title: Somatic symptom disorder was common in children and adolescents attending an emergency department complaining of pain.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
authors.forename: Giorgio
authors.initials: G
authors.lastname: Cozzi
authors.affiliation: University of Trieste, Trieste, Italy.
authors.forename: Marta
authors.initials: M
authors.lastname: Minute
authors.affiliation: Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
authors.forename: Aldo
authors.initials: A
authors.lastname: Skabar
authors.affiliation: University of Trieste, Trieste, Italy.
authors.forename: Angela
authors.initials: A
authors.lastname: Pirrone
authors.affiliation: University of Trieste, Trieste, Italy.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Jaber
authors.affiliation: Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Neri
authors.affiliation: Clinical Epidemiology and Health Services Research Unit, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
authors.forename: Marcella
authors.initials: M
authors.lastname: Montico
authors.affiliation: Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.|University of Trieste, Trieste, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Ventura
authors.affiliation: Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
authors.forename: Egidio
authors.initials: E
authors.lastname: Barbi
mesh_terms: D000293:Adolescent; D002648:Child; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D000071896:Medically Unexplained Symptoms; D010146:Pain / Q000453:epidemiology*; D011446:Prospective Studies
keywords: Functional pain; Paediatric emergency department; Primary headache; Somatic pain; Somatic symptom disorder