Nationwide study of headache pain in Italy shows that pain assessment is still inadequate in paediatric emergency care

Acta Paediatrica
Franca BeniniPIPER Study Group

Abstract

Italian national guidelines on pain management were published in 2010, but there is little information on how effective pain management is in paediatric emergency care, with other countries reporting poor levels. Using headache as an indicator, we described pain assessment in Italian emergency departments and identified predictors of algometric scale use. All Italian paediatric and maternal and child hospitals participated, plus four general hospitals. Data on all children aged 4-14 years admitted during a one-month period with headache as their chief complaint were abstracted from clinical records. Multivariable analyses identified predictors of algometric assessment, taking into account the cluster study design. We studied 470 admissions. During triage, pain was assessed using a standardised scale (41.5%), informally (15.5%) or was not recorded (42.9%). Only 32.1% of the children received analgesia in the emergency department. The odds ratios for predictors of algometric assessment were non-Italian nationality (3.6), prehospital medication (1.8), admission to a research hospital (7.3) and a more favourable nurses-to-admissions ratio of 10.8 for the highest versus lowest tertile. Despite national guidelines, paediatric pain as...Continue Reading

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Citations

Dec 5, 2019·Italian Journal of Pediatrics·Gian Luigi MarsegliaPaola Marchisio
Dec 21, 2019·Acta Paediatrica·Franca BeniniGregorio P Milani
Feb 7, 2020·The Clinical Journal of Pain·Itai ShavitOren Feldman
Jun 11, 2017·European Journal of Pediatrics·Gregorio P MilaniUNKNOWN PIERRE GROUP STUDY
Jan 30, 2021·European Journal of Pediatrics·Cyril SahyounUNKNOWN Pediatric Emergency Medicine Comfort and Analgesia Research in Europe (PemCARE) group of the Research in European Pediatric
Mar 27, 2021·Italian Journal of Pediatrics·Giorgio CozziFranca Benini

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