G Marchetti1, A Vittori1, V Tortora1, M Bishop1, G Lofino1, V Pardi2, E A De Marco2, G Manca2, A Inserra2, R Caruso3, I Ciaralli3, F Locatelli3, S Bella4, A E Tozzi5, S Picardo1. 1. Paediatric Hospital Bambino Gesù, Rome; Department of Emergency, Anesthesiology and Intensive Care. 2. Paediatric Hospital Bambino Gesù, Rome; Department of Surgery. 3. Paediatric Hospital Bambino Gesù, Rome; Department of Oncology and Hematology. 4. Paediatric Hospital Bambino Gesù, Rome; Department of Pediatrics. 5. Paediatric Hospital Bambino Gesù, Rome; Telemedicine.
Abstract
BACKGROUND: Among hospitalized adults and children pain is undertreated. This study wants to assess the effectiveness of pain therapy in two departments of a large children's hospital. MATERIALS AND METHODS: During a single day work three committees, administering a questionnaire to patients or parents, have evaluated the adherence to international recommendations (JCI and WHO) in the management of analgesic therapy. Patient demographics, prevalence and intensity (moderate and/or severe) of pain (during hospitalization, 24 hours before and at the time of the interview), analgesia (type, route, duration and frequency of administration) and Pain Management Index (=analgesic score-pain score) were recorded. RESULTS: 75 patients participated in the study (age: 2 months up to 24 years, mean 7.8 ± 6). During hospitalization 43 children (57%) had no pain while 32 (43%) have experienced pain. 22 children (29 %) had pain 24 hours before and 12 (16%) at the time of the interview. The average value of the PMI was -0.8±1.3 with a minimum of -3 and a maximum of +2: 60% (19) of the children had a PMI less than 0 (undertreated pain) while 40% (13) had a value=or>0. Out of 32 patients who needed an analgesic therapy 14 (44%) received an around-the-clock dosing, 8 (25%) an intermittent therapy and 10 (31%) no treatment.17 (77 %) were the single drug therapy and 5 (23%) the multimodal ones. CONCLUSIONS: The prevalence of pain in the two departments is high. The main cause is that knowledge is not still well translated into clinical practice.
BACKGROUND: Among hospitalized adults and childrenpain is undertreated. This study wants to assess the effectiveness of pain therapy in two departments of a large children's hospital. MATERIALS AND METHODS: During a single day work three committees, administering a questionnaire to patients or parents, have evaluated the adherence to international recommendations (JCI and WHO) in the management of analgesic therapy. Patient demographics, prevalence and intensity (moderate and/or severe) of pain (during hospitalization, 24 hours before and at the time of the interview), analgesia (type, route, duration and frequency of administration) and Pain Management Index (=analgesic score-pain score) were recorded. RESULTS: 75 patients participated in the study (age: 2 months up to 24 years, mean 7.8 ± 6). During hospitalization 43 children (57%) had no pain while 32 (43%) have experienced pain. 22 children (29 %) had pain 24 hours before and 12 (16%) at the time of the interview. The average value of the PMI was -0.8±1.3 with a minimum of -3 and a maximum of +2: 60% (19) of the children had a PMI less than 0 (undertreated pain) while 40% (13) had a value=or>0. Out of 32 patients who needed an analgesic therapy 14 (44%) received an around-the-clock dosing, 8 (25%) an intermittent therapy and 10 (31%) no treatment.17 (77 %) were the single drug therapy and 5 (23%) the multimodal ones. CONCLUSIONS: The prevalence of pain in the two departments is high. The main cause is that knowledge is not still well translated into clinical practice.
Authors: Franca Benini; Ilaria Corsini; Emanuele Castagno; Davide Silvagni; Annunziata Lucarelli; Luca Giacomelli; Angela Amigoni; Gina Ancora; Marinella Astuto; Fabio Borrometi; Rosa Maria Casilli; Elena Chiappini; Renato Cutrera; Arianna De Matteis; Giuseppe di Mauro; Anna Musolino; Andrea Fabbri; Federica Ferrero; Martina Fornaro; Michele Gangemi; Paola Lago; Francesco Macrì; Luca Manfredini; Luigi Memo; Annamaria Minicucci; Paolo Petralia; Nicola Pinelli; Roberto Antonucci; Silvia Tajè; Emiliano Tizi; Leo Venturelli; Stefania Zampogna; Antonio F Urbino Journal: Ital J Pediatr Date: 2020-07-23 Impact factor: 2.638
Authors: Chiao-Hsuan Lin; Jen-Jiuan Liaw; Yu-Ting Chen; Ti Yin; Luke Yang; Hsiang-Yun Lan Journal: Int J Environ Res Public Health Date: 2022-01-22 Impact factor: 3.390