{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T22:49:38Z","timestamp":1784933378247,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T00:00:00Z","timestamp":1580256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Pain in children is often poorly assessed and treated in Italian emergency departments (EDs) as found in a survey conducted among the centres of the \u201cPain in Pediatric Emergency Room (PIPER)\u201d Study Group in 2010. Our aim was to evaluate the changes in pain management in Italian EDs in the last years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A structured questionnaire about pain assessment, protocols, use of local anaesthetics before venipuncture, opioids and adjuvants was mailed to 46 Italian EDs between November 2017 and April 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pain was always assessed at triage in 34 centres (73.9%). Algometric scales were used in over 90% of EDs. Triage protocols were available in 37 centres (80.4%). Local anaesthetics before venipuncture were always used in six centres (13.0%). Protocols included opioids and adjuvants in 73.0% and 47.2%, respectively. Triage pain assessment was always done in 91.0% of the centres joining the PIPER Study Group up to 2015 and 56.5% in ones that joined the Group after 2015 (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.017). Local anaesthetics before venipuncture were given in 39.1% of the centres joining until up to 2015 and 13.0% in ones that joined the Group after 2015 (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.003).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Paediatric pain management has significantly improved in Italian EDs in the last 8\u00a0years. The centres joining the PIPER Study Group for longer time have shown better results for the indicators considered in the survey.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.15137","type":"journal-article","created":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T05:30:02Z","timestamp":1576819802000},"page":"1445-1449","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Pain management in children has significantly improved in the Italian emergency departments"],"prefix":"10.1111","volume":"109","author":[{"given":"Franca","family":"Benini","sequence":"first","affiliation":[{"name":"Paediatric Pain and Palliative Care Service Department of Women's and Children's Health University Hospital Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Castagno","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Regina Margherita Children's Hospital \u2013 A.O.U. Citt\u00e0 della Salute e della Scienza di Torino Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio F.","family":"Urbino","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Regina Margherita Children's Hospital \u2013 A.O.U. Citt\u00e0 della Salute e della Scienza di Torino Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilio","family":"Fossali","sequence":"additional","affiliation":[{"name":"Pediatric Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rossella Letizia","family":"Mancusi","sequence":"additional","affiliation":[{"name":"CREA Sanit\u00e0 \u2010 University of Tor Vergata Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3829-4254","authenticated-orcid":false,"given":"Gregorio P.","family":"Milani","sequence":"additional","affiliation":[{"name":"Pediatric Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy"},{"name":"Department of Clinical Sciences and Community Health Universit\u00e0 degli Studi di Milano Milan 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