Imperial College London
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Dr Harriet Kemp

Faculty of Medicine, Department of Surgery & Cancer

Clinical Lecturer
 
 
 
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Contact

 

h.kemp

 
 
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Location

 

Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Citation

BibTex format

@article{Kemp:2017:10.1111/anae.13786,
author = {Kemp, H and Bantel, C and Gordon, F and Brett, S and PLAN and SEARCH and Laycock, HC},
doi = {10.1111/anae.13786},
journal = {Anaesthesia},
pages = {737--748},
title = {Pain Assessment in INTensive care (PAINT): an observational study of physician-documented pain assessment in 45 intensive care units in the United Kingdom},
url = {http://dx.doi.org/10.1111/anae.13786},
volume = {72},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Pain is a common and distressing symptom experienced by intensive care patients. Assessing pain in this environ-ment is challenging, and published guidelines have been inconsistently implemented. The Pain Assessment in INTen-sive care (PAINT) study aimed to evaluate the frequency and type of physician pain assessments with respect topublished guidelines. This observational service evaluation considered all pain and analgesia-related entries inpatients’records over a 24-h period, in 45 adult intensive care units (ICUs) in London and the South-East ofEngland. Data were collected from 750 patients, reflecting the practice of 362 physicians. Nearly two-thirds ofpatients (n=475, 64.5 95% CI 60.9–67.8%) received no physician-documented pain assessment during the 24-hstudy period. Just under one-third (n=215, 28.6 95% CI 25.5–32.0%) received no nursing-documented pain assess-ment, and over one-fifth (n=159, 21.2 95% CI 19.2–23.4)% received neither a doctor nor a nursing pain assessment.Two of the 45 ICUs used validated behavioural pain assessment tools. The likelihood of receiving a physician painassessment was affected by the following factors: the number of nursing assessments performed; whether the patientwas admitted as a surgical patient; the presence of tracheal tube or tracheostomy; and the length of stay in ICU.Physician-documented pain assessments in the majority of participating ICUs were infrequent and did not utiliserecommended behavioural pain assessment tools. Further research to identify factors influencing physician painassessment behaviour in ICU, such as human factors or cultural attitudes, is urgently needed.
AU  - Kemp,H
AU  - Bantel,C
AU  - Gordon,F
AU  - Brett,S
AU  - PLAN
AU  - SEARCH
AU  - Laycock,HC
DO  - 10.1111/anae.13786
EP  - 748
PY  - 2017///
SN  - 1365-2044
SP  - 737
TI  - Pain Assessment in INTensive care (PAINT): an observational study of physician-documented pain assessment in 45 intensive care units in the United Kingdom
T2  - Anaesthesia
UR  - http://dx.doi.org/10.1111/anae.13786
UR  - http://hdl.handle.net/10044/1/44031
VL  - 72
ER  -
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