Nationwide study of headache pain in Italy shows that pain assessment is still inadequate in paediatric emergency care

Autor: Benini, Franca, Piga, Simone, Zangardi, Tiziana, Messi, Gianni, Tomasello, Caterina, Pirozzi, Nicola, Cuttini, Marina, ocerino, A, Crichiutti, G, Barbi, E, Biban, P, Ghizzi, C, Benedetti, M, rrighini, A, Podestà, A F, Scalfaro, C, Stringhi, C, Rotta, S, Salvo, I R Di, Fossali, E, rbino, A, Taglietto, M, Marciano, C, Piccotti, E, Manfredini, L, Mannelli, F, Messeri, A, Cardoni, G, Piattellini, G M, Midulla, F, Chiaretti, A, Campa, A, Borrometi, F, Maremonti, P, Grandolfo, Rita, Fucà, F, Parrino, R
Rok vydání: 2016
Předmět:
Male
Emergency Medical Services
Pediatrics
hospitals pediatric
0302 clinical medicine
Pain assessment
Emergency medical services
Medicine
hospital
Child
hospitals general
Pain Measurement
Headache
Regular Article
quality indicators
General Medicine
Hospitals
Pediatric
health care
Italy
Child
Preschool
Practice Guidelines as Topic
Female
Emergency care
Guideline Adherence
Emergency Service
Hospital
medicine.medical_specialty
Adolescent
Pain
Hospitals
General
Disease cluster
preschool
03 medical and health sciences
030225 pediatrics
child
emergency care
headache
pain assessment
pain management
adolescent
emergency medical services
emergency service
hospital
female
guideline adherence
humans
male
pain measurement
pediatrics
practice guidelines as topic
retrospective studies
triage
perinatology and child health
Humans
Online Only Articles
Quality Indicators
Health Care
Retrospective Studies
emergency service
business.industry
Retrospective cohort study
Odds ratio
Emergency department
Triage
Pain management
Pediatrics
Perinatology and Child Health
Emergency medicine
Observational study
business
030217 neurology & neurosurgery
Regular Articles
Zdroj: Acta Paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
0803-5253
DOI: 10.1111/apa.13335
Popis: Aim Italian national guidelines on pain management were published in 2010, but there is little information on how effective pain management is in paediatric emergency care, with other countries reporting poor levels. Using headache as an indicator, we described pain assessment in Italian emergency departments and identified predictors of algometric scale use. Methods All Italian paediatric and maternal and child hospitals participated, plus four general hospitals. Data on all children aged 4–14 years admitted during a one-month period with headache as their chief complaint were abstracted from clinical records. Multivariable analyses identified predictors of algometric assessment, taking into account the cluster study design. Results We studied 470 admissions. During triage, pain was assessed using a standardised scale (41.5%), informally (15.5%) or was not recorded (42.9%). Only 32.1% of the children received analgesia in the emergency department. The odds ratios for predictors of algometric assessment were non-Italian nationality (3.6), prehospital medication (1.8), admission to a research hospital (7.3) and a more favourable nurses-to-admissions ratio of 10.8 for the highest versus lowest tertile. Conclusion Despite national guidelines, paediatric pain assessment in Italian emergency care was suboptimal. Hospital variables appeared to be stronger predictors of adequate assessment than patient characteristics.
Databáze: OpenAIRE
Externí odkaz: