Acute and postoperative pain in children: a Swedish nationwide survey

Area of Science:

• Pediatric Pain Management
• Healthcare Quality Improvement
• Clinical Survey Research

Background:

• Numerous studies highlight the persistent problem of inadequate pain treatment in pediatric populations.
• Effective pain management in children is crucial for their recovery and well-being.
• Existing guidelines for pediatric pain management are not consistently applied nationwide.

Purpose of the Study:

• To assess the prevalence of acute and postoperative pain in children across Sweden.
• To identify reasons for inadequate pain therapy and evaluate current management practices.
• To determine the need for enhanced education among healthcare professionals regarding pediatric pain.

Main Methods:

• A nationwide survey was conducted using questionnaires distributed to all Swedish departments treating children.
• The survey targeted physicians and nurses to gather data on pain prevalence, treatment efficacy, and organizational aspects.
• Response rate was 75% (299/395 departments).

Main Results:

• Moderate to severe pain affected 23% of children with postoperative pain and 31% with other acute pain, despite treatment.
• Inadequate pain management was more prevalent in mixed pediatric-adult units and departments with lower pediatric patient volume.
• Regular pain assessment occurred in only 43% of departments; potent opioid use was infrequent in 15%.

Conclusions:

• Acute pain in children is significantly undertreated in Swedish hospitals.
• Organizational deficiencies, including prescription practices and lack of formal pain management structures, are primary contributors.
• Addressing these organizational aspects and enhancing professional education are key to improving pediatric pain management.