{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T14:02:02Z","timestamp":1782136922661,"version":"3.54.5"},"reference-count":42,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>(1) Background: Acute pain in hospitalized children remains under-recognized and under-treated. Our objective is to benchmark pain assessment, documentation, treatment, and patient experience in children admitted to a US children\u2019s hospital. (2) Methods: A cross-sectional, mixed-method survey of pain for children hospitalized \u226524 h. Charts were reviewed for modalities of pain assessment and treatment for all inpatients. If pain was documented, patients\/caregivers were surveyed regarding their experience with pain and its management. (3) Results: Chart review: All 107 patients had \u22651 pain score documented. A total of 47 patients had a pain score \u22650, 35 (74.5%) of whom had \u22651 moderate-severe score. Seventy (65.4%) patients received \u22651 intervention for pain, including medications from \u22651 class (e.g., opioids) (n = 55, 51.4%) and\/or integrative\/non-pharmacologic intervention(s) (n = 39, 36.4%). There were assessment and documentation gaps. Patient survey: A total of 39 (83.0%) interviews were attempted; 25 (53.2%) were completed. The worst pain was mostly caused by acute illness (n = 13, 52%) and painful procedures (n = 10, 40%). Suggestions for improvement included increasing the use of integrative modalities and optimizing patient\u2013clinician communication. (4) Conclusions: All patients admitted \u226524 h had \u22651 pain score documented; however, gaps in documentation were common. Multimodal treatment and integrative modalities were underutilized. Procedures were a frequent cause of under-treated pain, prompting an institution-wide quality improvement project.<\/jats:p>","DOI":"10.3390\/children11070874","type":"journal-article","created":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T13:12:57Z","timestamp":1721394777000},"page":"874","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Assessment and Treatment of Pain in Hospitalized Children at a Tertiary Children\u2019s Hospital: A Cross-Sectional Mixed Methods Survey"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4029-5179","authenticated-orcid":false,"given":"Nadia","family":"Roessler De Angulo","sequence":"first","affiliation":[{"name":"Stad Center for Pediatric Pain, Palliative & Integrative Medicine, Benioff Children\u2019s Hospital, Department of Pediatrics, University of California San Francisco, 1855 Fourth St., 4th Floor, San Francisco, CA 94158, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea C.","family":"Postier","sequence":"additional","affiliation":[{"name":"Stad Center for Pediatric Pain, Palliative & Integrative Medicine, Benioff Children\u2019s Hospital, Department of Pediatrics, University of California San Francisco, 1855 Fourth St., 4th Floor, San Francisco, CA 94158, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Purser","sequence":"additional","affiliation":[{"name":"Stad Center for Pediatric Pain, Palliative & Integrative Medicine, Benioff Children\u2019s Hospital, Department of Pediatrics, University of California San Francisco, 1855 Fourth St., 4th Floor, San Francisco, CA 94158, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena","family":"Ngo","sequence":"additional","affiliation":[{"name":"Stad Center for Pediatric Pain, Palliative & Integrative Medicine, Benioff Children\u2019s Hospital, Department of Pediatrics, University of California San Francisco, 1855 Fourth St., 4th Floor, San Francisco, CA 94158, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Sun","sequence":"additional","affiliation":[{"name":"Stad Center for Pediatric Pain, Palliative & Integrative Medicine, Benioff Children\u2019s Hospital, Department of Pediatrics, University of California San Francisco, 1855 Fourth St., 4th Floor, San Francisco, CA 94158, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6144-3620","authenticated-orcid":false,"given":"Stefan","family":"Friedrichsdorf","sequence":"additional","affiliation":[{"name":"Stad Center for Pediatric Pain, Palliative & Integrative Medicine, Benioff Children\u2019s Hospital, Department of Pediatrics, University of California San Francisco, 1855 Fourth St., 4th Floor, San Francisco, CA 94158, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1155\/2008\/478102","article-title":"Pain in hospitalized children: A prospective cross-sectional survey of pain prevalence, intensity, assessment and management in a Canadian pediatric teaching hospital","volume":"13","author":"Taylor","year":"2008","journal-title":"Pain Res. 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