Please use this identifier to cite or link to this item: https://ktisis.cut.ac.cy/handle/10488/13455
DC FieldValueLanguage
dc.contributor.authorPuntillo, Kathleen A.-
dc.contributor.authorMax, Adeline-
dc.contributor.authorTimsit, Jean-Francois-
dc.contributor.authorRuckly, Stephane-
dc.contributor.authorChanques, Gerald-
dc.contributor.authorRobleda, Gemma-
dc.contributor.authorRoche-Campo, Ferran-
dc.contributor.authorMancebo, Jordi-
dc.contributor.authorDivatia, Jigeeshu V.-
dc.contributor.authorSoares, Marcio-
dc.contributor.authorIonescu, Daniela C.-
dc.contributor.authorGrintescu, Ioana M.-
dc.contributor.authorMaggiore, Salvatore Maurizio-
dc.contributor.authorRusinova, Katerina-
dc.contributor.authorOwczuk, Radoslaw-
dc.contributor.authorEgerod, Ingrid-
dc.contributor.authorPapathanassoglou, Elizabeth-
dc.contributor.authorKyranou, Maria-
dc.contributor.authorJoynt, Gavin M.-
dc.contributor.authorBurghi, Gaston-
dc.contributor.authorFreebairn, Ross C.-
dc.contributor.authorHo, Kwok M.-
dc.contributor.authorKaarlola, Anne-
dc.contributor.authorGerritsen, Rik T.-
dc.contributor.authorKesecioglu, Jozef-
dc.contributor.authorSulaj, Miroslav M. S.-
dc.contributor.authorNorrenberg, Michelle-
dc.contributor.authorBenoit, Dominique D.-
dc.contributor.authorSeha, Myriam S. G.-
dc.contributor.authorHennein, Akram-
dc.contributor.authorPereira, Fernando J-
dc.contributor.authorBenbenishty, Julie S.-
dc.contributor.authorAbroug, Fekri-
dc.contributor.authorAquilina, Andrew-
dc.contributor.authorMonte, Julia R. C.-
dc.contributor.authorAn, Youzhong-
dc.contributor.authorAzoulay, Elie-
dc.date.accessioned2019-04-07T15:41:29Z-
dc.date.available2019-04-07T15:41:29Z-
dc.date.issued2018-09-01-
dc.identifier.citationIntensive Care Medicine, 2018, Volume 44, Issue 9, Pages 1493-1501en_US
dc.identifier.issn03424642-
dc.identifier.urihttp://ktisis.cut.ac.cy/handle/10488/13455-
dc.description.abstractPurpose: The intensity of procedural pain in intensive care unit (ICU) patients is well documented. However, little is known about procedural pain distress, the psychological response to pain. Methods: Post hoc analysis of a multicenter, multinational study of procedural pain. Pain distress was measured before and during procedures (0–10 numeric rating scale). Factors that influenced procedural pain distress were identified by multivariable analyses using a hierarchical model with ICU and country as random effects. Results: A total of 4812 procedures were recorded (3851 patients, 192 ICUs, 28 countries). Pain distress scores were highest for endotracheal suctioning (ETS) and tracheal suctioning, chest tube removal (CTR), and wound drain removal (median [IQRs] = 4 [1.6, 1.7]). Significant relative risks (RR) for a higher degree of pain distress included certain procedures: turning (RR = 1.18), ETS (RR = 1.45), tracheal suctioning (RR = 1.38), CTR (RR = 1.39), wound drain removal (RR = 1.56), and arterial line insertion (RR = 1.41); certain pain behaviors (RR = 1.19–1.28); pre-procedural pain intensity (RR = 1.15); and use of opioids (RR = 1.15–1.22). Patient-related variables that significantly increased the odds of patients having higher procedural pain distress than pain intensity were pre-procedural pain intensity (odds ratio [OR] = 1.05); pre-hospital anxiety (OR = 1.76); receiving pethidine/meperidine (OR = 4.11); or receiving haloperidol (OR = 1.77) prior to the procedure. Conclusions: 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.en_US
dc.formatpdfen_US
dc.language.isoenen_US
dc.publisherSpringer Verlagen_US
dc.relation.ispartofIntensive care medicineen_US
