain scores and opioid use in adults with midline abdominal incisions. This study was designed to evaluate the efficacy of a cold therapy system in children following laparoscopic appendectomy | ||
| 520 | |a METHODS: Patients 7 years and older who underwent laparoscopic appendectomy at our institution from December 2021-September 2022 were eligible. Patients were randomized to standard pain therapy (control) or standard plus cold therapy (treatment) utilizing a modified ice machine system with cool abdominal pad postoperatively. Pain scores on the first 3 postoperative days (PODs), postoperative narcotic consumption, and patient satisfaction were analyzed | ||
| 520 | |a RESULTS: Fifty-eight patients were randomized, 29 to each group. Average survey response rate was 74% in control and 89% in treatment patients. There was no significant difference in median pain scores or narcotic use between groups. Cold therapy contributed to subjective pain improvement in 71%, 74%, and 50% of respondents on PODs 1, 2, and 3 respectively | ||
| 520 | |a CONCLUSION: A majority of patients reported cold therapy to be a helpful adjunct in pain control after appendectomy, though it did not reduce postoperative pain scores or narcotic use in our cohort - likely due to this population's naturally expedient recovery and low baseline narcotic requirement | ||
| 520 | |a TYPE OF STUDY: Randomized Controlled Trial | ||
| 520 | |a LEVEL OF EVIDENCE: Level I | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cold therapy | |
| 650 | 4 | |a Incisional pain | |
| 700 | 1 | |a Koo, Donna C |e verfasserin |4 aut | |
| 700 | 1 | |a Durgin, Jonathan M |e verfasserin |4 aut | |
| 700 | 1 | |a Truche, Brianna Slatnick |e verfasserin |4 aut | |
| 700 | 1 | |a Staffa, Steven J |e verfasserin |4 aut | |
| 700 | 1 | |a Greco, Christine |e verfasserin |4 aut | |
| 700 | 1 | |a Solodiuk, Jean |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Eliza J |e verfasserin |4 aut | |
| 700 | 1 | |a Demehri, Farokh R |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Heung Bae |e verfasserin |4 aut | |
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