Abstract
            
            
               Introduction This study evaluates usage patterns of online health information in parents with
               children undergoing elective or emergency surgical procedures.
            
            
               Materials and Methods We prospectively surveyed parents of children admitted to our institution for common
               emergency (appendicectomy, abscess drainage, gonadal torsion) or elective (herniotomy,
               orchidopexy) operations between March and September 2016. Each completed an anonymized
               modification of a previously published survey comprising 19 questions on demographic
               data, Internet usage, and review of Internet resources. Chi-square tests were used
               for categorical data with p < 0.05 considered significant.
            
            
               Results Eighty-four parents were surveyed: 50(59.5%) elective and 34(40.5%) emergency procedures,
               with no refusals. Majority were mothers (n = 53; 63.1%). Despite high home Internet availability (n = 81; 96.4%) and high casual Internet usage rates (74 parents, 88.1%, reported daily
               use), just 38 (76%) parents from the elective group and 24 (70.6%) from the emergency
               group went online to access their child's admitting condition. Friends and family
               were more likely to be approached for information in elective (n = 27; 54%) and emergency groups (n = 24;70.6%) than general practitioners or other health care workers. When condition-specific
               online information was sought, more than 95% felt that the information concurred with
               the doctor's. Most common reasons were for more information on the condition (n = 56; 90.3%) and on medical treatment (n = 52; 83.9%). Eighteen (18/62; 29%) parents reported excessively technical information.
               No significant difference in behavior was found comparing elective and emergency groups.
            
            
               Conclusion Approximately one quarter of parents do not access condition-specific online medical
               information despite high Internet penetration rates. More than half depend on friends
               and family for additional information, reflecting societal and cultural norms in our
               population. Surgeons must incorporate awareness of these behaviors during counselling
            
         
         Keywords
caregiver - children - self-report