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Assessment of conti...
Assessment of continuous pain in newborns admitted to NICUs in 18 European countries
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- Anand, Kanwlajeet J. S. (författare)
- Departments of Pediatrics, Anesthesiology, Perioperative & Pain Medicine, Stanford University School of Medicine, Stanford CA, USA
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- Eriksson, Mats, 1957- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper,PEARL - Pain in Early Life
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- Boyle, Elaine M. (författare)
- Department of Health Sciences, University of Leicester, Leicester, United Kingdom
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- Avila-Alvarez, Alejandro (författare)
- Department of Neonatology, Complexo Hospitalario Universitario de A Coruña, Coruña, Spain
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- Dovland Andersen, Randi (författare)
- Department of Child & Adolescent Health Services, Telemark Hospital, Skien, Norway,PEARL - Pain in Early Life
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- Sarafidis, Kosmas (författare)
- 1st Department of Neonatology, Hippokrateion General Hospital, Aristotle University of Thessaloniki, Thessalokiki, Greece
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- Pölkki, Tarja (författare)
- Children and Women Department, Oulu University Hospital, Oulu, Finland,PEARL - Pain in Early Life
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- Matos, Christina (författare)
- Maternidade Dr. Alfredo da Costa, Lisboa, Portugal
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- Lago, Paola (författare)
- Department of Woman's and Child's Health, University of Padua, Padua, Italy
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- Papadouri, Thalia (författare)
- Department of Paediatrics, Arch. Makarios III Hospital, Nicosia, Cyprus
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- Attard-Montalto, Simon (författare)
- Department of Paediatrics, Mater Dei Hospital, Msida, Malta
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- Ilmoja, Mari-Liis (författare)
- Department of Paediatrics, Tallinn Children's Hospital, Tallinn, Estonia
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- Simmons, Sinno (författare)
- Department of Pediatrics, Erasmus MC–Sophia Kinderziekenhuis, Rotterdam, The Netherlands
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- Tameliene, Rasa (författare)
- Department of Neonatology, Kaunas Perinatal Center, Lithuanian University of Health Sciences, Kaunas, Lithuania
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- van Overmeire, Bart (författare)
- Cliniques Universitaires de Bruxelles, Erasme Hospital, Bruxelles, Belgium
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- Berger, Angelika (författare)
- Department of Pediatrics and Adolescent Medicine, Medical University Vienna, Vienna, Austria
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- Dobrzanska, Anna (författare)
- Department of Neonatology, Children's Memorial Health Institute Warsaw, Warszawa, Poland
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- Schroth, Michael (författare)
- Department of Paediatrics, Cnopf'sche Kinderklinik, Nürnberg Children's Hospital, Nürenberg, Germany
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- Bergqvist, Lena (författare)
- Karolinska Institutet
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- Courtois, Emilie (författare)
- Urgences Pédiatriques, Hôpital Armand Trousseau, INSERM U1153, Université Pierre et Marie Curie Paris VI, Paris, France
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- Rousseau, Jessica (författare)
- Urgences Pédiatriques, Hôpital Armand Trousseau, INSERM U1153, Université Pierre et Marie Curie Paris VI, Paris, France
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- Carbajal, Ricardo (författare)
- Urgences Pédiatriques, Hôpital Armand Trousseau, INSERM U1153, Université Pierre et Marie Curie Paris VI, Paris, France
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EUROPAIN survey working group of the NeoOpioid Consortium, Group author (författare)
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(creator_code:org_t)
- 2017-04-17
- 2017
- Engelska.
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Ingår i: Acta Paediatrica. - : John Wiley & Sons. - 0803-5253 .- 1651-2227. ; 106:8, s. 1248-1259
- Relaterad länk:
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http://repositorio.c...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Aim: Continuous pain occurs routinely, even after invasive procedures, or inflammation and surgery, but clinical practices associated with assessments of continuous pain remain unknown.Methods: A prospective cohort study in 243 Neonatal Intensive Care Units (NICUs) from 18 European countries recorded frequency of pain assessments, use of mechanical ventilation, sedation, analgesia, or neuromuscular blockade for each neonate upto 28 days after NICU admission.Results: Only 2113/6648 (31·8%) of neonates received assessments of continuous pain, occurring variably among tracheal ventilation (TrV, 46·0%), noninvasive ventilation (NiV, 35·0%), and no ventilation (NoV, 20·1%) groups (p<0·001). Daily assessments for continuous pain occurred in only 10·4% of all neonates (TrV: 14·0%, NiV: 10·7%, NoV: 7·6%; p<0·001). More frequent assessments of continuous pain occurred in NICUs with pain guidelines, nursing champions, and surgical admissions prompted (all p<0·01), and for newborns <32 weeks gestational age, those requiring ventilation, or opioids, sedatives-hypnotics, general anesthetics (O-SH-GA) (all p<0·001), or surgery (p=0·028). Use of O-SH-GA drugs increased the odds for pain assessment in the TrV (OR:1·60, p<0·001) and NiV groups (OR:1·40, p<0·001).Conclusion: Assessments of continuous pain occurred in less than one-third of NICU admissions, and daily in only 10% of neonates. NICU clinical practices should consider including routine assessments of continuous pain in newborns.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- Clinical practices; Infant-newborn; Infant-premature; Neonatal intensive care units; Suffering
- Caring Sciences w. Medical Focus
- Omvårdnadsforskning med medicinsk inriktning
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- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Anand, Kanwlajee ...
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Eriksson, Mats, ...
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Boyle, Elaine M.
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Avila-Alvarez, A ...
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Dovland Andersen ...
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Sarafidis, Kosma ...
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visa fler...
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Pölkki, Tarja
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Matos, Christina
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Lago, Paola
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Papadouri, Thali ...
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Attard-Montalto, ...
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Ilmoja, Mari-Lii ...
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Simmons, Sinno
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Tameliene, Rasa
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van Overmeire, B ...
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Berger, Angelika
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Dobrzanska, Anna
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Schroth, Michael
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Bergqvist, Lena
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Courtois, Emilie
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Rousseau, Jessic ...
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Carbajal, Ricard ...
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EUROPAIN survey ...
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Pediatrik
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Acta Paediatrica
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Örebro universitet
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Karolinska Institutet