Aanesthetic Agents for Day Surgery - NIHR Health Technology ...

TABLE 69 Summary of paediatric patient-based outcomes studies
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Appendix 7
Health Technology Assessment 2002; Vol. 6: No. 30
Paediatric patient-based outcomes studies
Study Investigations Outcome Results Conclusions and Reviewers’ comments
and subjects measures grade of evidence (grade of evidence and
checklist criteria)
Grenier et al., Assessment Pre- and 25% suffered pain; 2/3 Peri- or postoperative Clinical audit only; able to
1994, 199 France of the home postoperative related to surgical wound, respiratory events were look at quality of home
recovery and assessment 1/3 to headache; pain rare; the children were recovery.Two major
Clinical audit comfort of more frequent at home premedicated more insufficiencies, analgesia
children who Postal (41% vs 15%, p < 0.05) frequently (95%) then and pain at home, were
had undergone questionnaire is usually reported; more frequent
day procedures returned by Patients did not
parents receive a systematic
prescription of
analgesics to cover their
home needs; good
satisfaction rate (95%)
Jolliffe, 1997, 200
142 patients Incidence of Children were not upset Parents reported only Grade IV
UK (93 parents postoperative by day surgery, 25% were minor problems
responded) problems upset by changing into a postdischarge
Survey aged 0–15 years theatre gown. 53% and
Symptoms 10% reported pain and
Procedures: at home PONV after discharge,
ENT, dental, respectively
general, Assessment of
orthopaedic appropriateness
of length of stay
Kotiniemi et al., Children PHBQ: patients No behavioural changes Number of behavioural Grade IV
1996, 201 Finland attending for day filled in the in 20 (23%) children; changes after both
surgery: 40 day questionnaire problematic changes seen day-case and inpatient Descriptive survey
Survey patients vs 1 day, 1 week in 52 (61%); behavioural ENT operations in
45 inpatients and 1 month improvements in 28 (33%); 2–10 year old children.
after discharge problematic changes Behavioural problems
detected in 73% of day- were equally common
case children and 46% of after day-case and
the inpatient group. inpatient treatment
Behavioural problems in
children aged 3–7 years:
68% in day-case group;
46% in inpatient group
(95% CI for difference,
–6 to 51)
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