Prevalence of moderate-severe pain in hospitalized children

Paediatric Anaesthesia
Cornelius B GroenewaldTracy E Harrison

Abstract

Acute pain management in children is often inadequate. The prevalence of pain in hospitalized children in the US is unknown. We reviewed clinical characteristics of all pediatric patients admitted to Mayo Eugenio Litta Children's hospital during July 2009. Patients with moderate-severe pain were identified. For patients identified as having moderate-severe pain risk factors, analgesia regimens, and pain outcomes were reviewed. The prevalence of moderate-severe in-hospital pain was 27% (95% C.I. 23% to 32%). Teenagers and infants experienced higher prevalence rates of moderate-severe pain (38% and 32% respectively) than children (17%, P < 0.001). In addition, patients admitted to medical services had much lower rates of moderate-severe pain (13%) than those admitted to surgical services (44%, P < 0.001). Regional anesthesia was used in eleven (7.2%) of the patients on surgical services. Acetaminophen was administered to 75% of patients with moderate-severe pain. Only 21% of these patients had nonsteroidal anti-inflammatory drugs (NSAIDS) available. Opioids were given scheduled to 36% of patients with moderate-severe pain and as needed to another 40%. Fifty-five percent of patients still had one or more episode of moderate-severe...Continue Reading

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References

Jun 1, 1992·The Clinical Journal of Pain·C C JohnstonM E Jeans
Mar 1, 1994·Journal of Clinical Anesthesia·T R Vetter, E J Heiner
Nov 1, 1996·Pain·E A CummingsJ A Ritchie
Sep 5, 2001·Pediatrics·UNKNOWN American Academy of Pediatrics. Committee on Psychosocial Aspects of Child and Family Health, UNKNOWN Task Force on Pain in Infants, Children, and Adolescents
Jul 20, 2002·The Clinical Journal of Pain·Jacqueline A EllisCraig W Reid
Oct 4, 2002·The New England Journal of Medicine·Charles B Berde, Navil F Sethna
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·Michael G VitaleDavid P Roye
May 4, 2005·MCN. the American Journal of Maternal Child Nursing·Catherine Van Hulle Vincent
May 24, 2006·Journal of Pain and Symptom Management·Paula A ForgeronMaha Arnaout
May 15, 2007·Paediatric Anaesthesia·N Llewellyn, A Moriarty
Feb 28, 2008·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Elsa M TaylorFiona A Campbell
Jul 3, 2008·JAMA : the Journal of the American Medical Association·Ricardo CarbajalGérard Bréart
Nov 6, 2009·Paediatric Anaesthesia·Neil S Morton, Agata Errera
Oct 22, 2010·Pain·Anne M Lynch-JordanKenneth R Goldschneider
Dec 25, 2010·Pharmacoepidemiology and Drug Safety·Tamar LaskyLiliana Gonzalez
Jan 5, 2011·Paediatric Anaesthesia·Claude EcoffeyUNKNOWN Association des Anesthésistes Réanimateurs Pédiatriques d'Expression Française (ADARPEF)

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Citations

Dec 1, 2012·Case Reports in Endocrinology·Yuki NakataniTakaaki Nakamoto
Nov 2, 2013·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Sian CottonJeffrey Dusek
Mar 8, 2014·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Lori J KozlowskiConstance L Monitto
Mar 5, 2013·Revista española de anestesiología y reanimación·F Reinoso Barbero
Sep 30, 2015·The Journal of Pain : Official Journal of the American Pain Society·Jennifer A RabbittsRita Mangione-Smith
Dec 18, 2013·Paediatric Anaesthesia·Suellen M Walker
Mar 26, 2015·Pain Management·Cornelius B Groenewald, Tonya M Palermo
Apr 8, 2014·Journal of Pain and Symptom Management·James WomerChris Feudtner
Apr 15, 2014·Journal of Pain and Symptom Management·Jean C SolodiukCharles B Berde
Aug 11, 2015·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Joan Simons
Jul 3, 2015·Hospital Pediatrics·Kyrie ShomakerMelissa Mark
Feb 16, 2015·Journal of Pediatric Nursing·Cynthia M LaFondDiana J Wilkie
Dec 30, 2014·The Journal of Pain : Official Journal of the American Pain Society·Jennifer A RabbittsTonya M Palermo
Dec 17, 2014·Biological Research for Nursing·Linda A Hatfield, Elizabeth A Ely
Oct 4, 2016·Paediatric Drugs·Sebastian BotzenhardtAntje Neubert
Oct 21, 2016·Journal of Music Therapy·Jin Hyung Lee
Nov 20, 2016·Journal of Clinical Nursing·Karin PlummerElizabeth Manias
Dec 30, 2016·Acta Anaesthesiologica Scandinavica·S Walther-LarsenS J Friedrichsdorf
Oct 11, 2014·The Cochrane Database of Systematic Reviews·Adrian MurphyNandini Kandamany
Mar 19, 2015·The Cochrane Database of Systematic Reviews·Alexander SchnabelEsther Pogatzki-Zahn
Aug 1, 2014·The Cochrane Database of Systematic Reviews·Alexander SchnabelEsther Pogatzki-Zahn
Mar 1, 2018·The Journal of Craniofacial Surgery·Deepa KattailAmir H Dorafshar
Apr 16, 2019·The Clinical Journal of Pain·Cornelius B Groenewald
Apr 9, 2014·Current Opinion in Anaesthesiology·Anette-Marie Schultz-MachataKarin Becke
Feb 6, 2019·Anesthesia and Analgesia·Jennifer A Rabbitts, Zeev Kain
Sep 30, 2016·Current Opinion in Anaesthesiology·Jeremy D DeerSanthanam Suresh
Aug 27, 2015·Current Opinion in Anaesthesiology·Mihaela Visoiu
Mar 3, 2017·Current Pain and Headache Reports·Alecia L S SteinJacqueline L Tutiven
Jun 13, 2013·Current Opinion in Anaesthesiology·Phil RussellStephan A Schug
Feb 7, 2017·Acta Anaesthesiologica Scandinavica·A Hiller, P K Suominen
Mar 10, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Abigail Kusi AmponsahCollins Kwadwo Ahoto
May 7, 2020·Current Opinion in Pediatrics·Charles B Rothschild, Sabrina F Derrington
Oct 23, 2020·The Cochrane Database of Systematic Reviews·Veronica LambertAnne Matthews
Aug 1, 2020·Paediatric Anaesthesia·Wallis T MuhlyUNKNOWN Pediatric Perioperative Outcomes Group
Sep 25, 2020·The Journal of Craniofacial Surgery·Shachi SrivatsaAshit Patel

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