• R Amouroux, D Cohen-Salmon, R Gooze, C Rousseau-Salvador, and D Annequin.
• Unité fonctionnelle d'analgésie pédiatrique, service d'anesthésie-réanimation, hôpital d'enfants Armand-Trousseau, 26, avenue du Docteur-Arnold-Netter, 75571 Paris cedex 12, France. remy.amouroux@trs.aphp.fr
• Ann Fr Anesth Reanim. 2009 Jan 1;28(1):11-5.

ObjectivesThe purpose of this study was to evaluate postoperative pain in the hospital and at home as well as behavioural changes at home following outpatient adenoidectomy (VG) and ear tube (ATT) surgery.Study DesignProspective cohort study.Patients And MethodsSixty-four children (mean age 4.3+/-2.4 years): 28 VG, 16 (ATT), 20 dual surgeries (VG-ATT). Postoperative pain was evaluated (arrival in recovery room, departure from wake-up room, departure from hospital) using the Objective Pain Scale (OPS). Parents evaluated their child's pain at home over a period of seven days using a numeric pain scale. Behavioural changes were measured with the Post-Hospital Behaviour Questionnaire (PHBQ).ResultsAt arrival in the recovery room, OPS=3.5 [0-6]. A statistically significant difference (p<0.05) was shown between the VG group (OPS=5 [2.25-7.75]), and the ATT (OPS=0 [0-5.5]) and VG-ATT (OPS=2 [0-5.75]) groups. OPS was 1.0 [0-2] when leaving the recovery room, and OPS was 0 [0-1] when leaving the hospital. Numeric pain scale scores recorded at home were extremely low. Postoperatively, 75% of parents at Day 1 and 40.6% at Day 7 reported at least one postoperative behavioural change.DiscussionIn all three groups, parents reported frequent postoperative behaviour changes despite adequate analgesia.ConclusionThe relatively high frequency of postoperative behaviour changes in this population demonstrates the need to systematically evaluate those changes in order to improve overall paediatric care.

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