Reference : Assessment of Continuous Pain in Newborns admitted to NICUs in 18 European Countries
Scientific journals : Article
Human health sciences : Pediatrics
http://hdl.handle.net/2268/210470
Assessment of Continuous Pain in Newborns admitted to NICUs in 18 European Countries
English
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 > > > >]
the EUROPAIN survey working group of the NeoOpioid Consortium. [> >]
RIGO, Vincent mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service néonatologie (CHR) >]
Aug-2017
Acta Paediatrica
Taylor & Francis
106
8
1248-59
Yes (verified by ORBi)
International
0803-5253
1651-2227
Oslo
Norway
[en] pain ; newborn, infant ; neonatal intensive care ; pain assessment
[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.
Researchers ; Professionals
http://hdl.handle.net/2268/210470
10.1111/apa.13810
http://onlinelibrary.wiley.com/doi/10.1111/apa.13810/full
acces open access sur le site de l'éditeur

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