dc.rights© 2018, Springer-Verlag GmbH Germany, part of Springer Nature and ESICM.en_US
dc.subjectICUen_US
dc.subjectPain distressen_US
dc.subjectProceduresen_US
dc.titlePain distress: the negative emotion associated with procedures in ICU patientsen_US
dc.typeArticleen_US
dc.collaborationUniversity of Californiaen_US
dc.collaborationUniversity of Paris-Dideroten_US
dc.collaborationAP-HP - Réanimation Medicale et des maladies infectieuses - Hôpital Bichaten_US
dc.collaborationMontpellier Universityen_US
dc.collaborationHospital de Sant Pauen_US
dc.collaborationHospital Verge de la Cintaen_US
dc.collaborationHomi Bhabha National Instituteen_US
dc.collaborationD’Or Institute for Research and Educationen_US
dc.collaborationIuliu Hatieganu University of Medicine and Pharmacyen_US
dc.collaborationOutcome Research Consortiumen_US
dc.collaborationClinical Emergency Hospitalen_US
dc.collaborationUniversità G. d’Annunzio Chieti-Pescaraen_US
dc.collaborationCharles Universityen_US
dc.collaborationMedical University of Gdansken_US
dc.collaborationUniversity of Copenhagenen_US
dc.collaborationCyprus University of Technologyen_US
dc.collaborationUniversity of Albertaen_US
dc.collaborationThe Chinese University of Hong Kongen_US
dc.collaborationHospital Macielen_US
dc.collaborationHawke’s Bay Hospitalen_US
dc.collaborationUniversity of Western Australiaen_US
dc.collaborationHelsinki University Hospitalen_US
dc.collaborationMedical Centre Leeuwardenen_US
dc.collaborationUniversity Medical Center Utrechten_US
dc.collaborationComenius University in Bratislavaen_US
dc.collaborationDanube Hospitalen_US
dc.collaborationUniversite Libre de Bruxellesen_US
dc.collaborationGhent Universityen_US
dc.collaborationSpital Maennedorfen_US
dc.collaborationMansoura Emergency University Hospitalen_US
dc.collaborationClinica Las Americasen_US
dc.collaborationHadassah Hebrew University Hospitalen_US
dc.collaborationIntensive Care Uniten_US
dc.collaborationMater Dei Hospitalen_US
dc.collaborationCentro Hospitalar do Portoen_US
dc.collaborationPeking University People’s Hospitalen_US
dc.subject.categoryHealth Sciencesen_US
dc.journalsSubscription Journalen_US
dc.countryUnited Statesen_US
dc.countryFranceen_US
dc.countrySpainen_US
dc.countryIndiaen_US
dc.countryBrazilen_US
dc.countryRomaniaen_US
dc.countryItalyen_US
dc.countryCzech Republicen_US
dc.countryPolanden_US
dc.countryDenmarken_US
dc.countryCyprusen_US
dc.countryCanadaen_US
dc.countryHong Kongen_US
dc.countryUruguayen_US
dc.countryNew Zealanden_US
dc.countryAustraliaen_US
dc.countryFinlanden_US
dc.countryNetherlandsen_US
dc.countrySlovakiaen_US
dc.countryAustriaen_US
dc.countryBelgiumen_US
dc.countrySwitzerlanden_US
dc.countryEgypten_US
dc.countryColombiaen_US
dc.countryIsraelen_US
dc.countryTunisiaen_US
dc.countryMaltaen_US
dc.countryPortugalen_US
dc.countryChinaen_US
dc.subject.fieldMedical and Health Sciencesen_US
dc.publicationPeer Revieweden_US
dc.identifier.doi10.1007/s00134-018-5344-0en_US
cut.common.academicyear2018-2019en_US
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.openairecristypehttp://purl.org/coar/resource_type/c_6501-
item.openairetypearticle-
item.grantfulltextnone-
item.languageiso639-1en-
crisitem.journal.journalissn1432-1238-
crisitem.journal.publisherSpringer Nature-
crisitem.author.deptDepartment of Nursing-
crisitem.author.deptDepartment of Nursing-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.orcid0000-0002-7439-1492-
crisitem.author.parentorgFaculty of Health Sciences-
crisitem.author.parentorgFaculty of Health Sciences-
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