Pain medicine

Predictors of Pain Concordance Among Caregiver–Child Dyads Undergoing Elective Surgery

Paediatr AnaesthPublished Prospective cohort study

Authors' conclusion

Although most caregiver-child dyads agreed with pain ratings, 44% of the dyads disagreed.

Study context

Population
Caregiver–child dyads undergoing elective surgery
Exposure
Caregiver vs child postoperative pain ratings
  • Overestimatorsn = 64
  • Underestimatorsn = 40
Outcome
Postoperative pain concordance among caregiver-child dyads (CHRIS 2.0 pain severity ratings) and predictors of discordance

Main finding

As reported in the abstract

Pain rating discordance
Dyads disagreeing on pain ratings
104 (44%)

Observational data: associations, not effects.

Further findings

Predictors of caregiver underestimation

OR (95% CI)P value
Male childrenβ = 1.2383.35 (1.26–9.43)P = 0.16
Spanish-speaking Latinx caregiversβ = 2.279.63 (2.35–39.37)P = 0.002

Original publication

Predictors of Pain Concordance Among Caregiver–Child Dyads Undergoing Elective Surgery. Paediatr Anaesth. Published 17 February 2025. doi:10.1111/pan.15082

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