The DOI matches its Crossref record; 52 of the 52 references it cites were found in a registry or an index.
Pain Assessment Is Associated with Decreased Duration of Mechanical Ventilation in the Intensive Care Unit: A Post HocAnalysis of the DOLOREA Study
Open accessAbstract
Background: Critically ill patients frequently experience pain, but assessment rates remain below 40% in mechanically ventilated patients. Whether pain assessment affects patient outcomes is largely unknown. Methods: As part of a prospective cohort study of mechanically ventilated patients who received analgesia on day 2 of their stay in the intensive care unit (ICU), the investigators performed propensity-adjusted score analysis to compare the duration of ventilator support and duration of ICU stay between 513 patients who were assessed for pain and 631 patients who were not assessed for pain. Results: Patients assessed for pain on day 2 were more likely to receive sedation level assessment, nonopioids, and dedicated analgesia during painful procedures than patients whose pain was not assessed. They also received fewer hypnotics and lower daily doses of midazolam. Patients with pain assessment had a shorter duration of mechanical ventilation (8 vs. 11 days; P < 0.01) and a reduced duration of stay in the ICU (13 vs. 18 days; P < 0.01). In propensity-adjusted score analysis, pain assessment was associated with increased odds of weaning from the ventilator (odds ratio, 1.40; 95% confidence interval, 1.00-1.98) and of discharge from the ICU (odds ratio, 1.43; 95% confidence interval, 1.02-2.00). Conclusions: Pain assessment in mechanically ventilated patients is independently associated with a reduction in the duration of ventilator support and of duration of ICU stay. This might be related to higher concomitant rates of sedation assessments and a restricted use of hypnotic drugs when pain is assessed.
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Girard, T. D., Kress, J. P., Fuchs, B. D., Thomason, J. W., Schweickert, W. D., Pun, B. T., Taichman, D. B., Dunn, J. G., Pohlman, A. S., Kinniry, P. A., et al. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60105-1 · Cited by 2,055
Jacobi, J., Fraser, G. L., Coursin, D. B., Riker, R. R., Fontaine, D., Wittbrodt, E. T., Chalfin, D. B., Masica, M. F., Bjerke, H. S., Coplin, W. M., et al. (2002) · Critical Care Medicine · doi:10.1097/00003246-200201000-00020 · Cited by 1,895
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Incidence of and Risk Factors for Ventilator-Associated Pneumonia in Critically Ill Patients
Cook, D. J., Walter, S. D., Cook, R. J., Griffith, L. E., Guyatt, G. H., Leasa, D., Jaeschke, R. Z., & Brun-Buisson, C. (1998) · Annals of Internal Medicine · doi:10.7326/0003-4819-129-6-199809150-00002 · Cited by 1,113
Invited Commentary: Propensity Scores
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Assessing pain in critically ill sedated patients by using a behavioral pain scale
Payen, J.-F., Bru, O., Bosson, J.-L., Lagrasta, A., Novel, E., Deschaux, I., Lavagne, P., & Jacquot, C. (2001) · Critical Care Medicine · doi:10.1097/00003246-200112000-00004 · Cited by 1,043
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Devlin, J. W., Skrobik, Y., Gélinas, C., Needham, D. M., Slooter, A. J. C., Pandharipande, P. P., Watson, P. L., Weinhouse, G. L., Nunnally, M. E., Rochwerg, B., et al. (2018) · Critical Care Medicine · doi:10.1097/ccm.0000000000003259 · Cited by 372
Self-citationAnalgesia and sedation in patients with ARDS
Chanques, G., Constantin, J.-M., Devlin, J. W., Ely, E. W., Fraser, G. L., Gélinas, C., Girard, T. D., Guérin, C., Jabaudon, M., Jaber, S., et al. (2020) · Intensive Care Medicine · doi:10.1007/s00134-020-06307-9 · Cited by 313
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Metadata
- Authors
- Payen, J.-F., Bosson, J.-L., Chanques, G., Mantz, J., & Labarere, J.
- Venue
- Anesthesiology
- Published
- 2009-12-01
- Volume
- 111
- Issue
- 6
- Pages
- 1308-1316
- ISSN
- 0003-3022 (ISSN-L)
- OpenAlex
- W1970503570
- Cited by
- 368
- References
- 52
- FWCI
- 19.33
- Type
- journal article
- Language
- en
- Open access
- bronze
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