PAINT
Pain Assessment in Intensive Care
Collaboration between PLAN and SEARCH KSS
PAINT was the second project run by PLAN and involved collaboration with the Kent, Surrey and Sussex trainee network (SEARCH KSS). This retrospective audit reviewed the level of documentation of pain by doctors and nurses in the intensive care unit and the tools being utilised to assess pain.
Data collection took place in spring 2015 and recruited 45 separate ICU departments. Data were collected to evaluate one 24-hour period of care for 750 patients, reflecting the practice of 427 doctors.
Headline results included a reduction in doctor documentation of pain assessments compared with other system reviews such as cardiovascular, respiratory or gastrointestinal. When documentation occurred, most doctors did not use a validated assessment tool for pain, especially in patients potentially unable to communicate. Notably around a quarter of patients did not receive a nursing pain assessment during the study period.
Pan-network and site specific results were disseminated to each site during summer 2015, with the main results presented in October at the European Society for Intensive Care Medicine Lives 2015 conference in Berlin. An abstract comparing practice in cardiothoracic and general intensive care units has been submitted the 2016 American Thoracic Society Annual Congress and further abstracts looking at specific pain related aspects will be submitted to the 2016 IASP World Congress for Pain. Currently a paper is being constructed to account for multilevel statistical analysis with the aim for submission for publication in spring 2016.
PAINT leads
Dr Harriet Wordsworth
Dr Helen Laycock
Dr Carsten Bantel
Imperial School of Anaesthesia (NW)
Dr Omar Siddique
SEARCH KSS
Further info email: plan@uk-plan.net
Links
Peer reviewed Manuscript
Pain Assessment in INTensive care (PAINT): an observational study of physician-documented pain assessment in 45 intensive care units in the United Kingdom. Kemp HI, Bantel C, Gordon F, Brett SJ, PLAN, SEARCH, Laycock HC. Anaesthesia 2017; 72 (6): 737-748
http://onlinelibrary.wiley.com/doi/10.1111/anae.13786/full
https://www.ncbi.nlm.nih.gov/pubmed/28832908
Pilot Abstract
Documentation of pain in an intensive care unit by doctors
European Society for Intensive Care Medicine Lives 2015
http://react-profile.org/Download/ESICM_Abstract Book_Final.pdf
Contributors
Core CommitteeDaniel Martin |
University College HospitalEd Burdett Royal Free HospitalDan Martin National Hospital for Neurology and NeurosurgeryVal Luoma The WhittingtonTrudi Young The Lister Hospital StevenageShan Gowrie Princess Alexandra HarlowKevin Hamilton Barnet/Chase FarmJeremy Dawson Royal National Orthopaedic HospitalPaul Bhalla Charing CrossFrancesca Rublotta HammersmithJon Cousins St Mary'sGlenn Arnold ChelseaJonathan Handy Royal MarsdenShaman Jhanji Northwick ParkMunita Grover Central MiddlesexMunita Grover Hillingdon HospitalEmma Casely BromptonSian Jagger West MiddlesexMiriam Kadry WatfordAjoy Pandit Guys/St Thomas'Cheng Ong The Royal London/BartsAnil Visram The HomertonFinn Nesbit Whipps CrossChris Barringer BasildonVenkat Shenoy SouthendBobby Krishnachetty BroomfieldJanis Ferns St GeorgesCarolyn Johnston East SurreyRavi Kumar Royal Surrey CountyMatt Dickinson Ashford & St Peter'sKarthik Somasundaram CroydonArif Moghul Frimley ParkMarcus Peck KingstonHadi Al-Sahaf St. HelierSreekumar Kunnumpurath EpsomMilind Bhagwat | SEARCH KSSMedway Maritime HospitalOmar Siddique QEQM, MargateRoxana Sandru Pembury, Tunbridge WellsNaush Husain East Surrey, RedhillAoife Canavan Darent Valley Hospital, DartfordLiesel Holler Worthing HospitalLucy Barnes Princess Royal, Haywards HeathWill Shippam Conquest, HastingsVidhi Patle William Harvey, AshfordSindy Lee Hurstwood ParkWill Shippam
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