Impact of individualized pain plan on the emergency management of children with sickle cell disease.
Identifieur interne : 002845 ( PubMed/Checkpoint ); précédent : 002844; suivant : 002846Impact of individualized pain plan on the emergency management of children with sickle cell disease.
Auteurs : Lakshmanan Krishnamurti [États-Unis] ; Bethanny Smith-Packard ; Ashish Gupta ; Mary Campbell ; Sriya Gunawardena ; Richard SaladinoSource :
- Pediatric blood & cancer [ 1545-5017 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Anemia, Sickle Cell.
- etiology : Pain.
- methods : Pain Management, Precision Medicine.
- statistics & numerical data : Hospitalization.
- Adolescent, Algorithms, Child, Emergency Service, Hospital, Female, Humans, Male, Patient Satisfaction.
Abstract
Vaso-occlusive crisis (VOC) the hallmark of sickle cell disease (SCD) is often treated inadequately in the emergency department (ED). We hypothesized that pain management plans individualized for each patient can improve pain management and lead to high levels of patient satisfaction.
DOI: 10.1002/pbc.25024
PubMed: 24962217
Affiliations:
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Packard, Bethanny" sort="Smith Packard, Bethanny" uniqKey="Smith Packard B" first="Bethanny" last="Smith-Packard">Bethanny Smith-Packard</name></author><author><name sortKey="Gupta, Ashish" sort="Gupta, Ashish" uniqKey="Gupta A" first="Ashish" last="Gupta">Ashish Gupta</name></author><author><name sortKey="Campbell, Mary" sort="Campbell, Mary" uniqKey="Campbell M" first="Mary" last="Campbell">Mary Campbell</name></author><author><name sortKey="Gunawardena, Sriya" sort="Gunawardena, Sriya" uniqKey="Gunawardena S" first="Sriya" last="Gunawardena">Sriya Gunawardena</name></author><author><name sortKey="Saladino, Richard" sort="Saladino, Richard" uniqKey="Saladino R" first="Richard" last="Saladino">Richard Saladino</name></author></analytic><series><title level="j">Pediatric blood & cancer</title><idno type="eISSN">1545-5017</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Algorithms</term><term>Anemia, Sickle Cell (complications)</term><term>Child</term><term>Emergency Service, Hospital</term><term>Female</term><term>Hospitalization (statistics & numerical data)</term><term>Humans</term><term>Male</term><term>Pain (etiology)</term><term>Pain Management (methods)</term><term>Patient Satisfaction</term><term>Precision Medicine (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Algorithmes</term><term>Douleur (étiologie)</term><term>Drépanocytose ()</term><term>Enfant</term><term>Femelle</term><term>Gestion de la douleur ()</term><term>Hospitalisation ()</term><term>Humains</term><term>Mâle</term><term>Médecine individualisée ()</term><term>Satisfaction du patient</term><term>Service hospitalier d'urgences</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Anemia, Sickle Cell</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Pain</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Pain Management</term><term>Precision Medicine</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Douleur</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Algorithms</term><term>Child</term><term>Emergency Service, Hospital</term><term>Female</term><term>Humans</term><term>Male</term><term>Patient Satisfaction</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Algorithmes</term><term>Drépanocytose</term><term>Enfant</term><term>Femelle</term><term>Gestion de la douleur</term><term>Hospitalisation</term><term>Humains</term><term>Mâle</term><term>Médecine individualisée</term><term>Satisfaction du patient</term><term>Service hospitalier d'urgences</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vaso-occlusive crisis (VOC) the hallmark of sickle cell disease (SCD) is often treated inadequately in the emergency department (ED). We hypothesized that pain management plans individualized for each patient can improve pain management and lead to high levels of patient satisfaction.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24962217</PMID><DateCreated><Year>2014</Year><Month>08</Month><Day>20</Day></DateCreated><DateCompleted><Year>2014</Year><Month>11</Month><Day>06</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1545-5017</ISSN><JournalIssue CitedMedium="Internet"><Volume>61</Volume><Issue>10</Issue><PubDate><Year>2014</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Pediatric blood & cancer</Title><ISOAbbreviation>Pediatr Blood Cancer</ISOAbbreviation></Journal><ArticleTitle>Impact of individualized pain plan on the emergency management of children with sickle cell disease.