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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Determinants of procedural pain intensity in the intensive care unit: The Europain® study
American Journal of Respiratory and Critical Care Medicine, Volume 189, No. 1, Year 2014
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Description
Rationale: Intensive careunit (ICU)patients undergo several diagnostic and therapeutic procedures every day. The prevalence, intensity, and risk factors of pain related to these procedures are not well known. Objectives: To assess self-reported procedural pain intensity versus baseline pain, examine pain intensity differences across procedures, and identify risk factors for procedural pain intensity. Methods: Prospective, cross-sectional, multicenter, multinational study of pain intensity associated with 12 procedures. Data were obtained from 3,851 patients who underwent 4,812 procedures in 192 ICUs in 28 countries. Measurements and Main Results: Pain intensity on a 0-10 numeric rating scale increased significantly from baseline pain during all procedures (P,< 0.001). Chest tube removal, wound drain removal, and arterial line insertion were the three most painful procedures, with median pain scores of 5 (3-7), 4.5 (2-7), and 4 (2-6), respectively. By multivariate analysis, risk factors independently associated with greater procedural pain intensity were the specific procedure; opioid administration specifically for the procedure; preprocedural pain intensity; preprocedural pain distress; intensity of the worst pain on the same day, before the procedure; and procedure not performed by a nurse. A significant ICU effect was observed, with no visible effect of country because of its absorption by the ICU effect. Some of the risk factors became nonsignificant when each procedure was examined separately. Conclusions: Knowledge of risk factors for greater procedural pain intensity identified in this study may help clinicians select interventions that are needed to minimize procedural pain. Clinical trial registered with www.clinicaltrials.gov (NCT 01070082). Copyright © 2014 by the American Thoracic Society.
Authors & Co-Authors
Puntillo, Kathleen Ann
United States, San Francisco
University of California, San Francisco
Max, Adeline
France, Paris
Université Paris Cité
Timsit, Jéan-François Franc¸ois
France, La Tronche
Hôpital A. Michallon Chu Grenoble
Vignoud, Lucile
France, La Tronche
Albert Bonniot Institute Iab: Ontogenesis and Molecular Oncogenesis
Chanques, Gerald
France, Montpellier
Hôpital Saint Eloi
France, Montpellier
Physiologie et Médecine Expérimentale du Cœur et Des Muscles
Robleda, Gemma
Spain, Barcelona
Hospital de la Santa Creu I Sant Pau
Roche-Campo, Ferrán
Spain, Barcelona
Hospital de la Santa Creu I Sant Pau
Mancebo, Jordi B.Y.J.
Spain, Barcelona
Hospital de la Santa Creu I Sant Pau
Divatia, Jigeeshu Vasishtha
India, Mumbai
Tata Memorial Hospital
Soares, Marcio
Brazil, Rio de Janeiro
Instituto Nacional de Cancer
Ionescu, Daniela C.
Romania, Cluj Napoca
Universitatea de Medicina si Farmacie Iuliu Hatieganu Din Cluj-napoca
Grinţescu, Ioana Marina
Romania, Bucharest
Clinical Emergency Hospital
Vasiliu, Irena L.
Romania, Bucharest
Clinical Emergency Hospital
Maggiore, Salvatore Maurizio
Italy, Rome
Fondazione Policlinico Universitario Agostino Gemelli Irccs
Rusinova, Katerina
Czech Republic, Prague
Všeobecná Fakultní Nemocnice V Praze
Owczuk, Radoslaw
Poland, Gdansk
Gdanski Uniwersytet Medyczny
Egerod, Ingrid
Denmark, Copenhagen
Rigshospitalet
Papathanassoglou, Elizabeth
Cyprus, Limassol
Cyprus University of Technology
Kyranou, Maria
Greece, Thessaloniki
Papageorgiou General Hospital
Joynt, Gavin Matthew
Hong Kong
Prince of Wales Hospital Hong Kong
Burghi, Gastón
Uruguay, Montevideo
Hospital Maciel Montevideo
Freebairn, Ross C.
New Zealand, Hastings
Hawke's Bay Hospital
Ho, Kwok Ming
Australia, Perth
The University of Western Australia
Kaarlola, Anne
Finland, Helsinki
Helsinki University Hospital
Gerritsen, Rik T.
Netherlands, Leeuwarden
Medical Centre
Kesecioǧlu, Jozef
Netherlands, Utrecht
University Medical Center Utrecht
Sulaj, Miroslav M.S.
Slovakia, Bratislava
Univerzita Komenského V Bratislave
Norrenberg, Michelle
Belgium, Brussels
Hôpital Erasme
Benoit, Dominique D.
Belgium, Brussels
Hôpital Erasme
Seha, Myriam S.G.
Switzerland, Mannedorf
Icu Maennedorf
Hennein, Akram
Oman, Muscat
Khoula Hospital
Periera, Fernando J.
Colombia, Medellin
Clínica Las Américas
Benbenishty, Julie Sarah
Israel, Jerusalem
Hadassah University Medical Centre
Abrouk, Fekri
Tunisia, Monastir
Chu Fattouma-bourguiba
Aquilina, Andrew
Malta, Valletta
Mater Dei Hospital
Monte, J́ulia R.C.
Portugal, Porto
Hospital Santo Antó Nio
An, Youzhong
China, Beijing
Peking University People's Hospital
Azoulay, Elie
France, Paris
Université Paris Cité
Statistics
Citations: 263
Authors: 38
Affiliations: 34
Identifiers
Doi:
10.1164/rccm.201306-1174OC
ISSN:
1073449X
Research Areas
Health System And Policy
Study Design
Cross Sectional Study
Cohort Study