Perception par les patients de leur séjour en réanimation

Cazorla, C.; Cravoisy, Aurélie; Gibot, Sébastien; Nace, Lionel; Lévy, Bruno; Bollaert, Pierre‐Édouard

doi:10.1016/j.lpm.2006.07.008

Cited by 11 publications

(2 citation statements)

References 22 publications

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“…Stable vital signs and hemodynamic stability are the criteria for transfer out, but appropriate pain control is not. More and more evidence had shown that pain was a common symptom in patients during the transition period 23 . The current ndings emphasize the importance of ensuring adequate pain relief in the ICU and prioritizing appropriate pain management strategies upon arrival at the surgical ward 11,[24][25] .…”

Section: Discussionmentioning

confidence: 99%

Nomogram for predicting risk factors for moderate to severe pain in critical postoperative patients during the transition from the surgical intensive care unit to the surgical ward

Tang,

Li,

tian

2024

Preprint

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Background: Patients may face the risk of pain during transition from the surgical intensive care unit (SICU) to the surgical ward. The incidence and risk factors of pain during this period are currently unclear. Objective: To investigate the prevalence and risk factors of moderate to severe pain in critical postoperative patients during the transition period (24 h before and 24 h after transfer) from the SICU to the surgical ward and to construct a nomogram for predicting the moderate to severe pain in critical postoperative patients during the transition from the SICU to the surgical ward. Design: A prospective survey study Methods: 552 patients，data were collected between June 2021 and April 2022 at West China Hospital, Sichuan University by convenience sampling. Descriptive, bivariate, and logistic regression analyses were performed, after which a prediction nomogram was constructed. The Hosmer-Lemeshow goodness-of-fit test and calibration curve were used to evaluate the calibration of the nomogram, and the area under the receiver operating characteristic curve (AUC) was used to evaluate its discriminatory ability. Results: In total, 552 patients were included in the study, 28.44% of whom experienced moderate to severe pain during the 24-h transition period. The independent risk factors for moderate to severe pain identified by logistic regression analysis were acute pain 24 h before transfer out (odds ratio [OR] = 4.644; P < 0.001), APACHE II score (OR = 6.721; P < 0.001), length of stay in the SICU (OR = 3.344; P = 0.012), and number of drainage tubes (OR = 1.382; P = 0.023). A nomographic prediction model was established based on the weighting of these four risk factors. The AUC of the model was 0.975 (95% confidence interval: 0.964–0.987). The Hosmer-Lemeshow test (P=0.551) and calibration curve showed good calibration for the prediction of the moderate to severe pain in critical postoperative patients during the transition from the SICU to the surgical ward. Conclusions: A high incidence of pain was observed among critically ill postoperative patients during the 24-h transition period from the SICU to the surgical ward. Acute pain 24 h before transfer out, APACHE II score, length of stay in the SICU, and number of drainage tubes were found to be significantly associated with moderate to severe pain in critical postoperative patients during the transition from the SICU to the surgical ward. The predictive nomogram was useful in identifying the risk factors of moderate to severe pain in critical postoperative patients.

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Section: Discussionmentioning

confidence: 99%

Nomogram for predicting risk factors for moderate to severe pain in critical postoperative patients during the transition from the surgical intensive care unit to the surgical ward

Tang,

Li,

tian

2024

Preprint

View full text Add to dashboard Cite

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“…More recent studies of pain in the critically ill have found that physiologic responses (HR, RR, SPO 2 ) may not be good or consistent markers of pain nor, potentially, of stress, and should be considered with caution. 45, 4647 While patients report endotracheal suctioning as one of the most painful experiences, 21, 48 studies of pain (procedural and other types) in critically ill patients have shown that patient behaviors (grimacing, rigidity, wincing, shutting of eyes, verbalization, moaning, and clenching of fists) are more often associated with pain than physiologic markers (i.e. changes in HR, RR, SPO 2 ) 22, 49 which may explain the lack of findings related to physiologic responses to ETT suctioning in this study.…”

Section: Discussionmentioning

confidence: 99%

Responses to noxious stimuli in sedated mechanically ventilated adults

Grap¹,

Munro²,

Wetzel³

et al. 2014

Heart & Lung

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Pain distress: the negative emotion associated with procedures in ICU patients

et al. 2018

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Procedural pain has both sensory and emotional dimensions. We found that, although procedural pain intensity (the sensory dimension) and distress (the emotional dimension) may closely covary, there are certain factors than can preferentially influence each of the dimensions. Clinicians are encouraged to appreciate the multidimensionality of pain when they perform procedures and use this knowledge to minimize the patient's pain experience.

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Perception par les patients de leur séjour en réanimation

Cited by 11 publications

References 22 publications

Nomogram for predicting risk factors for moderate to severe pain in critical postoperative patients during the transition from the surgical intensive care unit to the surgical ward

Nomogram for predicting risk factors for moderate to severe pain in critical postoperative patients during the transition from the surgical intensive care unit to the surgical ward

Responses to noxious stimuli in sedated mechanically ventilated adults

Pain distress: the negative emotion associated with procedures in ICU patients

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