Prevalence of moderate–severe pain in hospitalized children

Groenewald, Cornelius B.; Rabbitts, Jennifer A.; Schroeder, Darrell R.; Harrison, Tracy E.

doi:10.1111/j.1460-9592.2012.03807.x

Cited by 146 publications

(106 citation statements)

References 27 publications

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“…35 Taylor reported high pain prevalence rates for NICU patients (.90%), and both Birnie and Groenewald found infants to be a high-risk group for significant pain. 1,17,18 Many pain assessment tools are available for use on neonates and premature infants; it is plausible that use of different tools in a variety of settings is at least partially responsible for the variance in pain detection.…”

Section: Discussionmentioning

confidence: 99%

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Pain Prevalence and Treatment Patterns in a US Children’s Hospital

Shomaker

Dutton

Mark

2015

Hospital Pediatrics

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A B S T R A C TOBJECTIVE: Hospitalized children experience significant pain despite improvement efforts. This study was undertaken to better understand the epidemiology of acute pain in hospitalized children and the extent to which existing measures reveal targets for improving pain management. METHODS:A cross-sectional survey was used to audit pain assessment, intensity, prevalence, source, and treatment hospital-wide on a single day in 2011. Chart audits were performed on patients aged 0 to 21 years. All patients had the option to participate in a structured interview about their pain experience. RESULTS:The audit included 112 children, 47 of whom were interviewed. Pain prevalence obtained by child/parent interview (72%) was more than twice that documented by nurses (30%).Infants, but not cognitively impaired children, had significantly lower rates of pain detection and analgesic ordering than older age groups. Procedural pain was the most frequently cited source of pain among interviewed patients and was poorly addressed in the medical record. Fifty percent of children with documented moderate-to-severe pain received scheduled pain medications. More than one-third of interviewed patients would have wanted more pain medication if it could have been safely given.CONCLUSIONS: Specific gaps remain in the quality of pain management provided to hospitalized children. Focus on infant pain detection, assessment and management of procedural pain, and scheduled analgesic ordering are sensible targets for future process improvement efforts.

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Section: Discussionmentioning

confidence: 99%

“…Yet despite these efforts, studies show that hospitalized children are still experiencing moderate to severe pain in high numbers. 1,[17][18][19][20][21][22] Additionally, review of our patient satisfaction data suggested we were not consistently meeting expectations with regard to pain management in our own institution.…”

mentioning

confidence: 99%

Pain Prevalence and Treatment Patterns in a US Children’s Hospital

Shomaker

Dutton

Mark

2015

Hospital Pediatrics

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“…Hospitalised children regularly suffer from moderate to severe pain [1][2][3][4][5]. Sadly inadequate pain treatment shown in the 1980s and 1990s is still prevailing [6,7].…”

Section: Introductionmentioning

confidence: 99%

Analgesic Drug Prescription Patterns on Five International Paediatric Wards

et al. 2016

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Key points• Use of analgesic and anti-inflammatory drugs was in line with local recommendations and WHO guidelines • Oral paracetamol and oral ibuprofen are the most commonly used analgesic drugs on general paediatric wards • Differences regarding dose and frequency of ibuprofen and paracetamol use were observed, indicating that safety concerns for individual drugs are perceived differently among countries BOTZENHARDT et al. 2/1 2016-09-16 ABSTRACT AimAnalgesic and anti-inflammatory drugs are frequently prescribed in paediatrics. Prescribing and dosing patterns in hospitalised children are not well known. This study explores analgesic drug utilisation on five paediatric wards and discusses its findings in comparison with WHO guidelines. MethodA sub-analysis of a prospective, multi-centre, observational cohort study was undertaken. Prescription data of children aged up to ≤18 years were collected between October 2008 and December 2009 on paediatric general medical wards in five hospitals in Australia, Germany, the United Kingdom (UK), Hong Kong (HK) and Malaysia. Analgesic drug prescriptions were analysed for prescribing patterns in terms of dosing, frequency and route of administration. Dosing data were compared with local recommendations and WHO guidelines for children. ResultsIn the study cohort 56.8% (726/1,278) of paediatric patients received at least one analgesic drug prescription (1,227 prescriptions). Median age of patients with analgesics was 2.2 years (IQR 0.8-7.3) and median number of prescriptions per patient was 1 (IQR 1-2). Most commonly prescribed drugs were oral paracetamol (45.9%, 563/1,227) and oral ibuprofen (19.9%, 244/1,227). Daily doses of paracetamol ranged from 30 mg/kg/day in Germany to 67-68 mg/kg/day in UK and HK (p<0.05). For ibuprofen, single doses ranged from 5-6 mg/kg in HK and UK to 10 mg/kg in GER and AUS (p<0.001). Opioid use prevalence was statistically different between the centres and ranged from 0% to 17.6% (p<0.001). ConclusionThis study provides a comprehensive overview of analgesic drug use of hospitalised children. Similar to primary care data, paracetamol is the most commonly used analgesic. As recommended by WHO guidelines, oral medication was favoured and opioids used in addition to paracetamol and ibuprofen. Overall drug utilisation was in line with local recommendations and WHO guidelines. Differences in use of paracetamol and ibuprofen among countries was seen indicating that safety concerns are perceived differently. More large-scale safety studies are needed. BOTZENHARDT et al.

