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Pain Assessment In Ventilated And Non-ventilated Neonates In Nicus Across Europe : European Pain Audit In Neonates (europain Survey)
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- Carbajal, Ricardo (author)
- Emergency Department, Hôpital Armand-Trousseau, Paris, France
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- Eriksson, Mats, 1959- (author)
- Centre for health care sciences, Örebro University Hospital, Örebro, Sweden,PEARL - Pain in Early Life
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- Courtois, Emilie (author)
- Emergency Department, Hôpital Armand-Trousseau, Paris, France
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- Andersen, Randi Dovland (author)
- Telemark Hospital, Skien, Norway,PEARL - Pain in Early Life
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- Avila-Alvarez,, A. (author)
- Complexo Hospitalario Universitario de a Coruña, a Coruña, Spain
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- Boyle, Elaine (author)
- University of Leicester, Leicester, UK
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- Lago, Paola (author)
- University of Padova, Padova, Italy
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- Sarafidis, K. (author)
- Aristotle University of Thessaloniki, Thessaloniki, Greece
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- Simons, Sinno (author)
- Erasmus MC Sophia Children’s Hospital, Rotterdam, Netherlands
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- Pölkki, Tarja (author)
- Institute of Health Sciences, University of Oulu, Oulu, Finland,PEARL - Pain in Early Life
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- Ilmoja, M.L. (author)
- Tallinn Children’s Hospital, Tallinn, Estonia
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- Van Overmeire, Bart (author)
- Erasme Hospital, Bruxelles, Belgium
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- Berger, A. (author)
- Univ. Klinik F. Kinder and Jugendheilkunde, Vienna, Austria
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- Papadouri, T. (author)
- Arch. Makarios Hospital, Nicosia, Cyprus
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- Schroth, M. (author)
- Cnopf’sche Kinderklinik, Nuremberg, Germany
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- Tameliene, R. (author)
- Perinatal Center, Kaunas, Lithuania
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- Attard Montalto, S. (author)
- Mater Dei Hospital, Msida, Malta
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- Dobrzanska, A. (author)
- Children’s Memorial Health Institute, Warsaw, Poland
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- Matos, C. (author)
- Maternidade Dr Alfredo Da Costa, Lisboa, Portugal
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- Europain Study group, Group author (author)
- Europain Study Group, Europain Study Group, Paris, France
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- Bergqvist, Lena (author)
- Karolinska University Hospital, Stockholm, Sweden
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- Lagercrantz, Hugo (author)
- Karolinska University Hospital, Stockholm, Sweden
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- Anand, K.J.S. (author)
- Department of Pediatrics Critical Care Medecine Division, University of Tennessee Health Science Center, Memphis, USA
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(creator_code:org_t)
- 2014-10-14
- 2014
- English.
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In: Archives of Disease in Childhood. - London, United Kingdom : BMJ Publishing Group Ltd. - 0003-9888 .- 1468-2044. ; 99, s. A68-A68
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https://doi.org/10.1...
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https://adc.bmj.com/...
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Abstract
Subject headings
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- Background: Neonates undergo many painful procedures during their NICU stay. These may include tracheal intubation/ventilation, skin-breaking procedures, drainage/suctioning of body orifices or cavities. Inherent subjectivity and difficulties of neonatal pain assessment contribute to a wide variety of assessment tools and clinical practices. To date, these practices have been not studied at a large scale.Objective: To determine current clinical practices for neonatal pain assessment in NICUs across Europe.Methods: An epidemiological observational study on bedside pain assessment practices collected data for all neonates in participating NICUs until infants left the unit (discharge, death, transfer to another hospital) or for 28 days. Data collection occurred via an online database for 1 month at each NICU. All neonates up to a gestational age of 44 weeks were included.Results: From October 2012 to June 2013, 243 NICUs from 18 European countries collected pain assessment data in 6680 neonates. Of these, 2142 received tracheal ventilation (TV), 1496 non-invasive ventilation (NIV) and 3042 only spontaneous ventilation (SV). The median (IQR) gestational age of TV, NIV and SV neonates were 32.1 (28.1–37.4), 33.6 (31.0–36.6) and 37.9 (35.0–39.9), respectively (p < 0.001). Overall, 58.5% of TV neonates, 45.0% of NIV neonates and 30.4% of SV neonates received bedside pain assessments (p < 0.001). Fig. shows pain assessments by country.Conclusions: Over half (58.5%) of TV neonates and less than half (45.0%) of NIV neonates had pain assessments performed in European NICUs. Wide variations in the rates of pain assessment exist among countries and an important improvement seems necessary.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Keyword
- Newborn
- Pain
- Pain assessment
- Pediatrik
- Pediatrics
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Carbajal, Ricard ...
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Eriksson, Mats, ...
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Courtois, Emilie
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Andersen, Randi ...
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Avila-Alvarez,, ...
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Boyle, Elaine
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show more...
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Lago, Paola
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Sarafidis, K.
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Simons, Sinno
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Pölkki, Tarja
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Ilmoja, M.L.
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Van Overmeire, B ...
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Berger, A.
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Papadouri, T.
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Schroth, M.
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Tameliene, R.
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Attard Montalto, ...
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Dobrzanska, A.
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Matos, C.
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Europain Study g ...
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Bergqvist, Lena
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Lagercrantz, Hug ...
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Anand, K.J.S.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Pediatrics
- Articles in the publication
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Archives of Dise ...
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Örebro University