Consistency of pediatric pain ratings between dyads: an updated meta-analysis and metaregression

Zhou, Huaqiong; Albrecht, Matthew A.; Roberts, Pam A; Porter, Paul M.; Della, Phillip

doi:10.1097/pr9.0000000000001029

Cited by 5 publications

(1 citation statement)

References 65 publications

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“…While caregivers are often “the voice” for their children, they are not an exact proxy. For instance, a meta-analysis has shown only moderate consistency between caregivers and children reports when asked to rate pain [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments

Ma,

Rahimi,

Rajagopal

et al. 2024

PLoS ONE

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Background Optimizing a child’s emergency department (ED) experience positively impacts their memories and future healthcare interactions. Our objectives were to describe children’s perspectives of their needs and experiences during their ED visit and relate this to their understanding of their condition. Methods 514 children, aged 7–17 years, and their caregivers presenting to 10 Canadian pediatric EDs completed a descriptive cross-sectional survey from 2018–2020. Results Median child age was 12.0 years (IQR 9.0–14.0); 56.5% (290/513) were female. 78.8% (398/505) reported adequate privacy during healthcare conversations and 78.3% (395/504) during examination. 69.5% (348/501) understood their diagnosis, 89.4% (355/397) the rationale for performed tests, and 67.2% (338/503) their treatment plan. Children felt well taken care of by nurses (90.9%, 457/503) and doctors (90.8%, 444/489). Overall, 94.8% (475/501) of children were happy with their ED visit. Predictors of a child better understanding their diagnosis included doctors talking directly to them (OR 2.21 [1.15, 4.28]), having someone answer questions and worries (OR 2.51 [1.26, 5.01]), and older age (OR 1.08 [1.01, 1.16]). Direct communication with a doctor (OR 2.08 [1.09, 3.99]) was associated with children better understanding their treatment, while greater fear/ ‘being scared’ at baseline (OR 0.59 [0.39, 0.89]) or at discharge (OR 0.46 [0.22, 0.96]) had the opposite effect. Interpretation While almost all children felt well taken care of and were happy with their visit, close to 1/3 did not understand their diagnosis or its management. Children’s reported satisfaction in the ED should not be equated with understanding of their medical condition. Further, caution should be employed in using caregiver satisfaction as a proxy for children’s satisfaction with their ED visit, as caregiver satisfaction is highly linked to having their own needs being met.

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Section: Introductionmentioning

confidence: 99%

A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments

Ma,

Rahimi,

Rajagopal

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

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Pain Assessment in the Patient Unable to Self‐ Report: Clinical Practice Recommendations in Support of the ASPMN 2024 Position Statement

Herr,

Anderson,

Arbour

et al. 2024

Pain Management Nursing

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Painful Call About the Under-Reporting of Children’s Pain During Humanitarian Crises

Levy,

Alkan,

Gidron

2024

Disaster med. public health prep.

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Humanitarian crises often require urgent medical care to people of concern. Such medical aid includes assessing and treating acute medical needs and ongoing chronic health conditions. Among the people of concern there are children, who are often the most vulnerable population in humanitarian contexts because they often lack the experience, independence, and cognitive and verbal skills to deal with the ordeals they are facing. These limitations might prevent identification and diagnosis of pain. The under-diagnosis and under-treated pain by health care providers might be also due to the perceived urgency of more acute or life-threatening medical needs with limited medical equipment and personnel, lack of awareness, or assessment tools in such contexts. Additionally, due to issues of anonymity and lack of formal guidelines, there is a severe lack of standardized registration of children’s pain conditions in humanitarian crises. Finally, acute pain is also a predictor of post-traumatic stress disorder, a common outcome in such disasters. We call on health care providers to use standardized scales to assess children’s pain intensity, frequency, and duration, and to treat it appropriately. These will not only reduce children’s physical suffering but may also prevent subsequent risk of PTSD.

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Consistency of pediatric pain ratings between dyads: an updated meta-analysis and metaregression

Abstract: Supplemental Digital Content is Available in the Text. Pain rating consistency was moderate between child–caregiver dyad but weaker between other dyads. Publication year, pain assessment tool, and source of pain significantly impacted consistency.

Cited by 5 publications

References 65 publications

A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments

A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments

Pain Assessment in the Patient Unable to Self‐ Report: Clinical Practice Recommendations in Support of the ASPMN 2024 Position Statement

Painful Call About the Under-Reporting of Children’s Pain During Humanitarian Crises

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