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. 2023 Aug 1:11:1195416.
doi: 10.3389/fped.2023.1195416. eCollection 2023.

Assessment of pain management adequacy among hospitalized pediatric patients: institutional-based cross-sectional study

Asmamaw Emagn Kasahun  1 , Ashenafi Kibret Sendekie  2 , Rahel Belete Abebe  2
Affiliations

Assessment of pain management adequacy among hospitalized pediatric patients: institutional-based cross-sectional study

Asmamaw Emagn Kasahun et al. Front Pediatr. .

Abstract

Background: As the evidence showed, despite the magnitude of the effects that pain can have on a child, it is often inadequately assessed and treated. However, whether pain is adequately treated or not, evidence is lacking in the study setting.

Objectives: This study assessed pain management adequacy among hospitalized pediatric patients at the University of Gondar Comprehensive Specialized Hospital, Ethiopia.

Methods: An institution-based cross-sectional study was conducted among pediatric patients admitted to the University of Gondar Comprehensive and Specialized Hospital between June and August 2021. Eligible patients were enrolled in the study using consecutive sampling techniques. Data were collected using a structured interview-based questionnaire and a review of the patient's medical records that were prepared after reviewing earlier studies. Pain management adequacy was determined using the pain management index (PMI) score. Statistical Software for Social Sciences (SPSS) version 22 was used for data entry and analysis. Descriptive statistics such as frequencies, percentages, and means with standard deviation were used to describe the respective variables. Logistic regression was used to assess predictor variables of pain management adequacy. A p-value <0.05 at a 95% CI was considered statistically significant.

Results: Of the 422 participants enrolled in the study, most (58.1%) were males, with a mean age of 3.9 ± 0.8 years. Pain medication was prescribed to 62.8% (95% CI: 57.3-68.2) of the participants. About 63.3% (95% CI: 58.8%-68%) received inadequate analgesics. The type of painkillers administered also did not match the severity of the pain. Pediatric patients less than 1 month and between 1 month and 1 year (AOR = 2.891, 95% CI: 1.274-12.899 and AOR = 2.657, 95% CI: 1.350-5.175), respectively, and patients with severe and moderate levels of pain (AOR = 3.448, 95% CI: 1.902-6.251 and AOR = 5.345, 95% CI: 1.956-9.828), respectively, were found to have inadequate pain medication compared with their counterparts.

Conclusion: This study revealed that pain was hardly managed based on its severity. Overall, two-thirds of pediatric patients received inadequate pain medication. This indicates majority of patients experienced pain did not manage appropriately.

Keywords: analgesics; pain; pain management adequacy; pain management prevention; pediatric.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Flowchart detailing patient recruitment and data collection of pediatrics patients at UoGCSH (N = 422).
Figure 2
Figure 2
Patients’ pain description of pediatrics patients at UoGCSH (N = 422).
Figure 3
Figure 3
Proportion of participants with analgesics score at panel (A) and the pain medication they received based on WHO ladder classification and the value of the PMI at panel (B).
See this image and copyright information in PMC

References

    1. Treede RD. The international association for the study of pain definition of pain: as valid in 2018 as in 1979, but in need of regularly updated footnotes. Pain Rep. (2018) 3(2):e643. 10.1097/PR9.0000000000000643 - DOI - PMC - PubMed
    1. Birnie KA, Chambers CT, Fernandez CV, Forgeron PA, Latimer MA, McGrath PJ, et al. Hospitalized children continue to report undertreated and preventable pain. Pain Res Manag. (2014) 19(4):198–204. 10.1155/2014/614784 - DOI - PMC - PubMed
    1. Friedrichsdorf SJ, Postier A, Eull D, Weidner C, Foster L, Gilbert M, et al. Pain outcomes in a US children’s hospital: a prospective cross-sectional survey. Hosp Pediatr. (2015) 5(1):18–26. 10.1542/hpeds.2014-0084 - DOI - PubMed
    1. Shomaker K, Dutton S, Mark M. Pain prevalence and treatment patterns in a US children’s hospital. Hosp Pediatr. (2015) 5(7):363–70. 10.1542/hpeds.2014-0195 - DOI - PubMed
    1. Stevens BJ, Harrison D, Rashotte J, Yamada J, Abbott LK, Coburn G, et al. Pain assessment and intensity in hospitalized children in Canada. J Pain. (2012) 13(9):857–65. 10.1016/j.jpain.2012.05.010 - DOI - PubMed