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Prevalence of traumatic psychological stress reactions in children and parents following paediatric surgery: a systematic review and meta-analysis
- Source :
- BMJ Paediatrics Open, BMJ Paediatrics Open, Vol 5, Iss 1 (2021)
- Publication Year :
- 2021
- Publisher :
- BMJ Publishing Group, 2021.
-
Abstract
- BackgroundChildren undergoing surgery, and their parents, are at risk of developing post-traumatic stress reactions. We systematically reviewed the literature to understand the prevalence of this issue, as well as potential risk factors.MethodsWe conducted a systematic review and meta-analysis, using PubMed, PsycInfo, Web of Science and Google Scholar, with searches conducted in February 2021. Papers were included if they measured post-traumatic stress in children and/or parents following paediatric surgery, and were excluded if they did not use a validated measure of post-traumatic stress. Data was extracted from published reports.FindingsOur search yielded a total of 1,672 papers, of which 16 of met our inclusion criteria. In meta-analysis, pooled studies of children estimated an overall prevalence of 16% meeting criteria for post-traumatic stress disorder post-surgery (N= 187, 95% CI : 5-31%, I2= 80%). After pooling studies of parents, overall prevalence was estimated at 23% (N= 1444, 95% CI 16-31%, I2= 91%). Risk factors reported within studies included length of stay, level of social support and parental mental health.InterpretationThere is consistent evidence of traumatic stress following surgery in childhood which warrants further investigation. Those delivering surgical care to children would benefit from a raised awareness of the potential for post-traumatic stress in their patients and their families, including offering screening and support.FundingWe did not seek or receive any funding for this study.
- Subjects :
- DISORDER
Pediatrics
medicine.medical_specialty
IMPACT
Population
Prevalence
child psychiatry
PsycINFO
psychology
POSTTRAUMATIC-STRESS
medicine.disease_cause
RJ1-570
03 medical and health sciences
Social support
0302 clinical medicine
DSM-IV
Child and adolescent psychiatry
Medicine
Psychological stress
education
PREDICTORS
Child Psychiatry
education.field_of_study
Science & Technology
Paediatric surgery
business.industry
MOTHERS
Traumatic stress
PTSD
anaesthesia
SYMPTOM SEVERITY
Mental health
030227 psychiatry
Meta-analysis
Family medicine
Pediatrics, Perinatology and Child Health
RISK-FACTORS
COMORBIDITY
business
Life Sciences & Biomedicine
Inclusion (education)
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 23999772
- Volume :
- 5
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMJ Paediatrics Open
- Accession number :
- edsair.doi.dedup.....71b3d27133d68b9eeb653452f00d4299