Acute pain management in children: a survey of Italian pediatricians.
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ABSTRACT: Background
Current guidelines recommend assessing and relieving pain in all children and in all instances; yet, in clinical practice, management is frequently suboptimal. We investigated the attitude of Italian family pediatricians towards the evaluation and treatment of different types of acute pain in children aged 7-12?years.Methods
This is a cross-sectional study based on a 17-question survey accessible online from October 2017 to October 2018. Responders had to describe cases of children suffering from any type of acute pain among headache, sore throat, musculoskeletal/post-traumatic pain, and earache. Children's characteristics, pain assessment modalities and therapeutic approaches were queried. The following tests were used: Z-proportion to evaluate the distribution of categorical data; chi-squared and Kruskall-Wallis to explore data heterogeneity across groups; Mann-Whitney for head-to-head comparisons.Results
Overall, 929 pediatricians presented 6335 cases uniformly distributed across the types examined. Pain was more frequently of moderate intensity (42.2%, P?ConclusionsSeveral gaps exist between the current practice of pain assessment and treatment and recommendations. Further efforts are needed to raise awareness and improve education on the possible exposure of the child to short- and long-term consequences in case of suboptimal pain management.
SUBMITTER: Marseglia GL
PROVIDER: S-EPMC6892238 | biostudies-literature | 2019 Dec
REPOSITORIES: biostudies-literature
Publications
Acute pain management in children: a survey of Italian pediatricians.
Marseglia Gian Luigi GL Alessio Maria M Da Dalt Liviana L Giuliano Maria M Ravelli Angelo A Marchisio Paola P
Italian journal of pediatrics 20191203 1
<h4>Background</h4>Current guidelines recommend assessing and relieving pain in all children and in all instances; yet, in clinical practice, management is frequently suboptimal. We investigated the attitude of Italian family pediatricians towards the evaluation and treatment of different types of acute pain in children aged 7-12 years.<h4>Methods</h4>This is a cross-sectional study based on a 17-question survey accessible online from October 2017 to October 2018. Responders had to describe case ...[more]
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