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Pain Assessment in Ventilated and Non-Ventilated Neonates in NICUs across Europe: EUROpean Pain Audit in Neonates (EUROPAIN Survey)
Emergency Department, Trousseau Hospital, Paris, France.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (Stress och smärta i nyföddhetsperioden)ORCID iD: 0000-0002-5996-2584
Trousseau Hospital, Paris, France.
Telemark Hospital, Skien, Norway.
Show others and affiliations
2014 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: Neonates undergo many painful procedures during their NICU stay. These may include tracheal intubation/ventilation, skin-breaking procedures, drainage/suctioning of body orifices or cavities. Inherent subjectivity and difficulties of neonatal pain assessment contribute to a wide variety of assessment tools and clinical practices. To date, these practices have been not studied at a large scale. OBJECTIVE: To determine current clinical practices for neonatal pain assessment in NICUs across Europe. DESIGN/METHODS: An epidemiological observational study on bedside pain assessment practices collected data for all neonates in participating NICUs until infants left the unit (discharge, death, transfer to another hospital) or for 28 days. Data collection occurred via an online database for 1 month at each NICU. All neonates up to a gestational age of 44 weeks were included. RESULTS: From October 2012 to June 2013, 243 NICUs from 18 European countries collected pain assessment data in 6680 neonates. Of these, 2142 received tracheal ventilation (ventilated) and 4538 had spontaneous breathing or non- invasive ventilation (non-ventilated). The median (IQR) gestational age of ventilated neonates [32.1 (28.1-37.4)] was less than non-ventilated neonates [36.6 (33.6-39.1), p<0.001]. Overall, 58.5% of ventilated neonates and 35.2%% of non-ventilated neonates received bedside pain assessments (p<0.001). CONCLUSIONS: Over half (58.5%) of ventilated neonates and about one third (35.2%) of non-ventilated neonates had pain assessments performed in European NICUs. Wide variations in the methods used and rates of pain assessment exist among countries 

Place, publisher, year, edition, pages
2014.
Keyword [en]
Pain, Newborn, Pain Assessment
National Category
Pediatrics
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-35802OAI: oai:DiVA.org:oru-35802DiVA: diva2:735376
Conference
2014 Pediatric Academic Societies and Asian Society for Pediatric Research (PAS/ASPR) Joint Meeting, Vancouver Canada, May 3-6, 2014.
Projects
EUROPAINNeoOpioid
Funder
EU, FP7, Seventh Framework Programme, 223767
Available from: 2014-07-25 Created: 2014-07-25 Last updated: 2017-10-17Bibliographically approved

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School of Health and Medical Sciences, Örebro University, Sweden
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