Virtual reality distraction, a novel tool for pain alleviation during dressing change following surgical drainage of perianal abscess at Day Treatment Centre

Zheng, Lina; Liu, Hailiang

doi:10.1177/20552076231155675

Cited by 4 publications

(1 citation statement)

References 29 publications

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“…Adequate drainage and prevention of premature healing of the skin over a PA is a crucial goal of postoperative treatments after I&D ( 11 , 30 , 38 ). The guidelines for adults state that inadequate drainage is a risk factor for recurrent PA ( 18 ).…”

Section: Discussionmentioning

confidence: 99%

Risk factors for therapy failure after incision and drainage alone for perianal abscesses in children

Ding,

Chen,

Yan

et al. 2024

Front. Pediatr.

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BackgroundIt is well known that recurrent perianal abscesses (PAs) and fistula-in-ano (FIA) are the main causes of therapy failure following incision and drainage (I&D) for PAs. But few studies have focused on the risk factors for therapy failure after I&D for PAs in children. In this study, we retrospectively examine the risk factors for therapy failure after I&D for PAs in children in a pediatric tertiary care institution.MethodsA retrospective review of all outpatient children with PA treated by I&D at Beijing Children's Hospital between January 2021 and December 2022 was performed. A follow-up was conducted in October 2023. Patients with other predisposing factors for perianal infection, such as inflammatory bowel disease, hematologic tumor, and anorectal surgery, were excluded from this study. Logistic regression yielding odds ratios (ORs) was used to assess the significance of variables for therapy failure.ResultsOf 160 children initially identified, follow-up was available for 146, with a total of 172 treatments. A total of 91% of children were male. The median (interquartile range) age at I&D was 2 (1, 15) months. The median follow-up duration was 20 (14, 25) months. Therapy failure occurred in 25 (15%) treatments performed for the prevention of recurrence of PA and in 35 (20%) treatments for the prevention of development of FIA. In the univariate analysis, a history of PA (P = 0.001), history of I&D (P = 0.014), and multilocal occurrence (P = 0.003) were associated with therapy failure. A sitz bath after I&D (P = 0.016) and regular cleaning of the wound after I&D (P = 0.024) were associated with therapy success. In the multivariate analysis, a history of PA (P = 0.015, OR = 3.374) and multilocal occurrence (P = 0.012, OR = 4.649) were independently associated with therapy failure. Regular cleaning of the wound (P = 0.017, OR = 0.341) and sitz bath (P = 0.001, OR = 0.128) after I&D were independently associated with therapy success.ConclusionsA history of PA and multilocal occurrence were predictor factors for therapy failure before I&D. Regular cleaning of the wound and sitz bath after I&D were protective factors for therapy success. Therefore, regular cleaning of the wound and sitz bath after I&D should be emphasized in all children with PAs, especially in those with a history of PA and multilocal occurrence.

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Section: Discussionmentioning

confidence: 99%

Risk factors for therapy failure after incision and drainage alone for perianal abscesses in children

Ding,

Chen,

Yan

et al. 2024

Front. Pediatr.

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Virtual Reality in Acute and Chronic Pain Medicine: An Updated Review

Moreau,

Thérond,

Cerda

et al. 2024

Curr Pain Headache Rep

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In sickness and in health—A scoping review on social virtual reality clinical applications

Belina,

J Czaja,

Difede

et al. 2024

DIGITAL HEALTH

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Objective Evidence of virtual reality's (VR) efficacy in hospital settings coupled with the rise of inexpensive consumer devices have led to the development of social virtual reality (SVR) applications being incorporated in hospital settings. SVR provides opportunities for social interactions in virtual environments, allowing individuals to virtually socialize, regardless of geographic or mobility constraints. However, the full range of potential applications and the challenges of deploying SVR in hospital settings remain unexplored. We conducted a scoping review to characterize SVR applications studied in hospital settings to better understand SVR use for inpatient populations overall and in preparation for a National Institutes of Health (NIH)-funded project investigating SVR use with a specific clinical population. Methods In this scoping review, we searched MEDLINE, Embase, Scopus, APA PsycInfo, CINAHL, IEEE, and ACM Digital Library. After screening 2334 studies and reviewing 146 full texts, we identified 12 studies as eligible for analysis. Eleven of the 12 were published in the past 7 years, with none older than 12 years. Results As this is an emerging field, many publications were case or pilot studies, with small sample sizes ranging from 3 to 200 participants, and with mean participant ages that ranged from 9 to 75 years. Patient populations included those with stroke, cancer, COVID, as well as other health conditions. Conclusion Discussion of privacy and accessibility concerns was limited, as was the reported influence of SVR on measures associated with inpatient medical treatment (such as, adherence to clinical treatment while in the hospital while in a SVR intervention), which we highlight as critical issues for SVR's clinical use. We discuss our findings in the context of potential future directions for research in this area.

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Virtual reality distraction, a novel tool for pain alleviation during dressing change following surgical drainage of perianal abscess at Day Treatment Centre

Cited by 4 publications

References 29 publications

Risk factors for therapy failure after incision and drainage alone for perianal abscesses in children

Risk factors for therapy failure after incision and drainage alone for perianal abscesses in children

Virtual Reality in Acute and Chronic Pain Medicine: An Updated Review

In sickness and in health—A scoping review on social virtual reality clinical applications

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