Article (Scientific journals)
Assessment of Continuous Pain in Newborns admitted to NICUs in 18 European Countries
Anand, Kanwaljeet; Eriksson, Mats; Boyle, Elaine et al.
2017In Acta Paediatrica, 106 (8), p. 1248-59
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Keywords :
pain; newborn, infant; neonatal intensive care; pain assessment
Abstract :
[en] 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.
Disciplines :
Pediatrics
Author, co-author :
Anand, Kanwaljeet;  Standford University school of medicine, USA
Eriksson, Mats;  Orebro University, Sweden
Boyle, Elaine;  University of Leicester, UK
Avila-Alvarez, Alejandro;  Complexo Hospitalario Universitario de A Coruña, Espagne
Andersen, Randi Dovland;  Telemark Hospital, Norway
Sarafidis, Kosmas;  Aristotle University of Thessaloniki, Grèce
Polkki, Tarja;  Oulu University Hospital, Finlande
Matos, Cristina;  Maternidade Dr. Alfredo da Costa, Portugal
Lago, Paola;  University of Padua, Italie
Papadouri, Thalia;  Arch. Makarios III Hospital, Nicosie, Chypre
Attard-Montaldo, Simon;  Mater Dei Hospital, Malte
Ilmoja, Mari-Liis;  Tallinn Children's Hospita, Estonie
Simons, Sinno;  Erasmus MC–Sophia Kinderziekenhuis, Amsterdam, Pays-Bas
Tameliene, Rama;  Lithuanian University of Health Sciences
van Overmeire, Bart;  Cliniques Universitaires de Bruxelles - Hôpital Erasme, ULB
Berger, Angelika;  Université de Vienne, Autriche
Dobrzanska, Anna;  Children’s Memorial Health Institute Warsaw, Pologne
Schroth, Michael;  Cnopf'sche Kinderklinik, Nuremberg, Allemagne
Berqvist, Lena;  Karolinska Institutet, Sweden
Courtois, Emilie;  Hôpital Armand Trousseau, Paris, France
Rousseau, Jessica;  Hôpital Armand Trousseau, Paris, France
Carbajal, Ricardo;  Hôpital Armand Trousseau, Paris, France
More authors (12 more) Less
Other collaborator :
the EUROPAIN survey working group of the NeoOpioid Consortium.
RIGO, Vincent  ;  Centre Hospitalier Universitaire de Liège - CHU > Service néonatologie (CHR)
Language :
English
Title :
Assessment of Continuous Pain in Newborns admitted to NICUs in 18 European Countries
Publication date :
August 2017
Journal title :
Acta Paediatrica
ISSN :
0803-5253
eISSN :
1651-2227
Publisher :
Taylor & Francis, Oslo, Norway
Volume :
106
Issue :
8
Pages :
1248-59
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 12 May 2017

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