Evaluation of pain in the paediatric patient admitted to sub-intensive care: a scoping review protocol

Evaluation of pain in the paediatric patient admitted to sub-intensive care: a scoping review protocol

Authors

  • Carlotta Granata “Azienda Unità Sanitaria Locale” (Local Health Service) di Piacenza, Piacenza, Italy; https://orcid.org/0000-0003-0641-1276
  • Massimo Guasconi University of Parma, Department of Medicine and Surgery, Parma, Italy; “Azienda Unità Sanitaria Locale” (Local Health Service) di Piacenza, Piacenza, Italy; https://orcid.org/0000-0002-8855-8919
  • Federica Ambrosi “Azienda Provinciale per i Servizi Sanitari” (Local Health Service) di Trento, Trento, Italy;
  • Lucrezia Anderle “Azienda Provinciale per i Servizi Sanitari” (Local Health Service) di Trento, Trento, Italy;
  • Beatrice Marone “Nuovo S. Orsola” Private Clinic, Parma, Italy;
  • Doriana Dimonte “Azienda Ospadaliero – Universitaria” (Local Health Service) di Modena, Modena, Italy;
  • Federica Tumbiolo “Azienda Socio Sanitaria Territoriale” (Local Health Service) di Cremona, Cremona, Italy;
  • Maria Chiara Bassi “Azienda Unità Sanitaria Locale – IRCCS” (Local Health Service) of Reggio Emilia, Reggio Emilia, Italy; https://orcid.org/0000-0002-5418-2837
  • Gloria Anderson “Fondazione Policlinico Universitario A. Gemelli – IRCCS”, Roma, Italy; https://orcid.org/0000-0003-2929-9328
  • Leopoldo Sarli University of Parma, Department of Medicine and Surgery, Parma, Italy; https://orcid.org/0000-0003-3679-1388
  • Giovanna Artioli University of Parma, Department of Medicine and Surgery, Parma, Italy; https://orcid.org/0000-0002-1810-0857
  • Antonio Bonacaro University of Suffolk, School of Health and Sports Sciences, Ipswich, UK; https://orcid.org/0000-0003-4475-5280

Keywords:

Pain assessment, Paediatric, Sub–intensive care unit, Literature review protocol, Scoping review

Abstract

Background and aim: pain is considered as the 5th vital sign thus it's paramount that healthcare professionals are equipped with validated tools for his correct assessment. There are different paediatric pain assessment scales that take into account patients’ age. Actually, the “Face, Legs, Activity, Cry, Consolability” (FLACC), Wong-Baker and NRS scales are regarded as the gold standard in low intensity clinical areas, while the COMFORT-Behavior (COMFORT-B) and Behavioral Pain Scale (BPS) ones are used for high intensity clinical areas where paediatric patients are sedated/intubated. It’s unclear which pain assessment scale should be used in sub-intensive areas such as Sub-Paediatric Intensive Care Unit (Sub-PICU) e Sub-Neonatal Intensive Care Unit (Sub-NICU).

The aim of this protocol is to map the literature in order to identify what evidences are available regarding the assessment of pain in the paediatric sub-intensive clinical areas.

Research question: “What is the literature available on pain assessment in paediatric patients in sub-intensive clinical areas such as Sub-PICU and sub-NICU?”.

Source of evidence: literature search will be performed through the following databases: PubMed, Scopus, CINAHL, Cochrane Library, Open Dissertations (EBSCO) and DOAJ. Furthermore, Cochrane CENTRAL and ClinicalTrials.gov will also be included.

Methods: this scoping review will be conducted in accordance to the Joanna Briggs Institute guidelines and the results presented through a PRISMA flowchart.

Review registration: Open Science Framework https://doi.org/10.17605/OSF.IO/8KBRQ

References

Freund D, Bolick BN. CE: Assessing a Child’s Pain. AJN Am J Nurs. 2019;119(5):34.

Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020;161(9):1976–82.

Scher C, Meador L, Van Cleave JH, Reid MC. Moving Beyond Pain as the Fifth Vital Sign and Patient Satisfaction Scores to Improve Pain Care in the 21st Century. Pain Manag Nurs Off J Am Soc Pain Manag Nurses. 2018;19(2):125–9.

Drendel AL, Kelly BT, Ali S. Pain Assessment for Children: Overcoming Challenges and Optimizing Care. Pediatr Emerg Care. 2011;27(8):773.

dos Santos MZ, Kusahara DM, Pedreira M da LG. [The experiences of intensive care nurses in the assessment and intervention of pain relief in children]. Rev Esc Enferm U P. 2012;46(5):1074–81.

