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学科主题: 临床医学
题名:
Determinants of Procedural Pain Intensity in the Intensive Care Unit The Europain (R) Study
作者: Puntillo, Kathleen A.1; Max, Adeline2; Timsit, Jean-Francois3; Vignoud, Lucile4; Chanques, Gerald5,6; Robleda, Gemma7; Roche-Campo, Ferran7; Mancebo, Jordi7; Divatia, Jigeeshu V.8; Soares, Marcio9; Ionescu, Daniela C.10; Grintescu, IoanaM.11; Vasiliu, Irena L.11; Maggiore, Salvatore Maurizio12; Rusinova, Katerina13; Owczuk, Radoslaw14; Egerod, Ingrid15; Papathanassoglou, Elizabeth D. E.16; Kyranou, Maria17; Joynt, Gavin M.18; Burghi, Gaston19; Freebairn, Ross C.20; Ho, Kwok M.21,22,23; Kaarlola, Anne24; Gerritsen, Rik T.25; Kesecioglu, Jozef26; Sulaj, Miroslav M. S.27; Norrenberg, Michelle28; Benoit, Dominique D.29; Seha, Myriam S. G.30; Hennein, Akram31; Periera, Fernando J.32; Benbenishty, Julie S.33; Abroug, Fekri34; Aquilina, Andrew35; Monte, Julia R. C.36; An, Youzhong37; Azoulay, Elie2
关键词: symptom assessment ; analgesia ; prevention
刊名: AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
发表日期: 2014
DOI: 10.1164/rccm.201306-1174OC
卷: 189, 期:1, 页:39-47
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Critical Care Medicine ; Respiratory System
研究领域[WOS]: General & Internal Medicine ; Respiratory System
关键词[WOS]: CHEST TUBE REMOVAL ; POSTTRAUMATIC-STRESS-DISORDER ; QUALITY-OF-LIFE ; OBSERVATION TOOL ; RATING-SCALES ; MANAGEMENT ; INTERVENTIONS ; RECOLLECTION ; EXPERIENCES ; VALIDATION
英文摘要:

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.

语种: 英语
项目资助者: European Society of Intensive Care Medicine/European Critical Care Research Network Award (ECCRN Established Investigator Award) ; academic grant from AP-HP, Hopital Saint-Louis, Paris, France
WOS记录号: WOS:000329784800012
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52755
Appears in Collections:北京大学第二临床医学院_重症医学科_期刊论文

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作者单位: 1.Hawkes Bay Hosp, Intens Care Serv, Hastings, New Zealand
2.Mater Dei Hosp, Dept Anaesthesia & Intens Care, Msida, Malta
3.Royal Perth Hosp, Dept Intens Care Med, Perth, WA 6001, Australia
4.Royal Perth Hosp, Sch Populat Hlth, Perth, WA 6001, Australia
5.Univ Western Australia, Perth, WA 6009, Australia
6.Med Ctr Leeuwarden, Dept Intens Care, Leeuwarden, Netherlands
7.Hop A Michallon, Med Intens Care Unit, Grenoble, France
8.Hop St Eloi, Dept Anesthesie Reanimat, Montpellier, France
9.Tata Mem Hosp, Bombay 400012, Maharashtra, India
10.Erasme Univ Hosp, Intens Care Unit Dept, Rotterdam, Netherlands
11.Clin Emergency Hosp, Anesthesia & Intens Care Dept, Bucharest, Romania
12.Spital Maennedorf, ICU Maennedorf, Mannedorf, Switzerland
13.Cyprus Univ Technol, Dept Nursing, Nicosia, Cyprus
14.Papageorgiou Hosp, Dept Nursing, Thessaloniki, Greece
15.Khoula Hosp, ICU Dept, Muscat, Oman
16.Clin Las Amer, Intens Care Unit, Medellin, Columbia, Colombia
17.CHU F Bourguiba, Intens Care Unit, Monastir, Tunisia
18.Univ Calif San Francisco, Dept Physiol Nursing, San Francisco, CA 94143 USA
19.Univ Paris Diderot, St Louis Hosp, Med Intens Care Unit, Paris, France
20.INSERM, U823, Inst Albert Bonniot, Grenoble, France
21.Univ Montpellier, Inst Natl Sante & Rech, Unite U1046, F-34059 Montpellier, France
22.Hosp Santa Creu & Sant Pau, Serv Med Intens, Barcelona, Spain
23.Inst Nacl Canc, DOr Inst Res Educ, Postgrad Program, Rio De Janeiro, Brazil
24.Iuliu Hatieganu Univ Med & Pharm, Dept Anesthesia & Intens Care 1, Cluj Napoca, Romania
25.Univ Cattolica Sacro Cuore, Dept Anesthesiol & Intens Care, Policlin A Gemelli, Rome, Italy
26.Charles Univ Prague, Fac Med 1, Dept Anaesthesiol & Intens Care, Gen Univ Hosp, Prague, Czech Republic
27.Med Univ Gdansk, Dept Anaesthesiol & Intens Therapy, Gdansk, Poland
28.Rigshosp, Ctr Trauma, Copenhagen Univ Hosp, DK-2100 Copenhagen, Denmark
29.Chinese Univ Hong Kong, Dept Anaesthesia & Intens Care, Prince Wales Hosp, Shatin, Hong Kong, Peoples R China
30.Santorio Amer & Sanatorio Hosp Montevideo, Intens Care Unit, Hosp Maciel, Montevideo, Uruguay
31.Univ Helsinki, Cent Hosp, Dept Surg, Helsinki, Finland
32.Univ Med Ctr, Dept Intens Care Med, Utrecht, Netherlands
33.Comenius Univ, Clin Anesthesiol & Intens Med, Jessenius Fac Med Martin, Univ Hosp Martin, Martin, Slovakia
34.Univ Libre Brussels, Dept Intens Care, Erasme Univ Hosp, Brussels, Belgium
35.Hadassah Hebrew Univ Hosp, ICU, Med ICU, Jerusalem, Israel
36.Ctr Hosp Porto, Serv Cuidados Intens, Hosp Santo Antonio, Oporto, Portugal
37.Peking Univ, Peoples Hosp, Dept Crit Care Med, Beijing 100871, Peoples R China

Recommended Citation:
Puntillo, Kathleen A.,Max, Adeline,Timsit, Jean-Francois,et al. Determinants of Procedural Pain Intensity in the Intensive Care Unit The Europain (R) Study[J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE,2014,189(1):39-47.
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