How does circadian rhythm affect postoperative pain after pediatric acute appendicitis surgery?

Anesthesia and Pain Medicine · Nisan 2024

YÖKSİS Kayıtları

Anesthesia and Pain Medicine · 2024 ESCI(Emerging Sources Citation Index), SCOPUS and DOAJ

PROFESÖR MEHMET SARGIN →

How does circadian rhythm affect postoperative pain after pediatric acute appendicitis surgery?

Anesth Pain Med · 2024 ESCI(Emerging Sources Citation Index), SCOPUS and DOAJ

PROFESÖR FARUK ÇİÇEKCİ →

How does circadian rhythm affect postoperative pain after pediatric acute appendicitis surgery?

Anesthesia and Pain Medicine · 2024 ESCI(Emerging Sources Citation Index), SCOPUS and DOAJ

DOÇENT FATMA ÖZCAN SIKI →

Makale Bilgileri

DergiAnesthesia and Pain Medicine

Yayın TarihiNisan 2024

Cilt / Sayfa19 · 125-133

DOI10.17085/apm.23038

Scopus ID2-s2.0-85193701154

Erişim🔓 Açık Erişim

Özet Background: This study aimed to evaluate the relationship between postoperative pain and circadian rhythm after pediatric acute appendicitis surgery. Methods: Two hundred patients, aged 6–18 years, undergoing acute appendicitis surgery were included in this prospective observational study. The patients were divided into four groups according to the time they underwent surgery: the night group, 01:01–07:00; morning group, 07:01–13:00; afternoon group, 13:01–19:00; and evening group, 19:01–01:00. Intraoperative and postoperative vital signs, postoperative 24-h Wong–Baker Faces Pain Rating Scale (FACEs) scores, and the amount of analgesic required were recorded. Results: A total of 186 patients were analyzed in the study. There was no statistically significant difference in the demographic characteristics of the patient groups. Additionally, no dif-ferences were observed in intraoperative and postoperative vital signs among the four groups. However, patients in the night group had significantly higher FACEs values than those in the other groups at each time point (1st, 3rd, 6th, and 12th h) up to 12 h (P = 0.007, P = 0.023, P = 0.048, and P = 0.003, respectively). The amount of analgesic required in the night group was statistically higher than in the other groups until 12 h (P = 0.002, P < 0.001, P = 0.002, and P = 0.004, respectively). Conclusions: A relationship was found between acute appendicitis operations performed at night (01:01 to 07:00) under general anesthesia and circadian rhythm in children. We be-lieve that considering circadian time in the relief of postoperative pain would be beneficial.