Efficacy, safety and satisfaction of sedation-analgesia in Spanish emergency departments
| Autor: | Concepción Míguez Navarro, Niki Oikonomopoulou, Arístides Rivas García, Andrea Mora Capín, Gloria Guerrero Márquez, Ana Isabel Fernández Lorente, Pilar Storch de Gracia Calvo, Eva Benito Ruiz, Elena Sancho Gracia, Olga Serrano Ayestarán, Cecilio Palomino Muñoz, Cristina Cordero Castro, Sofía Mesa García, Cristina Muñoz López, Nuria Clerigué Arrieta, Jorge Álvarez García, Isabel Cubero, José Luis Fernández Arribas, Alberto Barasoain Millán, Juan Alonso Cozar Olmo, José Luis Cuevas Cervera, Carlos García Vao Bel, M. José Carbonero Celís, M. José Carpio Linde, M. Teresa Alonso Salas |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Sedation Satisfacción parental Pediatrics RJ1-570 Eventos adversos 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Management of Technology and Innovation Eficacia Emergency medicine medicine Observational study Drug reaction medicine.symptom business Procedimientos de sedoanalgesia Paediatric emergency |
| Zdroj: | Anales de Pediatría (English Edition), Vol 90, Iss 1, Pp 32-41 (2019) |
| ISSN: | 2341-2879 |
| Popis: | Objectives: To offer analgesia and sedation should be a priority in paediatric emergency departments. The aim of this study was to determine the effectiveness and safety of the sedation-analgesia procedure, as well as the satisfaction of the doctors, patients and parents. Methods: A multicentre, observational, and prospective analytical study was conducted on the sedation-analgesia procedure performed on children younger than 18 years old in 18 paediatric emergency departments in Spain from February 2015 until January 2016. Results: A total of 658 procedures were recorded. The effectiveness was good in 483 cases (76.1%; 95% CI: 72.7–79.4%), partial in 138 (21.7%; 95% CI: 18.5–24.9%), and poor in 14 (2.2%; 95% CI: 1.1–3.4). The effectiveness was better when the doctor in charge was an emergency paediatrician (OR: 3.14; 95% CI: 1.10–8.95), and when a deeper level of sedation was achieved (OR: 2.37; 95% CI: 1.68–3.35). Fifty two children (8.4%) developed adverse drug reactions, more usually gastrointestinal, neurological or respiratory ones (89.9% were resolved in |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|