Trajectories of post‐surgical pain in infants admitted to neonatal intensive care
| Autor: | Laura Brown, Emre Ilhan, Kaye Spence, Claire Galea, Julia M. Hush, Verity Pacey, Robert Halliday |
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| Rok vydání: | 2020 |
| Předmět: |
Thorax
Pediatrics medicine.medical_specialty Neonatal intensive care unit 03 medical and health sciences 0302 clinical medicine Pain assessment Intensive Care Units Neonatal Intensive care Humans Medicine 030212 general & internal medicine Retrospective Studies Pain Postoperative business.industry Medical record Infant Newborn Chronic pain Infant Retrospective cohort study medicine.disease Hospitalization Anesthesiology and Pain Medicine medicine.anatomical_structure Intensive Care Neonatal Abdomen business 030217 neurology & neurosurgery |
| Zdroj: | European Journal of Pain. 24:1822-1830 |
| ISSN: | 1532-2149 1090-3801 |
| Popis: | BACKGROUND The aim of this study was (a) to statistically identify distinct trajectories of pain following surgery in infants less than 6 months of age, and (b) to compare these trajectories to descriptions of chronic pain in infants in the neonatal intensive care unit (NICU). METHODS This was a retrospective medical record review of infants admitted to a NICU between 2008 and 2018 following surgery. All infants who underwent one major procedure to the abdomen or thorax and returned to the NICU following surgery were included. Pain was assessed regularly using a validated Pain Assessment Tool. Group-based trajectory analysis was used to determine the trajectory of recovery from pain following surgery. RESULTS A total of 726 infants were included in the study. A two-group trajectory model, defined as typical and atypical pain trajectories, was selected. The typical group (n = 467) consisted of infants who had significantly fewer days (1.5 ± 2.3 vs 5.3 ± 5.5, p |
| Databáze: | OpenAIRE |
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