@article{ref1,
title="Assessment of pain after injury in the pediatric patient: child and parent perceptions",
journal="Journal of pediatric surgery",
year="2004",
author="Baxt, Chiara and Kassam-Adams, Nancy and Nance, Michael L. and Vivarelli-O'Neill, Cara and Winston, Flaura Koplin",
volume="39",
number="6",
pages="979-83; discussion 979",
abstract="BACKGROUND/PURPOSE: Pain is an inevitable consequence of injury. Accurate assessment and treatment of a child's pain after injury is essential. This study sought to describe children's pain with injury and to elucidate the concordance of parental and self-reported pain in a pediatric traffic-injured population. METHODS: Children (5 to 17 years) admitted for traffic-related injuries and 1 parent were invited to participate in the study. Consented participants were interviewed within 1 month of injury. Participants were asked to rate current and worst pain on 2 validated pediatric pain assessment scales (Bieri Faces Pain Scale and Color Analogue Scale). Demographic, crash, and injury data were abstracted from the medical record. RESULTS: Data from 276 child-parent dyads show that most children reported clinically significant pain initially after injury. Greater &quot;worst pain&quot; ratings did not correlate with injury severity but were associated with loss of consciousness and extremity fracture. Generally, parent-report of child's pain was concordant with child self-report. CONCLUSIONS: This study shows the feasibility of pain assessment for pediatric injury using 2 validated scales and the appropriateness of parental report when the child is not able to provide self-report. Because pain was not correlated with injury severity, pain assessment and intervention for all children with traumatic injuries is strongly recommended.<p /> <p>Language: en</p>",
language="en",
issn="0022-3468",
doi="",
url="http://dx.doi.org/"
}