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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, Hôpital Armand-Trousseau, Paris, France.
Centre for health care sciences, Örebro University Hospital, Örebro, Sweden. (PEARL - Pain in Early Life)ORCID iD: 0000-0002-5996-2584
Emergency Department, Hôpital Armand-Trousseau, Paris, France.
Telemark Hospital, Skien, Norway. (PEARL - Pain in Early Life)
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2014 (English)In: Archives of Disease in Childhood, ISSN 0003-9888, E-ISSN 1468-2044, Vol. 99, A68-A68 p.Article in journal, Meeting abstract (Refereed) Published
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.

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 (TV), 1496 non-invasive ventilation (NIV) and 3042 only spontaneous ventilation (SV). The median (IQR) gestational age of TV, NIV and SV neonates were 32.1 (28.1–37.4), 33.6 (31.0–36.6) and 37.9 (35.0–39.9), respectively (p < 0.001). Overall, 58.5% of TV neonates, 45.0% of NIV neonates and 30.4% of SV neonates received bedside pain assessments (p < 0.001). Fig. shows pain assessments by country.

Conclusions: Over half (58.5%) of TV neonates and less than half (45.0%) of NIV neonates had pain assessments performed in European NICUs. Wide variations in the rates of pain assessment exist among countries and an important improvement seems necessary.

Place, publisher, year, edition, pages
London, United Kingdom: BMJ Group , 2014. Vol. 99, A68-A68 p.
Keyword [en]
Newborn, Pain, Pain assessment
National Category
Pediatrics
Research subject
Pediatrics
Identifiers
URN: urn:nbn:se:oru:diva-47041DOI: 10.1136/archdischild-2014-307384.180OAI: oai:DiVA.org:oru-47041DiVA: diva2:881641
Conference
The 5th Congress of the European Academy of Paediatric Societies (EAPS), Barcelona, Spain, October 17-21, 2014
Projects
EUROPAIN
Funder
EU, FP7, Seventh Framework Programme, 223767
Available from: 2015-12-11 Created: 2015-12-11 Last updated: 2017-10-17Bibliographically approved

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