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Pain management in hospitalized children: A cross-sectional study

Joese Aparecida Carvalho1, Danton Matheus de Souza1, Flávia Domingues1

  • 1Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Psiquiátrica, São Paulo, SP, Brazil.

Revista Da Escola De Enfermagem Da U S P
|June 2, 2022
PubMed

Insights

Pain management for hospitalized children is often ineffective, with many children experiencing pain despite prescribed medication and infrequent reassessment. Non-pharmacological pain relief measures are rarely used.

Area of Science:

  • Pediatric Medicine
  • Pain Management
  • Healthcare Quality Improvement

Background:

  • Effective pain management is crucial for hospitalized children.
  • Current practices in pediatric pain management require thorough evaluation.

Purpose of the Study:

  • To characterize the current state of pain management in hospitalized children.
  • To identify gaps and areas for improvement in pediatric pain care.

Main Methods:

  • Observational, cross-sectional, retrospective study.
  • Analysis of 1,251 medical records from a secondary hospital's pediatric department.
  • Descriptive statistical analysis of quantitative data.

Main Results:

  • 88.8% of children received pain assessment; 37.8% had pain, with 26% experiencing severe pain (higher in orthopedic conditions).
  • 18.3% with pain and prescribed analgesia were not medicated; only 0.4% received non-pharmacological measures.
  • Pain reassessment was reported in 40.3% of cases; analgesia was prioritized for surgical/orthopedic conditions.

Conclusions:

  • Pediatric pain management is largely ineffective, from initial assessment to post-intervention reassessment.
  • Medication decisions are often based on professional judgment rather than standardized protocols.
  • There is a significant need to improve pain assessment, treatment, and reassessment in hospitalized children.
Abstract

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