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Data were collected up to 12\u00a0days. The child rated pain on the Face Pain Scale-Revised (FPS-R) and recovery using the Postoperative Recovery in Children (PRiC) questionnaire. Caregivers assessed their child's pain, anxiety, and nausea on a numeric analog scale and kept a log of analgesic administration.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>High pain levels (FPS-R\u2009\u2265\u20094) were reported in all surgical and age groups (TT\u2009\u00b1\u2009A age 4\u201311, TE\u2009\u00b1\u2009A age 4\u201311, TE\u2009\u00b1\u2009A age 12\u201317), but there were variations in pain intensity and duration within and between groups. The TE\u2009\u00b1\u2009A group scored more days with moderate to very excruciating pain and lower recovery than the TT\u2009\u00b1\u2009A group, with the worst outcomes reported by older TE\u2009\u00b1\u2009A children. The majority of the children used paracetamol\u2009+\u2009COX-inhibitors at home, but regular administration of analgesics was lacking, particularly during late evening and at night. Few were received rescue medication (opioid or clonidine) despite severe pain. Physical symptoms and daily life activities were affected during the recovery period. There was moderate agreement between child and the caregiver\u2019s pain assessment scores.\n<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Children reported a troublesome recovery with significant postoperative pain, particularly older children undergoing tonsillectomy. Pain treatment at home was suboptimal and lacked regular analgesic administration. Patient information needs to be improved regarding the importance of regular administration of analgesics and rescue medication.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-020-06367-z","type":"journal-article","created":{"date-parts":[[2020,9,26]],"date-time":"2020-09-26T18:02:30Z","timestamp":1601143350000},"page":"451-461","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Postoperative pain, pain management, and recovery at home after pediatric tonsil surgery"],"prefix":"10.1007","volume":"278","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4718-3361","authenticated-orcid":false,"given":"Fredrik","family":"Alm","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Lundeberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Ericsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,9,26]]},"reference":[{"issue":"3","key":"6367_CR1","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1111\/pan.12327","volume":"24","author":"MC Dorkham","year":"2014","unstructured":"Dorkham MC, Chalkiadis GA, von Ungern Sternberg BS, Davidson AJ (2014) Effective postoperative pain management in children after ambulatory surgery, with a focus on tonsillectomy: barriers and possible solutions. 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The present study was approved by the Central Ethical Board in Uppsala (application number 2017\/169).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}