The influence of the type of face mask used by healthcare providers during the SARS-CoV-2 pandemic on the report of pain: a cross-sectional study in a pediatric emergency department.
Pain
face mask
self-report
severe acute respiratory coronavirus 2 (SARS-CoV-2)
triage
Journal
Translational pediatrics
ISSN: 2224-4344
Titre abrégé: Transl Pediatr
Pays: China
ID NLM: 101649179
Informations de publication
Date de publication:
30 May 2023
30 May 2023
Historique:
received:
10
10
2022
accepted:
05
03
2023
medline:
12
6
2023
pubmed:
12
6
2023
entrez:
12
6
2023
Statut:
ppublish
Résumé
During 4 months of the severe acute respiratory coronavirus 2 (SARS-CoV-2) pandemic, nurses in a pediatric emergency department (ED) used surgical and clear face masks in triage. This study aimed to find out if the type of face mask influenced children's reports of pain. A retrospective cross-sectional analysis of the pain scores of all patients aged 3-15 years who visited the ED during the 4-month period was performed. Multivariate regression was used to control for the potential confounders of demographics, diagnosis (medical, trauma), nurse experience, ED time of arrival, and triage acuity level. Self-reports of pain ≥1/10 and pain ≥4/10 were the dependent variables. Overall, 3,069 children attended the ED during the study period. Triage nurses wore surgical and clear face masks in 2,337 and 732 nurse-patient encounters, respectively. The two types of face masks were used in similar proportions of nurse-patient encounters. Compared with the clear face mask, wearing a surgical face mask was associated with a lower likelihood of reporting pain ≥1/10, and a lower likelihood of reporting pain ≥4/10; [adjusted odds ratio (aOR) =0.68; 95% confidence interval (CI): 0.56-0.82], and (aOR =0.71; 95% CI: 0.58-0.86), respectively. The findings suggest that the type of face mask used by the nurse influenced the report of pain. This study provides preliminary evidence that covered face masks worn by healthcare providers might have a negative impact on the child's report of pain.
Sections du résumé
Background
UNASSIGNED
During 4 months of the severe acute respiratory coronavirus 2 (SARS-CoV-2) pandemic, nurses in a pediatric emergency department (ED) used surgical and clear face masks in triage. This study aimed to find out if the type of face mask influenced children's reports of pain.
Methods
UNASSIGNED
A retrospective cross-sectional analysis of the pain scores of all patients aged 3-15 years who visited the ED during the 4-month period was performed. Multivariate regression was used to control for the potential confounders of demographics, diagnosis (medical, trauma), nurse experience, ED time of arrival, and triage acuity level. Self-reports of pain ≥1/10 and pain ≥4/10 were the dependent variables.
Results
UNASSIGNED
Overall, 3,069 children attended the ED during the study period. Triage nurses wore surgical and clear face masks in 2,337 and 732 nurse-patient encounters, respectively. The two types of face masks were used in similar proportions of nurse-patient encounters. Compared with the clear face mask, wearing a surgical face mask was associated with a lower likelihood of reporting pain ≥1/10, and a lower likelihood of reporting pain ≥4/10; [adjusted odds ratio (aOR) =0.68; 95% confidence interval (CI): 0.56-0.82], and (aOR =0.71; 95% CI: 0.58-0.86), respectively.
Conclusions
UNASSIGNED
The findings suggest that the type of face mask used by the nurse influenced the report of pain. This study provides preliminary evidence that covered face masks worn by healthcare providers might have a negative impact on the child's report of pain.
Identifiants
pubmed: 37305727
doi: 10.21037/tp-22-511
pii: tp-12-05-890
pmc: PMC10248939
doi:
Types de publication
Journal Article
Langues
eng
Pagination
890-896Informations de copyright
2023 Translational Pediatrics. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://tp.amegroups.com/article/view/10.21037/tp-22-511/coif). The authors have no conflicts of interest to declare.
Références
Front Psychol. 2021 May 25;12:669432
pubmed: 34113297
Ann Emerg Med. 2019 Jul;74(1):30-35
pubmed: 30648536
Pediatr Emerg Care. 2002 Apr;18(2):137-40
pubmed: 11973509
J Exp Child Psychol. 2023 Feb;226:105580
pubmed: 36347070
Clin J Pain. 2020 May;36(5):365-370
pubmed: 32028383
Int J Lang Commun Disord. 2021 Jan;56(1):205-214
pubmed: 33038046
Clin J Pain. 2008 Jan;24(1):11-5
pubmed: 18180630
Am J Emerg Med. 2011 Nov;29(9):1062-6
pubmed: 20685056
Pain. 2018 Aug;159(8):1508-1517
pubmed: 29608509
Pain. 1990 May;41(2):139-150
pubmed: 2367140
J Emerg Nurs. 2015 Sep;41(5):407-13
pubmed: 25837698
Ann Emerg Med. 2003 May;41(5):617-22
pubmed: 12712027
JAMA Surg. 2021 Apr 1;156(4):372-378
pubmed: 33704389
J Psychosom Res. 2010 Apr;68(4):329-36
pubmed: 20307699
JAMA Pediatr. 2022 Jan 1;176(1):96-98
pubmed: 34779832
Pain Med. 2009 Mar;10(2):364-72
pubmed: 18992042