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“…Adaptación cultural y validación de contenido 1. Traducción: se reportaron algunas dificultades en los descriptores 2 -Fisgada, 6 -Repuxa y 18 -Espalha, pues no existe traducción exacta del descriptor para el español, pero se optó por elegir la palabra que más se aproximara a la palabra original del instrumento; el resultado fue: 2 -Tirón, 6 -Sacudida y 18 -Se extiende.…”

Section: Resultsunclassified

“…La prevalencia del dolor en la población pediátrica varía entre el 27 y el 87 %, donde los niños con diagnósticos quirúrgicos experimentan mayores niveles de dolor agudo en comparación con niños con diagnósticos médicos (1,2). Los niños hospitalizados con diagnósticos quirúrgicos generalmente poseen heridas derivadas de estos procedimientos, que generan dolor en respuesta a los daños tisulares ocasionados por fuerzas mecánicas, irritación química, daño vascular, inflamación o infección, además del propio tratamiento y de procedimientos relacionados con la herida (3,4).…”

Section: Introductionunclassified

Instrumento tarjetas de cualidad del dolor: adaptación cultural y evidencias de validez en niños

Ramos¹,

Mariano-Rossato²,

Bueno³

et al. 2018

Aquichan

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Objetivo: evaluar la adaptación cultural y encontrar evidencias de validez del instrumento tarjetas de cualidad del dolor (ITCD). Materiales y método: estudio metodológico y de validación de pruebas, que para la adaptación y validación de contenido realizó la traducción, retrotraducción, panel de expertos, revisión por niños en edad escolar y prueba piloto del ITCD. Además, se evaluó la validez de criterio externo con 90 niños en edad escolar hospitalizados y con heridas. La investigación fue realizada entre enero y febrero del 2015. Resultados: el instrumento fue traducido y retrotraducido a español y a portugués, respectivamente. En la evaluación del panel de expertos fue establecido un índice de validez de contenido de 0,92. En la revisión realizada por los niños se efectuaron cambios a los descriptores de siete tarjetas según sus sugerencias. El estudio piloto, mostró que 17 tarjetas presentaron claridad semántica para más del 90% de los niños. En cuanto a las evidencias basadas en el criterio externo, las variables diagnóstico médico, tipo de herida, infección de la herida e intensidad del dolor mostraron resultados significativos (p<0,05). Conclusiones: el instrumento tarjetas de cualidad del dolor fue adaptado culturalmente y mostró evidencias de validez basadas en el contenido y en el criterio externo.

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Prevalence of moderate–severe pain in hospitalized children

Cited by 146 publications

References 27 publications

Pain Prevalence and Treatment Patterns in a US Children’s Hospital

Pain Prevalence and Treatment Patterns in a US Children’s Hospital

Analgesic Drug Prescription Patterns on Five International Paediatric Wards

Instrumento tarjetas de cualidad del dolor: adaptación cultural y evidencias de validez en niños

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