Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/4477
Title: Risk factors associated with higher pain levels among pediatric burn patients: a retrospective cohort study
Authors: V. Jones, Lee
Holbert, Maleea D.
Griffin, Bronwyn 
D. Holbert, Maleea
M. Kimble, Roy
H. Ahmed, Samiul
Griffin, Bronwyn R. 
Ahmed, Samiul H.
Jones, Lee V.
Kimble, Roy M.
Issue Date: 2021
Source: 46, (3), 2021, p. 222-227
Pages: 222-227
Journal: Regional Anesthesia & Pain Medicine
Abstract: Introduction: There is an absence of evidence regarding predictors of moderate to severe pain in children undergoing acute burn treatment. This investigation aimed to determine if relationships existed between patient and clinical characteristics, and pain at first dressing change for children with acute burn injuries.Methods: A retrospective cohort investigation was conducted using clinical data from pediatric burn patients treated at the Queensland Children's Hospital, Brisbane, Australia. Data extracted included patient and burn characteristics, first aid, and follow-up care. Observational pain scores were categorized into three groups (mild, moderate, and severe pain), and bivariate and multivariable relationships were examined using proportional odds ordinal logistic regression. Data from 2013 pediatric burns patients were extracted from the database.Results: Factors associated with increased odds of procedural pain included: hand burns (OR 1.7, 95% CI 1.3 to 2.1, p<0.001), foot burns (OR 1.5, 95% CI 1.1 to 2.1, p<0.01), baseline pain (OR 5.5, 95% CI 2.8 to 10.8, p<0.001), deep dermal partial-thickness injuries (OR 7.9, 95% CI 4.0 to 15.6, p<0.001), increased burn size (OR 1.1, 95% CI 1.0 to 1.2, p<0.01), four or more anatomical regions burned (OR 3.6, 95% CI 1.5 to 8.6, p<0.01), initial treatment at a non-burns center (OR 1.8, 95% CI 1.4 to 2.3, p<0.001), and time to hospital presentation (OR 0.9, 95% CI 0.8 to 0.9, p<0.001). These burn characteristics are associated with increased odds of moderate to severe procedural pain during a child's first dressings change.Discussion: It is recommended that patients presenting with one or more of the aforementioned factors are identified before their first dressing change, so additional pain control methods can be implemented.research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 9804508.PMID: NLM33168649.
DOI: 10.1136/rapm-2020-101691
Resources: https://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,athens&db=ccm&AN=149422947&site=ehost-live
Keywords: Retrospective Design;Comparative Studies;Multicenter Studies;Evaluation Research;Validation Studies;Child;Risk Factors;Prospective Studies;BurnsPain;Human
Type: Article
Appears in Sites:Children's Health Queensland Publications

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