RESUMO
Short term psychological disturbance in 70 children undergoing minor surgery was compared in two randomly allocated groups by means of questionnaires answered by their parents. Significantly less psychological disturbance was reported in children undergoing day case surgery compared with children admitted on the day before and discharged on the day after surgery. Children who had day case surgery were less often reported to require extra attention in the first week after discharge home, and at three months after operation these children were less often said to be still affected by their hospital stay. It is concluded that a reduced psychological upset can now be added to the other arguments in favour of day case surgery in children.
Assuntos
Procedimentos Cirúrgicos Ambulatórios/psicologia , Criança Hospitalizada/psicologia , Procedimentos Cirúrgicos Operatórios/psicologia , Criança , Pré-Escolar , Ensaios Clínicos como Assunto , Humanos , Lactente , Distribuição AleatóriaRESUMO
The outcome of day-care versus inpatient surgery for two equivalent groups of children is examined. Ratings were made of medical outcome, behaviour change in the children at 1 week and 3 mths post-discharge from a pre-admission criterion, convenience and subjective anxiety for parents, and relative costs of the two procedures. Results showed trends in favour of the day-care procedure. Argument is made that day-care should be the preferred option for minor surgery in young children.