| Autor: |
Al Lawati, L, Courtois, E, Tostivint, L, Lesprit, E, Quinet, B, Galeotti, C, Armengaud, J -B, Carbajal, R |
| Zdroj: |
Pediatric Research; November 2010, Vol. 68 Issue: 1, Number 1 Supplement 1 p676-677, 2p |
| Abstrakt: |
Relieving pain effectively in children with painful sickle cell crisis (PSCC) is a challenging clinical problem. Notwithstanding analgesic treatment, some hospitalized children for a PSCC seem to continue in pain.Objectives: To describe the evolution of pain in hospitalized children receiving analgesics for a PSCC.Methods: Retrospective study of all one-year hospitalizations for PSCC in a pediatric university hospital. Pain assessments were retrieved from patients' records. The minimum, mean and maximum pain scores per day of hospitalization were determined for each patient.Results: From May 2008 to April 2009, 156 admissions for PSCC occurred. The median (interquartile; extremes) age of admitted patients was 9.9 (5.1-13.5; 0.3-18.3) years. The mean (SD; extremes) duration of hospitalization was 3 (2.8; 0-17) days. The mean (SD; extremes) pain score on arrival to the ward was 3.9 (3.3; 0-10). During the hospitalization period the intensity of pain decreased progressively from day 1 to day 7, thereafter there was an increase in the intensity of pain followed by a decrease on day 14. Figure shows the distribution of maximum pain scores for each day of hospitalization.Conclusion: Daily maximum pain scores are high (>5/10) for about a quarter of children during the first 6 days of hospitalization for PSCC notwithstanding analgesic treatment. Improvement of current analgesic protocols seems necessary. |
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