{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T07:22:26Z","timestamp":1788506546403,"version":"build-2803163510"},"reference-count":25,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T00:00:00Z","timestamp":1604880000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014470","name":"Mundipharma International","doi-asserted-by":"publisher","award":["364010399"],"award-info":[{"award-number":["364010399"]}],"id":[{"id":"10.13039\/100014470","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Reg Anesth Pain Med"],"accepted":{"date-parts":[[2020,10,14]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>There is an absence of evidence regarding predictors of moderate to severe pain in children undergoing acute burn treatment. This investigation aimed to determine if relationships existed between patient and clinical characteristics, and pain at first dressing change for children with acute burn injuries.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective cohort investigation was conducted using clinical data from pediatric burn patients treated at the Queensland Children\u2019s Hospital, Brisbane, Australia. Data extracted included patient and burn characteristics, first aid, and follow-up care. Observational pain scores were categorized into three groups (mild, moderate, and severe pain), and bivariate and multivariable relationships were examined using proportional odds ordinal logistic regression. Data from 2013 pediatric burns patients were extracted from the database.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Factors associated with increased odds of procedural pain included: hand burns (OR 1.7, 95% CI 1.3 to 2.1, p&lt;0.001), foot burns (OR 1.5, 95% CI 1.1 to 2.1, p&lt;0.01), baseline pain (OR 5.5, 95% CI 2.8 to 10.8, p&lt;0.001), deep dermal partial-thickness injuries (OR 7.9, 95% CI 4.0 to 15.6, p&lt;0.001), increased burn size (OR 1.1, 95% CI 1.0 to 1.2, p&lt;0.01), four or more anatomical regions burned (OR 3.6, 95% CI 1.5 to 8.6, p&lt;0.01), initial treatment at a non-burns center (OR 1.8, 95% CI 1.4 to 2.3, p&lt;0.001), and time to hospital presentation (OR 0.9, 95% CI 0.8 to 0.9, p&lt;0.001). These burn characteristics are associated with increased odds of moderate to severe procedural pain during a child\u2019s first dressings change.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>It is recommended that patients presenting with one or more of the aforementioned factors are identified before their first dressing change, so additional pain control methods can be implemented.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/rapm-2020-101691","type":"journal-article","created":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T16:25:21Z","timestamp":1604939121000},"page":"222-227","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Risk factors associated with higher pain levels among pediatric burn patients: a retrospective cohort study"],"prefix":"10.1136","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9902-5122","authenticated-orcid":false,"given":"Maleea D","family":"Holbert","sequence":"first","affiliation":[{"name":"Centre for Children\u2019s Burns and Trauma Research, Queensland Health Centre for Children\u2019s Health Research, South Brisbane, Queensland, Australia"},{"name":"Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roy M","family":"Kimble","sequence":"additional","affiliation":[{"name":"Centre for Children\u2019s Burns and Trauma Research, Queensland Health Centre for Children\u2019s Health Research, South Brisbane, Queensland, Australia"},{"name":"Pegg Leditschke Paediatric Burns Centre, Queensland Children\u2019s Hospital, South Brisbane, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee V","family":"Jones","sequence":"additional","affiliation":[{"name":"Research Methods Group, Queensland University of Technology, Kelvin Grove, Queensland, Australia"},{"name":"Faculty of Health, Centre for Healthcare Transformation, Queensland University of Technology, Kelvin Grove, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samiul H","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bronwyn R","family":"Griffin","sequence":"additional","affiliation":[{"name":"Centre for Children\u2019s Burns and Trauma Research, Queensland Health Centre for Children\u2019s Health Research, South Brisbane, Queensland, Australia"},{"name":"Faculty of Health, School of Nursing, Queensland University of Technology, Kelvin Grove, Queensland, 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