{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T15:53:28Z","timestamp":1785772408418,"version":"3.56.0"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe the characteristics of paediatric postoperative patients with cognitive dysfunction and assess the prevalence of pain and associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Desing<\/jats:title>\n                    <jats:p>A descriptive observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross\u2010sectional study in children and adolescents who had undergone surgery in the previous 72\u2009h with cognitive dysfunction impeding verbal communication of pain. The Spanish\u2010language version of the revised Face, Legs, Activity, Cry and Consolability scale was used to assess pain intensity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The 51 included patients underwent 1072 pain assessments. Moderate to severe pain was detected in 12.1% of the evaluations (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009130). Girls showed more intense pain after analgesia than boys. Higher pain intensity before analgesia was associated with neurodegenerative disease and autism spectrum disorder.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In children with cognitive dysfunction, female sex and baseline cognitive conditions seem to be associated with more intense postsurgical pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Hospital pain management protocols should differentiate between patients with cognitive dysfunction and patients with neurotypical development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"explicit-label\">\n                        <jats:list-item>\n                          <jats:p>This study addresses the prevalence of postsurgical pain in paediatric patients with cognitive dysfunction and associated factors<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>12.1% of postsurgical evaluations showed moderate to severe pain. Female sex and baseline cognitive conditions seem to be associated with more intense postsurgical pain.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>This research will have an impact on the care of paediatric patients with cognitive dysfunction in postsurgical hospitalization units.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>This study was performed according to EQUATOR GUIDELINES and the STROBE statement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No Patient or Public Contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70353","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T05:49:37Z","timestamp":1778564977000},"page":"3794-3804","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With Postsurgical Pain in Children and Adolescents With Cognitive Dysfunction"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4470-2675","authenticated-orcid":false,"given":"D\u00e9bora","family":"Sierra\u2010N\u00fa\u00f1ez","sequence":"first","affiliation":[{"name":"Pediatric Surgery Hospitalization Unit Vall D'hebron University Hospital  Barcelona Spain"},{"name":"University of Barcelona, Bellvitge Campus  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6369-9697","authenticated-orcid":false,"given":"Alejandro","family":"Bosch\u2010Alcaraz","sequence":"additional","affiliation":[{"name":"Department of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Nursing University of Barcelona  Barcelona Spain"},{"name":"Mental Health, Psychosocial and Complex Nursing Care Research Group\u2010NURSEARCH University of Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Parada\u2010Almansa","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Hospitalization Unit Vall D'hebron University Hospital  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00f3nica","family":"Castro\u2010Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Hospitalization Unit Vall D'hebron University Hospital  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana","family":"Asensio\u2010Sales","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Hospitalization Unit Vall D'hebron University Hospital  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Gracia\u2010Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Hospitalization Unit Vall D'hebron University Hospital  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3702-3009","authenticated-orcid":false,"given":"Anna","family":"Falc\u00f3\u2010Pegueroles","sequence":"additional","affiliation":[{"name":"Fundamental and Clinical Nursing Departament, Faculty of Nursing University of Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00aa. \u00c1ngeles","family":"Saz\u2010Roy","sequence":"additional","affiliation":[{"name":"Mental Health, Psychosocial and Complex Nursing Care Research Group\u2010NURSEARCH University of Barcelona  Barcelona Spain"},{"name":"Department of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Nursing University of Barcelona (UB)  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0622-8423","authenticated-orcid":false,"given":"Esperanza","family":"Zuriguel\u2010P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of Knowledge Management and Evaluation, Multidisciplinary Nursing Research Group, Vall D'hebron Research Institute. 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