Original Article

IJMDC. 2019; 3(9): 39-44

Pain assessment and management for children hospitalized in the Pediatric Emergency Department, Military hospital, Al-Kharj, Saudi Arabia

Authors: Abbas Elbakry A. Elsayed, Ahmed Ali Alwosibei, Ahmed Mohammed Aldawsari, Mohammed Saad bin Abdullah Alkhathlan, Rayan Mohammed Alsulaiman, Alwaleed Khalid.

ABSTRACT

Background: Pain is often defined as the fifth vital sign, and it should be assessed and recorded as often as other vital signs. Assessment of pain is essential for proper care and management in children and could lead to long term physical and psychological sequela if not treated effectively. The current study aimed at assessment of pain level in pediatric patients admitted to the Pediatric Emergency Department, The Military hospital, Al-Kharj City, Saudi Arabia, using standardized pain assessment scales. Methodology: A cross-sectional study consisting of 500 children hospitalized in the Pediatric Emergency Department, The Military hospital, Al-Kharj City, Saudi Arabia was carried out in five months period from January 2018 to May 2018. On admission and at 8 hours after admission, physicians assessed pain level using the Face, Legs, Activity, Cry, Consolability scale (FLACC) scale for children less than four years and Wong-Baker scale for children four years and above. Results: Among the total of 500 patients, 128 patients (25.6%) had no pain, 132 patients (26.4%) had mild pain, 186 patients (37.2%) had moderate pain, and 54 patients (11%) patients had severe pain. The prevalence of pain at admission was found to be 74 %,(372) among children who had some degree of pain at admission. There was an improvement in the pain score after administration of analgesics (8hours after admissions) as compared with the pain score at admission (before administration of analgesics) with significant p-value (< 0.05). Conclusion: Pain scales are inexpensive methods to improve pain management in children. The current study conclusion agrees that optimal pain management is the right of all patients and the responsibility of all health professionals.

Keywords:
Pain assessment, pain scale, children, pain management


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Pain assessment and management for children hospitalized in the Pediatric Emergency Department, Military hospital, Al-Kharj, Saudi Arabia


Authors
Abbas Elbakry A Elsayed
Pediatric Department, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia, Pediatric Department, Faculty of Medicine, Al-Azhar University, Assiut, Egypt
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Ahmed Ali Alwosibei
College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
PubMed articlesGoogle scholar articles

Ahmed Mohammed Aldawsari
College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
PubMed articlesGoogle scholar articles

Mohammed Saad bin Abdullah Alkhathlan
College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
PubMed articlesGoogle scholar articles

Rayan Mohammed Alsulaiman
College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
PubMed articlesGoogle scholar articles

Alwaleed Khalid
College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
PubMed articlesGoogle scholar articles


Correspondence to:
. Department of Pediatrics, College of Medicine, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia; dr.ahmed.mmd@gmail.com

Publication history
Received 24 Mar 2019
Accepted 19 May 2019
Published online 24 Jun 2019
Published in print 15 Aug 2019

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Pubmed Style

Elsayed AEA, Alwosibei AA, Aldawsari AM, Alkhathlan MSbA, Alsulaiman RM, Khalid A. Pain assessment and management for children hospitalized in the Pediatric Emergency Department, Military hospital, Al-Kharj, Saudi Arabia. IJMDC. 2019; 3(9): 39-44. doi:10.24911/IJMDC.51-1553413977


Web Style

Elsayed AEA, Alwosibei AA, Aldawsari AM, Alkhathlan MSbA, Alsulaiman RM, Khalid A. Pain assessment and management for children hospitalized in the Pediatric Emergency Department, Military hospital, Al-Kharj, Saudi Arabia. http://www.ijmdc.com/?mno=38979 [Access: September 23, 2019]. doi:10.24911/IJMDC.51-1553413977


AMA (American Medical Association) Style

Elsayed AEA, Alwosibei AA, Aldawsari AM, Alkhathlan MSbA, Alsulaiman RM, Khalid A. Pain assessment and management for children hospitalized in the Pediatric Emergency Department, Military hospital, Al-Kharj, Saudi Arabia. IJMDC. 2019; 3(9): 39-44. doi:10.24911/IJMDC.51-1553413977


Vancouver/ICMJE Style

Elsayed AEA, Alwosibei AA, Aldawsari AM, Alkhathlan MSbA, Alsulaiman RM, Khalid A. Pain assessment and management for children hospitalized in the Pediatric Emergency Department, Military hospital, Al-Kharj, Saudi Arabia. IJMDC. (2019), [cited September 23, 2019]; 3(9): 39-44. doi:10.24911/IJMDC.51-1553413977


Harvard Style

Elsayed, A. E. A., Alwosibei, . A. A., Aldawsari, . A. M., Alkhathlan, . M. S. b. A., Alsulaiman, . R. M. & Khalid, . A. (2019) Pain assessment and management for children hospitalized in the Pediatric Emergency Department, Military hospital, Al-Kharj, Saudi Arabia. IJMDC, 3 (9), 39-44. doi:10.24911/IJMDC.51-1553413977


Turabian Style

Elsayed, Abbas Elbakry A., Ahmed Ali Alwosibei, Ahmed Mohammed Aldawsari, Mohammed Saad bin Abdullah Alkhathlan, Rayan Mohammed Alsulaiman, and Alwaleed Khalid. 2019. Pain assessment and management for children hospitalized in the Pediatric Emergency Department, Military hospital, Al-Kharj, Saudi Arabia. International Journal of Medicine in Developing Countries, 3 (9), 39-44. doi:10.24911/IJMDC.51-1553413977


Chicago Style

Elsayed, Abbas Elbakry A., Ahmed Ali Alwosibei, Ahmed Mohammed Aldawsari, Mohammed Saad bin Abdullah Alkhathlan, Rayan Mohammed Alsulaiman, and Alwaleed Khalid. "Pain assessment and management for children hospitalized in the Pediatric Emergency Department, Military hospital, Al-Kharj, Saudi Arabia." International Journal of Medicine in Developing Countries 3 (2019), 39-44. doi:10.24911/IJMDC.51-1553413977


MLA (The Modern Language Association) Style

Elsayed, Abbas Elbakry A., Ahmed Ali Alwosibei, Ahmed Mohammed Aldawsari, Mohammed Saad bin Abdullah Alkhathlan, Rayan Mohammed Alsulaiman, and Alwaleed Khalid. "Pain assessment and management for children hospitalized in the Pediatric Emergency Department, Military hospital, Al-Kharj, Saudi Arabia." International Journal of Medicine in Developing Countries 3.9 (2019), 39-44. Print. doi:10.24911/IJMDC.51-1553413977


APA (American Psychological Association) Style

Elsayed, A. E. A., Alwosibei, . A. A., Aldawsari, . A. M., Alkhathlan, . M. S. b. A., Alsulaiman, . R. M. & Khalid, . A. (2019) Pain assessment and management for children hospitalized in the Pediatric Emergency Department, Military hospital, Al-Kharj, Saudi Arabia. International Journal of Medicine in Developing Countries, 3 (9), 39-44. doi:10.24911/IJMDC.51-1553413977


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