Evaluation of pain incidence and pain management in a South African paediatric trauma unit

dc.contributor.authorThiadens, Tessa
dc.contributor.authorVervat, Elleke
dc.contributor.authorAlbertyn, Rene
dc.contributor.authorvan Dijk, Monique
dc.contributor.authorVan As, A B
dc.date.accessioned2017-05-16T13:30:17Z
dc.date.available2017-05-16T13:30:17Z
dc.date.issued2011
dc.date.updated2016-01-08T09:06:02Z
dc.description.abstractOBJECTIVES: To evaluate pain incidence and pain management in a South African paediatric trauma unit, and to compare the usefulness of 5 different assessment tools. DESIGN: A prospective observational study, using the Numerical Rating Scale for pain (NRS pain), Numerical Rating Scale for anxiety (NRS anxiety), the Alder Hey Triage Pain Score (AHTPS), the COMFORT behaviour scale and the Touch Visual Pain Scale (TVPS). All patients were assessed at admission; those who were hospitalised were again assessed every 3 hours until discharge. RESULTS: A total of 165 patients, with a mean age of 5.3 years (range 0 - 13), were included. NRS scores were indicative of moderate to severe pain in 13.3% of the patients, and no pain in 24% at admission. Two-thirds of the patients received no analgesics; for them, NRS pain, AHTPS and TVP scores were lower than the scores for the other children. CONCLUSION: Pain and anxiety incidences in this paediatric trauma unit are relatively low. Implementation of a standard pain assessment tool in the emergency department triage system can improve pain management. The AHTPS is the most promising for use in non-Western settings.
dc.identifier.apacitationThiadens, T., Vervat, E., Albertyn, R., van Dijk, M., & Van As, A. B. (2011). Evaluation of pain incidence and pain management in a South African paediatric trauma unit. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24332en_ZA
dc.identifier.chicagocitationThiadens, Tessa, Elleke Vervat, Rene Albertyn, Monique van Dijk, and A B Van As "Evaluation of pain incidence and pain management in a South African paediatric trauma unit." <i>South African Medical Journal</i> (2011) http://hdl.handle.net/11427/24332en_ZA
dc.identifier.citationThiadens, T., Vervat, E., Albertyn, R., Van Dijk, M., & Van As, A. B. (2011). Evaluation of pain incidence and pain management in a South African paediatric trauma unit. SAMJ: South African Medical Journal, 101(8), 533-536.
dc.identifier.ris TY - Journal Article AU - Thiadens, Tessa AU - Vervat, Elleke AU - Albertyn, Rene AU - van Dijk, Monique AU - Van As, A B AB - OBJECTIVES: To evaluate pain incidence and pain management in a South African paediatric trauma unit, and to compare the usefulness of 5 different assessment tools. DESIGN: A prospective observational study, using the Numerical Rating Scale for pain (NRS pain), Numerical Rating Scale for anxiety (NRS anxiety), the Alder Hey Triage Pain Score (AHTPS), the COMFORT behaviour scale and the Touch Visual Pain Scale (TVPS). All patients were assessed at admission; those who were hospitalised were again assessed every 3 hours until discharge. RESULTS: A total of 165 patients, with a mean age of 5.3 years (range 0 - 13), were included. NRS scores were indicative of moderate to severe pain in 13.3% of the patients, and no pain in 24% at admission. Two-thirds of the patients received no analgesics; for them, NRS pain, AHTPS and TVP scores were lower than the scores for the other children. CONCLUSION: Pain and anxiety incidences in this paediatric trauma unit are relatively low. Implementation of a standard pain assessment tool in the emergency department triage system can improve pain management. The AHTPS is the most promising for use in non-Western settings. DA - 2011 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 T1 - Evaluation of pain incidence and pain management in a South African paediatric trauma unit TI - Evaluation of pain incidence and pain management in a South African paediatric trauma unit UR - http://hdl.handle.net/11427/24332 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24332
dc.identifier.vancouvercitationThiadens T, Vervat E, Albertyn R, van Dijk M, Van As AB. Evaluation of pain incidence and pain management in a South African paediatric trauma unit. South African Medical Journal. 2011; http://hdl.handle.net/11427/24332.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Paediatrics and Child Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journal
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titleEvaluation of pain incidence and pain management in a South African paediatric trauma unit
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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