ORCID Profile
0000-0003-3990-3680
Current Organisations
Hospital for Sick Children
,
JACOBS
,
University of Guelph
,
University of Toronto
,
York University
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Publisher: BMJ
Date: 03-2022
DOI: 10.1136/BMJOPEN-2021-055255
Abstract: To define and validate types of pain in critically ill neonates and infants by researchers and clinicians working in the neonatal intensive care unit (NICU) and high dependency unit (HDU). A qualitative descriptive mixed-methods design. Each stage of the study was built on and confirmed the previous stages. Stage 1 was an expert panel to develop definitions stage 2 was a different expert panel made up of neonatal clinicians to propose clinical characteristics associated with the definitions from stage 1 stage 3 was a focus group of neonatal clinicians to provide clinical case scenarios associated with each definition and clinical characteristics and stage 4 was a survey administered to neonatal clinicians internationally to test the validity of the definitions using the clinical case scenarios. In stage 1, the panel (n=10) developed consensus definitions for acute episodic pain and chronic pain in neonates and infants. In stage 2, a panel (n=8) established clinical characteristics that may be associated with each definition. In stage 3, a focus group (n=11) created clinical case scenarios of neonates and infants with acute episodic pain, chronic pain and no pain using the definitions and clinical characteristics. In stage 4, the survey (n=182) revealed that the definitions allowed an excellent level of discrimination between case scenarios that described neonates and infants with acute episodic pain and chronic pain (area under the receiver operating characteristic=0.87 and 0.89, respectively). This four-stage study enabled the development of consensus-based and clinically valid definitions of acute episodic pain and chronic pain. There is a need to define and validate other pain types to inform a taxonomy of pain experienced by neonates and infants in the NICU and HDU.
Publisher: Elsevier BV
Date: 09-2014
Publisher: Springer Science and Business Media LLC
Date: 25-02-2015
Publisher: Springer Science and Business Media LLC
Date: 20-05-2016
Publisher: Elsevier BV
Date: 06-2016
Location: Australia
No related grants have been discovered for Rebecca Pillai Riddell.