</ArticleTitle><Pagination><MedlinePgn>1747-53</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/pbc.25024</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Vaso-occlusive crisis (VOC) the hallmark of sickle cell disease (SCD) is often treated inadequately in the emergency department (ED). We hypothesized that pain management plans individualized for each patient can improve pain management and lead to high levels of patient satisfaction.</AbstractText><AbstractText Label="PROCEDURE" NlmCategory="METHODS">Starting in 2002, we treated all patients with SCD reporting to Children's Hospital of Pittsburgh (CHP) ED with VOC using a structured algorithm. We recorded regimens used successfully for each patient as an "individualized pain plan" and implemented it during subsequent VOC visits and adjusted it to patient response. We compared rates of hospitalization following an ED visit with VOC and readmission within 1 week after discharge for CHP with that of four comparable hospitals from Pediatric Health Information (PHIS) database. Patients and parents completed surveys of satisfaction with pain management and with care.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Between 2002 and 2008 there was a greater decline in the rate of admission of patients presenting to the ED at CHP (78% to 52%) as compared to PHIS (71% to 68%), (P < 0.05) and readmission rates at CHP (7.3% to 3.2%) as compared to PHIS (6.5% to 5.1%) (P < 0.05). Improvement in pain score during ED management was 2.0 or more on a Wong Baker scale of 0-5 (P < 0.01). Participants on average, rated quality of pain management as very good or higher.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Individualized pain management plans in the ED are effective in delivering high quality management of VOC and are associated with a high level of patient satisfaction and decreased avoidable hospitalizations.</AbstractText><CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Krishnamurti</LastName><ForeName>Lakshmanan</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Division of Hematology/Oncology Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smith-Packard</LastName><ForeName>Bethanny</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Gupta</LastName><ForeName>Ashish</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Campbell</LastName><ForeName>Mary</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Gunawardena</LastName><ForeName>Sriya</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Saladino</LastName><ForeName>Richard</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>6H46MC 00255-01-01</GrantID><Agency>PHS HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>06</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Pediatr Blood Cancer</MedlineTA><NlmUniqueID>101186624</NlmUniqueID><ISSNLinking>1545-5009</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000465" MajorTopicYN="Y">Algorithms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000755" MajorTopicYN="N">Anemia, Sickle Cell</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010146" MajorTopicYN="N">Pain</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059408" MajorTopicYN="N">Pain Management</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057285" MajorTopicYN="N">Precision Medicine</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">hemoglobinopathies</Keyword><Keyword MajorTopicYN="N">pain</Keyword><Keyword MajorTopicYN="N">sickle cell anemia</Keyword><Keyword MajorTopicYN="N">sickle cell disease</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>02</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>02</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>6</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>6</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>11</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24962217</ArticleId><ArticleId IdType="doi">10.1002/pbc.25024</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><noCountry><name sortKey="Campbell, Mary" sort="Campbell, Mary" uniqKey="Campbell M" first="Mary" last="Campbell">Mary Campbell</name><name sortKey="Gunawardena, Sriya" sort="Gunawardena, Sriya" uniqKey="Gunawardena S" first="Sriya" last="Gunawardena">Sriya Gunawardena</name><name sortKey="Gupta, Ashish" sort="Gupta, Ashish" uniqKey="Gupta A" first="Ashish" last="Gupta">Ashish Gupta</name><name sortKey="Saladino, Richard" sort="Saladino, Richard" uniqKey="Saladino R" first="Richard" last="Saladino">Richard Saladino</name><name sortKey="Smith Packard, Bethanny" sort="Smith Packard, Bethanny" uniqKey="Smith Packard B" first="Bethanny" last="Smith-Packard">Bethanny Smith-Packard</name></noCountry><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Krishnamurti, Lakshmanan" sort="Krishnamurti, Lakshmanan" uniqKey="Krishnamurti L" first="Lakshmanan" last="Krishnamurti">Lakshmanan Krishnamurti</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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