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Assessment of continuous pain in newborns admitted to NICUs in 18 European countries

Anand, Kanwlajeet J. S. (författare)
Departments of Pediatrics, Anesthesiology, Perioperative & Pain Medicine, Stanford University School of Medicine, Stanford CA, USA
Eriksson, Mats, 1957- (författare)
Örebro universitet,Institutionen för hälsovetenskaper,PEARL - Pain in Early Life
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
Dovland Andersen, Randi (författare)
Department of Child & Adolescent Health Services, Telemark Hospital, Skien, Norway,PEARL - Pain in Early Life
Sarafidis, Kosmas (författare)
1st Department of Neonatology, Hippokrateion General Hospital, Aristotle University of Thessaloniki, Thessalokiki, Greece
Pölkki, Tarja (författare)
Children and Women Department, Oulu University Hospital, Oulu, Finland,PEARL - Pain in Early Life
Matos, Christina (författare)
Maternidade Dr. Alfredo da Costa, Lisboa, Portugal
Lago, Paola (författare)
Department of Woman's and Child's Health, University of Padua, Padua, Italy
Papadouri, Thalia (författare)
Department of Paediatrics, Arch. Makarios III Hospital, Nicosia, Cyprus
Attard-Montalto, Simon (författare)
Department of Paediatrics, Mater Dei Hospital, Msida, Malta
Ilmoja, Mari-Liis (författare)
Department of Paediatrics, Tallinn Children's Hospital, Tallinn, Estonia
Simmons, Sinno (författare)
Department of Pediatrics, Erasmus MC–Sophia Kinderziekenhuis, Rotterdam, The Netherlands
Tameliene, Rasa (författare)
Department of Neonatology, Kaunas Perinatal Center, Lithuanian University of Health Sciences, Kaunas, Lithuania
van Overmeire, Bart (författare)
Cliniques Universitaires de Bruxelles, Erasme Hospital, Bruxelles, Belgium
Berger, Angelika (författare)
Department of Pediatrics and Adolescent Medicine, Medical University Vienna, Vienna, Austria
Dobrzanska, Anna (författare)
Department of Neonatology, Children's Memorial Health Institute Warsaw, Warszawa, Poland
Schroth, Michael (författare)
Department of Paediatrics, Cnopf'sche Kinderklinik, Nürnberg Children's Hospital, Nürenberg, Germany
Bergqvist, Lena (författare)
Karolinska Institutet
Courtois, Emilie (författare)
Urgences Pédiatriques, Hôpital Armand Trousseau, INSERM U1153, Université Pierre et Marie Curie Paris VI, Paris, France
Rousseau, Jessica (författare)
Urgences Pédiatriques, Hôpital Armand Trousseau, INSERM U1153, Université Pierre et Marie Curie Paris VI, Paris, France
Carbajal, Ricardo (författare)
Urgences Pédiatriques, Hôpital Armand Trousseau, INSERM U1153, Université Pierre et Marie Curie Paris VI, Paris, France
EUROPAIN survey working group of the NeoOpioid Consortium, Group author (författare)
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 (creator_code:org_t)
2017-04-17
2017
Engelska.
Ingår i: Acta Paediatrica. - : John Wiley & Sons. - 0803-5253 .- 1651-2227. ; 106:8, s. 1248-1259
Relaterad länk:
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https://doi.org/10.1...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • 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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