Granata C, Guasconi M, Ruggeri F, Bolzoni M, Grossi CF, Biasucci G, et al. Assessment and pain management during the triage phase of children with extremity trauma. A retrospective analysis in a Pediatric Emergency Room after the introduction of the PIPER recommendations. Acta Bio-Medica Atenei Parm. 2020;91(12-S):e2020006.

Ministero della Salute. Il dolore nel bambino. Strumenti Pratici di Valutazione e Terapia. Value Relations International s.r.l. [Ministry of Health. Pain in the child. Practical Assessment and Therapy Tools. Value Relations International s.r.l.] [Internet]. 2010. Disponibile su: http://www.salute.gov.it/ imgs/C_17_pubblicazioni_1256_allegato.pdf

Treede RD. The International Association for the Study of Pain definition of pain: as valid in 2018 as in 1979, but in need of regularly updated footnotes. Pain Rep. 2018;3(2):e643.

Crellin DJ, Harrison D, Santamaria N, Huque H, Babl FE. The Psychometric Properties of the FLACC Scale Used to Assess Procedural Pain. J Pain. 2018;19(8):862–72.

Kochman A, Howell J, Sheridan M, Kou M, Shelton Ryan EE, Lee S, et al. Reliability of the Faces, Legs, Activity, Cry, and Consolability Scale in Assessing Acute Pain in the Pediatric Emergency Department. Pediatr Emerg Care. 2017;33(1):14–7.

Manworren RCB, Hynan LS. Clinical validation of FLACC: preverbal patient pain scale. Pediatr Nurs. 2003;29(2):140–6.

Merkel S, Voepel-Lewis T, Malviya S. Pain Control: Pain Assessment in Infants and Young Children: The FLACC Scale. Am J Nurs. 2002;102(10):55–8.

Garra G, Singer AJ, Taira BR, Chohan J, Cardoz H, Chisena E, et al. Validation of the Wong-Baker FACES Pain Rating Scale in pediatric emergency department patients. Acad Emerg Med Off J Soc Acad Emerg Med. 2010;17(1):50–4.

Wong-Baker FACES foundation. Wong-Baker FACES Pain Rating Scale [Internet]. [citato 19 dicembre 2022]. Disponibile su: Avaiable at https://wongbakerfaces.org/

Miró J, Castarlenas E, Huguet A. Evidence for the use of a numerical rating scale to assess the intensity of pediatric pain. Eur J Pain Lond Engl. 2009;13(10):1089–95.

van Dijk M, Peters JWB, van Deventer P, Tibboel D. The COMFORT Behavior Scale: a tool for assessing pain and sedation in infants. Am J Nurs. 2005;105(1):33–6.

van Dijk M, Roofthooft DWE, Anand KJS, Guldemond F, de Graaf J, Simons S, et al. Taking up the challenge of measuring prolonged pain in (premature) neonates: the COMFORTneo scale seems promising. Clin J Pain. 2009;25(7):607–16.

Boerlage AA, Ista E, de Jong M, Tibboel D, van Dijk M. The COMFORT behavior scale: is a shorter observation period feasible? Pediatr Crit Care Med J Soc Crit Care Med World Fed Pediatr Intensive Crit Care Soc. 2012;13(2):e124-125.

Sulla F, La Chimia M, Barbieri L, Gigantiello A, Iraci C, Virgili G, et al. A first contribution to the validation of the Italian version of the Behavioral Pain Scale in sedated, intubated, and mechanically ventilated paediatric patients. Acta Bio-Medica Atenei Parm. 2018;89(7-S):19–24.

Guasconi M, Granata C, Sulla F, Rubbi I, Artioli G, Sarli L, et al. Validation of the Italian version of Behavioral Pain Scale in sedated, intubated, and mechanically ventilated pediatric patients. Acta Bio-Medica Atenei Parm. 2021;92(S2):e2021370.

Bellù R, Mosca F, Agosti M, Lista G, Cavigioli F, Mangili G. I nuovi criteri di ricovero dei neonati in terapia intensiva neonatale e SUB-TIN. SinInfoma. 2022;105:20–2.

Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–32.

Peters MDJ, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc. 2015;13(3):141–6.

Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119–26.

Peters MD, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H, et al. Chapter 11: scoping reviews (2020 version). JBI Man Evid Synth JBI. 2020;

Pollock D, Davies EL, Peters MDJ, Tricco AC, Alexander L, McInerney P, et al. Undertaking a scoping review: A practical guide for nursing and midwifery students, clinicians, researchers, and academics. J Adv Nurs. 2021;77(4):2102–13.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5:210.

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Published

13-02-2023

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Section

HEALTH PROFESSIONS

How to Cite

1.
Evaluation of pain in the paediatric patient admitted to sub-intensive care: a scoping review protocol. Acta Biomed [Internet]. 2023 Feb. 13 [cited 2024 Jun. 23];94(1):e2023039. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/14159