Zunino C, Notejane M, Bernadá M, Rodríguez L, Vanoli N, Rojas M, Benech L, Mimbacas I
Departamento de Pediatría, Facultad de Medicina, Universidad de la República, Uruguay,
Departamento de Pediatría, Facultad de Medicina, UdelaR, Montevideo, Uruguay.
Rev Chil Pediatr. 2018 Feb;89(1):67-73. doi: 10.4067/S0370-41062018000100067.
The evaluation and treatment of pain in hospitalized is still an important health pro blem.
To know the prevalence, characteristics and approaches to pain management in children and adolescents hospitalized in the Pediatric Hospital of the Pereira Rossell Center (HP-CH- PR), a pediatric reference center in Uruguay.
Cross-sectional study, through survey and review of clinical records on 09/13/16. All hospitalized children under the age of 19 were included.
age, gender, reason for admission, presence of cognitive disorder, the prevalen ce of pain at some time during hospitalization, in the last 24 hours and during the interview, cause of maximum pain, intensity, pharmacological and non-pharmacological treatment.
97.4% (152/156) hospitalized children were included. Pain prevalence at some point during hospitalization: 51.3% (78/152, 95% CI: 43.2-59.3); in the previous 24 hours: 39.5% (60/152, 95% CI: 31.7-47.2); during the interview: 15.8% (24/152, 95% CI: 10-21.5). Intensity: mild 13/24, moderate-severe 11/24. Maximum pain referred during hospitalization: needle punctures 48.5% (38/78). They had some analgesic prescription 47.3% of them had some analgesic prescription. Inadequate interdose inter val: 45.8%; adequate dose 98.9%; intravenous administration: 43.7%; contraindication to oral route: 40.5%.
Regarding children and adolescents hospitalized, 39.5% reported pain 24 hours before being the interviewed and 15.8% reported pain during the interview. The maximum pain reported during hospitalization was due to needle punctures. Children in pain with inappropriate analgesic prescriptions are still detected.
住院患者疼痛的评估与治疗仍是一个重要的健康问题。
了解乌拉圭儿科转诊中心佩雷拉·罗塞尔中心儿童医院（HP-CH-PR）住院儿童和青少年的疼痛患病率、特征及疼痛管理方法。
采用横断面研究，于2016年9月13日通过调查和查阅临床记录进行。纳入所有19岁以下的住院儿童。
年龄、性别、入院原因、是否存在认知障碍、住院期间某个时间点的疼痛患病率、过去24小时内的疼痛患病率以及访谈期间的疼痛患病率、最大疼痛原因、强度、药物和非药物治疗。
纳入了97.4%（152/156）的住院儿童。住院期间某个时间点的疼痛患病率：51.3%（78/152，95%置信区间：43.2 - 59.3）；前24小时内：39.5%（60/152，95%置信区间：31.7 - 47.2）；访谈期间：15.8%（24/152，95%置信区间：10 - 21.5）。强度：轻度13/24，中度至重度11/24。住院期间提及的最大疼痛原因：针刺48.5%（38/78）。47.3%的患者有某种镇痛处方。给药间隔不足：45.8%；剂量合适：98.9%；静脉给药：43.7%；口服途径禁忌：40.5%。
对于住院儿童和青少年，39.5%的患者在接受访谈前24小时报告有疼痛，15.8%的患者在访谈期间报告有疼痛。住院期间报告的最大疼痛原因是针刺。仍能检测到疼痛儿童存在镇痛处方不当的情况。
