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What is the definit...
What is the definition of acute episodic and chronic pain in critically ill neonates and infants? A global, four-stage consensus and validation study
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- Ilhan, Emre (author)
- Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
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- Pacey, Verity (author)
- Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
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- Brown, Laura (author)
- Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
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- Spence, Kaye (author)
- Grace Centre for Newborn Intensive Care, Children's Hospital at Westmead, Westmead, New South Wales, Australia; School of Nursing and Midwifery, Western Sydney University, Parramatta, NSW, Australia
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- van Ganzewinkel, Christ-jan (author)
- Maxima Medical Centre, Veldhoven, The Netherlands
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- Pillai Riddell, Rebecca (author)
- Department of Psychology, Faculty of Health Sciences, York University, Toronto, Ontario, Canada
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- Campbell-Yeo, Marsha (author)
- School of Nursing, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada
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- Stevens, Bonnie J (author)
- Lawrence S Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada
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- Eriksson, Mats, Professor, 1959- (author)
- Örebro universitet,Institutionen för hälsovetenskaper,PEARL - Pain in Early Life
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- Shah, Vibhuti (author)
- Department of Paediatrics, Mount Sinai Hospital, Toronto, Ontario, Canada; Departments of Paediatrics and IHPME, University of Toronto, Toronto, Ontario, Canada
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- Anand, Kanwaljeet J S (author)
- Department of Pediatrics, School of Medicine, Stanford University, Stanford, California, USA
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- Bellieni, Carlo (author)
- Department of Pediatrics, University of Siena, Siena, Italy
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- Daly, Mandy (author)
- Irish Neonatal Health Alliance, Wicklow, Ireland
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- Johnston, Celeste (author)
- Ingram School of Nursing, McGill University, Montreal, Québec, Canada; IWK Health Centre, Halifax, Nova Scotia, Canada
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- Hush, Julia (author)
- Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
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(creator_code:org_t)
- 2022-03-09
- 2022
- English.
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In: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 12:3
- Related links:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
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- Objectives: To define and validate types of pain in critically ill neonates and infants by researchers and clinicians working in the neonatal intensive care unit (NICU) and high dependency unit (HDU).Design: A qualitative descriptive mixed-methods design.Procedure/s: Each stage of the study was built on and confirmed the previous stages. Stage 1 was an expert panel to develop definitions; stage 2 was a different expert panel made up of neonatal clinicians to propose clinical characteristics associated with the definitions from stage 1; stage 3 was a focus group of neonatal clinicians to provide clinical case scenarios associated with each definition and clinical characteristics; and stage 4 was a survey administered to neonatal clinicians internationally to test the validity of the definitions using the clinical case scenarios.Results: In stage 1, the panel (n=10) developed consensus definitions for acute episodic pain and chronic pain in neonates and infants. In stage 2, a panel (n=8) established clinical characteristics that may be associated with each definition. In stage 3, a focus group (n=11) created clinical case scenarios of neonates and infants with acute episodic pain, chronic pain and no pain using the definitions and clinical characteristics. In stage 4, the survey (n=182) revealed that the definitions allowed an excellent level of discrimination between case scenarios that described neonates and infants with acute episodic pain and chronic pain (area under the receiver operating characteristic=0.87 and 0.89, respectively).Conclusions: This four-stage study enabled the development of consensus-based and clinically valid definitions of acute episodic pain and chronic pain. There is a need to define and validate other pain types to inform a taxonomy of pain experienced by neonates and infants in the NICU and HDU.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- pain management
- neonatal intensive & critical care
- neonatology
Publication and Content Type
- ref (subject category)
- art (subject category)
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Ilhan, Emre
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Pacey, Verity
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Brown, Laura
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Spence, Kaye
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van Ganzewinkel, ...
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Pillai Riddell, ...
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Campbell-Yeo, Ma ...
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Stevens, Bonnie ...
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Eriksson, Mats, ...
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Shah, Vibhuti
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Anand, Kanwaljee ...
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Bellieni, Carlo
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Daly, Mandy
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Johnston, Celest ...
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Hush, Julia
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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
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nursing
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BMJ Open
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Örebro University