RT Journal Article
T1 Level of discomfort in critically ill paediatric patients and its correlation with sociodemographic and clinical variables, analgosedation and withdrawal syndrome. COSAIP multicentre study (Phase 2)
A1 Bosch-Alcaraz, Alejandro
A1 Luna-Castano, Patricia
A1 Garcia-Soler, Patricia
A1 Tamame-San Antonio, Marta
A1 Falco-Pegueroles, Anna
A1 Alcolea-Monge, Sandra
A1 Fernandez Lorenzo, Rocio
A1 Piqueras-Rodriguez, Pedro
A1 Molina-Gallego, Irene
A1 Potes-Rojas, Cristina
A1 Gesti-Senar, Silvia
A1 Orozco-Gamez, Rocio
A1 Carmen Tercero-Cano, Maria
A1 Angeles Saz-Roy, M.
A1 Jordan, Iolanda
A1 Belda-Hofheinz, Sylvia
K1 Paediatric Intensive Care Unit
K1 COMFORT
K1 Infant welfare
K1 Sedation
K1 Withdrawal syndrome
K1 Comfort behavior scale
K1 Intensive-care-unit
K1 Procedural pain
K1 Sedation
K1 Analgesia
K1 Delirium
K1 Reliability
K1 Validity
K1 Tool
AB Introduction: There are clinical and sociodemographic factors that have an impact on the comfort of the critically ill paediatric patient. The main aim of this study was to determine the level of discomfort of paediatric patients admitted to different national hospitals, and to analyse its correlation with sociodemographic and clinical variables, analgosedation, and withdrawal syndrome.Methods: An observational, analytical, cross-sectional, and multicentre study was conducted in five Spanish hospitals. The level of analgosedation was assessed once per shift over a 24 h period, using a BIS sensor, and pain with scales adapted to paediatric age population. The intensity of withdrawal syndrome was determined using the Withdrawal Assessment Tool (WAT-1) scale once per shift for 3 days. Discomfort level was simultaneous assessed using COMFORT Behaviour Scale-Spanish version (CBS-S).Results: A total of 261 critically ill paediatric patients with median age of 1.61 years (IQR = 0.35-6.55) were included. An overall discomfort score of 10.79 +/- 3.7 was observed during morning compared to 10.31 +/- 3.3 observed during the night. When comparing analgosedation and nonanalgosedation groups, statistically differences were found in both shifts (chi(2) : 45.48; P= .001). At the same time, an association was observed (P
PB Ediciones doyma s a
SN 1695-4033
YR 2021
FD 2021-12-01
LK https://hdl.handle.net/10668/24355
UL https://hdl.handle.net/10668/24355
LA es
DS RISalud
RD Apr 8, 2025