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Assessment of Continuous Pain in Newborns Admitted to NICUs in 18 European Countries

2017-08Journal article Open access
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dc.contributor.authorAnand, K
dc.contributor.authorEriksson, M
dc.contributor.authorBoyle, E
dc.contributor.authorAvila-Alvarez, A
dc.contributor.authorAndersen, R
dc.contributor.authorSarafidis, K
dc.contributor.authorPolkki, T
dc.contributor.authorMatos, C
dc.contributor.authorLago, P
dc.contributor.authorPapadouri, T
dc.contributor.authorAttard-Montalto, S
dc.contributor.authorIlmoja, ML
dc.contributor.authorSimons, S
dc.contributor.authorTameliene, R
dc.contributor.authorvan Overmeire, B
dc.contributor.authorBerger, A
dc.contributor.authorDobrzanska, A
dc.contributor.authorSchroth, M
dc.contributor.authorBergqvist, L
dc.contributor.authorCourtois, E
dc.contributor.authorRousseau, J
dc.contributor.authorCarbajal, R
dc.date.accessioned2019-11-27T16:09:06Z
dc.date.available2019-11-27T16:09:06Z
dc.date.issued2017-08
dc.description.abstractAIM: 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 the frequency of pain assessments, use of mechanical ventilation, sedation, analgesia or neuromuscular blockade for each neonate for up to 28 days after NICU admission. RESULTS: Only 2113 of 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 (all p < 0.01), and for newborns <32 weeks gestational age, those requiring ventilation, or opioids, sedatives-hypnotics, general anaesthetics (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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Paediatr. 2017 Aug;106(8):1248-1259.pt_PT
dc.identifier.doi10.1111/apa.13810pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3374
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.subjectChronic Painpt_PT
dc.subjectEuropept_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectInfant, Newbornpt_PT
dc.subjectInfant, Prematurept_PT
dc.subjectIntensive Care Units, Neonatalpt_PT
dc.subjectMalept_PT
dc.subjectPain Measurementpt_PT
dc.subjectProspective Studiespt_PT
dc.subjectRespiration, Artificialpt_PT
dc.subjectMAC PEDpt_PT
dc.titleAssessment of Continuous Pain in Newborns Admitted to NICUs in 18 European Countriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1259pt_PT
oaire.citation.issue8pt_PT
oaire.citation.startPage1248pt_PT
oaire.citation.titleActa Paediatricapt_PT
oaire.citation.volume106pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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