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Somatic symptom disorder was common in children and adolescents attending an emergency department complaining of pain
Author(s) -
Cozzi Giorgio,
Minute Marta,
Skabar Aldo,
Pirrone Angela,
Jaber Mohamad,
Neri Elena,
Montico Marcella,
Ventura Alessandro,
Barbi Egidio
Publication year - 2017
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.13741
Subject(s) - medicine , emergency department , observational study , prospective cohort study , physical therapy , pediatrics , psychiatry
Aim The aim of this study was to quantify the prevalence of somatic pain in a paediatric emergency department ( ED ). Methods We conducted a prospective observational study using patients admitted to the ED of an Italian children's hospital between December 2014 and February 2015. We enrolled children aged 7–17 who turned up at the ED complaining of pain. Patients and parents were asked to fill in a questionnaire to allow the analysis of the patients’ medical history and provide contact details for follow‐up. We divided the enrolled patients into four groups: post‐traumatic pain, organic pain, functional pain and somatic pain. The questionnaire was used to define pain characteristics and to generate an impairment score. Results Of the 713 patients who met inclusion criteria, 306 (42.9%) were enrolled in the study. Of these, 135 (44.0%) suffered from post‐traumatic pain, 104 (34.0%) from organic pain, 41 (13.4%) from functional pain and 26 (8.6%) from somatic pain. Somatic pain patients had endured pain longer, had missed more school days and had suffered severe functional impairment. Conclusion This study highlighted that somatic pain was a significant contributor to paediatric emergency room visits and should be suspected and diagnosed in children reporting pain.