Pediatric anesthesia & critical care
Preoperative Psychological Factors, Postoperative Pain Scores, and Development of Posttraumatic Stress Disorder Symptoms After Pediatric Anterior Cruciate Ligament Reconstruction
Authors' conclusion
A portion of patients undergoing ACLR are at risk for the development of symptoms consistent with PTSD. Risk factors include preoperative anxiety or depression and high postoperative pain scores.
Study context
- Population
- Pediatric patients undergoing anterior cruciate ligament reconstruction (ACLR)226 analysed at 6 months
- Participants
- 519 patients
- Outcome
- Incidence of PTSD symptoms (Child PTSD Symptom Scale [CPSS])
- Follow-up
- 6 months
Methodological detailsmulticentre, prospective registry
- Multicentre
- Prospective registry
Main finding
As reported in the abstract
PTSD (CPSS criteria)
Patients meeting posttraumatic stress disorder (PTSD) criteria at 6 months (of 226 with 6-month data)
17
7.5%
Proportion of total study population (17/519)
3.3%
Observational data: associations, not effects.
Further findings
Risk factors for PTSD at 6 months (univariate analysis)
- Negative vs positive temperament increased odds
- P = 0.017
- Excitable vs positive temperament increased odds
- P = 0.039
- Inhibitory vs positive temperament increased odds
- P = 0.043
- High preoperative anxiety score increased odds
- P = 0.001
- High preoperative depression score increased odds
- P = 0.019
- High pain scores on POD1 increased odds
- P = 0.02
Risk factors for PTSD at 6 months (multivariable model)
- Self-reported clinical anxiety/depression preoperatively: 29 times more likely (P = .018)
- 29
- Max pain score ≥7 on POD1: 9.8 times more likely (P = .018)
Original publication
Preoperative Psychological Factors, Postoperative Pain Scores, and Development of Posttraumatic Stress Disorder Symptoms After Pediatric Anterior Cruciate Ligament Reconstruction. Anesth Analg. Published 14 November 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →