TY - JOUR T1 - Somatic symptom disorder was common in children and adolescents attending an emergency department complaining of pain. JF - Acta Paediatr Y1 - 2017 A1 - Cozzi, Giorgio A1 - Minute, Marta A1 - Skabar, Aldo A1 - Pirrone, Angela A1 - Jaber, Mohamad A1 - Neri, Elena A1 - Montico, Marcella A1 - Ventura, Alessandro A1 - Barbi, Egidio KW - Adolescent KW - Child KW - Emergency Service, Hospital KW - Female KW - Humans KW - Italy KW - Male KW - Medically Unexplained Symptoms KW - Pain KW - Prospective Studies AB -

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.

VL - 106 IS - 4 U1 - http://www.ncbi.nlm.nih.gov/pubmed/28052403?dopt=Abstract ER -