PMID- 36580895 OWN - NLM STAT- MEDLINE DCOM- 20230102 LR - 20230930 IS - 1535-1815 (Electronic) IS - 0749-5161 (Linking) VI - 39 IP - 1 DP - 2023 Jan 1 TI - Initial Pain Assessment and Management in Pediatric Burn Patients Presenting to a Major Trauma Center in Saudi Arabia. PG - e20-e23 LID - 10.1097/PEC.0000000000002858 [doi] AB - BACKGROUND: Pediatric burn injury is a traumatic experience for affected children and their families. Burn pain is frequently undertreated and may adversely affect patient experience and outcomes. The aim of this study was to investigate the current practice of initial pediatric burn pain assessment and management at a major trauma center in Riyadh, Kingdom of Saudi Arabia. METHODS: We conducted a retrospective cohort study that included children 14 years and younger who visited King Saud Medical City in the Kingdom of Saudi Arabia with a presenting complaint of burn injury from January 01, 2017 to August 30, 2018. Variables were reported using descriptive statistics as appropriate. RESULTS: The 309 patients who were analyzed were classified into 3 age groups ranging from 0 to younger than 3 years (61%), 3 to 7 years (24%), and older than 7 years (15%). They included 145 (47%) female and 164 (53%) male patients. Pain levels of 182 patients (59%) were documented using an age-appropriate tool. In 75 children (24%), pain levels were documented using an alternate tool, and the tool used was not defined for 44 children (14%). Pain assessment was not documented for 8 children. Of those with an age-appropriate tool, the median initial pain score was 4 (interquartile range [IQR], 2-4). Analgesia was recorded to have been administered to 139 patients (45%), within a median time of 50 minutes (IQR, 17-154 minutes) to first analgesia. Among patients who had appropriate assessment of pain, 92 (50.3%) received analgesia compared with 52 (41.3%) who did not have appropriate assessment (P = 0.12). Among patients who had appropriate pain assessment, time to analgesia was 42 minutes (IQR, 15-132 minutes) compared with 53 minutes (IQR, 17-189 minutes) among patients who did not have appropriate assessment (P = 0.48). DISCUSSION: Most pediatric patients presenting with burns had pain assessment, but a substantial proportion of children were not managed using recommended age-specific tools. The use of age-specific tools was not necessarily associated with delivery of analgesia. For pediatric burns, prompt delivery of analgesia should be prioritized with pain assessment using age-appropriate tools being recommended, but optional. CI - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved. FAU - Alrashoud, Abdulmajeed AU - Alrashoud A AD - From the Pediatric Emergency Department, Children's Hospital, King Saud Medical City, Riyadh, Saudi Arabia. FAU - Imtiaz, Ayesha AU - Imtiaz A AD - From the Pediatric Emergency Department, Children's Hospital, King Saud Medical City, Riyadh, Saudi Arabia. FAU - Masmali, Mohammed AU - Masmali M AD - From the Pediatric Emergency Department, Children's Hospital, King Saud Medical City, Riyadh, Saudi Arabia. FAU - Zayedi, Abdullah AU - Zayedi A AD - From the Pediatric Emergency Department, Children's Hospital, King Saud Medical City, Riyadh, Saudi Arabia. FAU - Jennings, Paul A AU - Jennings PA FAU - Akkam, Abdullah AU - Akkam A AD - From the Pediatric Emergency Department, Children's Hospital, King Saud Medical City, Riyadh, Saudi Arabia. FAU - Mitra, Biswadev AU - Mitra B LA - eng PT - Journal Article DEP - 20220929 PL - United States TA - Pediatr Emerg Care JT - Pediatric emergency care JID - 8507560 SB - IM MH - Humans MH - Child MH - Male MH - Female MH - Child, Preschool MH - Saudi Arabia/epidemiology MH - *Trauma Centers MH - Retrospective Studies MH - Pain Measurement MH - Pain/diagnosis/drug therapy/etiology MH - *Burns/complications/diagnosis/therapy COIS- Disclosure: The authors declare no conflict of interest. EDAT- 2022/12/30 06:00 MHDA- 2023/01/03 06:00 CRDT- 2022/12/29 18:19 PHST- 2022/12/29 18:19 [entrez] PHST- 2022/12/30 06:00 [pubmed] PHST- 2023/01/03 06:00 [medline] AID - 00006565-202301000-00019 [pii] AID - 10.1097/PEC.0000000000002858 [doi] PST - ppublish SO - Pediatr Emerg Care. 2023 Jan 1;39(1):e20-e23. doi: 10.1097/PEC.0000000000002858. Epub 2022 Sep 29.