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Title: The Impact of Pain Assessment on Critically Ill Patients' Outcomes: A Systematic Review
Authors: Georgiou, Evanthia 
Hadjibalassi, Maria 
Lambrinou, Ekaterini 
Andreou, Panayiota 
Papathanassoglou, Elizabeth 
Keywords: Analgesic agent;Benzodiazepine derivative;Opiate
Category: Health Sciences
Field: Medical and Health Sciences
Issue Date: 1-Jan-2015
Publisher: Hindawi Publishing Corporation
Source: BioMed Research International Volume 2015, 2015, Article number 503830
DOI: 10.1155/2015/503830
Abstract: In critically ill patients, pain is a major problem. Efficient pain management depends on a systematic, comprehensive assessment of pain. We aimed to review and synthesize current evidence on the impact of a systematic approach to pain assessment on critically ill patients' outcomes. A systematic review of published studies (CINAHL, PUBMED, SCOPUS, EMBASE, and COCHRANE databases) with predetermined eligibility criteria was undertaken. Methodological quality was assessed by the EPHPP quality assessment tool. A total of 10 eligible studies were identified. Due to big heterogeneity, quantitative synthesis was not feasible. Most studies indicated the frequency, duration of pain assessment, and types of pain assessment tools. Methodological quality assessment yielded "strong" ratings for 5/10 and "weak" ratings for 3/10 studies. Implementation of systematic approaches to pain assessment appears to associate with more frequent documented reports of pain and more efficient decisions for pain management. There was evidence of favorable effects on pain intensity, duration of mechanical ventilation, length of ICU stay, mortality, adverse events, and complications. This systematic review demonstrates a link between systematic pain assessment and outcome in critical illness. However, the current level of evidence is insufficient to draw firm conclusions. More high quality randomized clinical studies are needed.
ISSN: 23146133
Rights: © 2015 Evanthia Georgiou et al.
Type: Article
Appears in Collections:Άρθρα/Articles

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