Procedural analgesic interventions in China: a national survey of 2198 hospitals
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Published:2022-08-06
Issue:1
Volume:22
Page:
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ISSN:1471-2253
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Container-title:BMC Anesthesiology
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language:en
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Short-container-title:BMC Anesthesiol
Author:
Wang Yafeng, Xu Feng, Zhao Shuai, Han Linlin, Huang Shiqian, Zhu Hongyu, Ding Yuanyuan, Ma Lulin, Zhao Wenjing, Zhang Tianhao, Chen XiangdongORCID, Feng Yi, Dong Tieli, Xu Zhonghuang, Lv Yan, Hua Zhen, Liu Yanhong, Bai Yanyan, Cao Song, Chen Yajun, Du Jianhua, Fan Yinghui, Han Guang, He Nong, He Xingying, He Yongjin, Hu Yanhui, Li Yanhua, Liu Dezhao, Liu Ping, Liu Silan, Ma Danxu, Ma Minyu, Ren Fei, Shang You, Shen Xiaofeng, Song Jie, Tie Muer, Wang Chunhui, Wang Feng, Wang Haitang, Wang Huishu, Wang Tiancheng, Wang Yaping, Wu Wei, Xu Hua, Xue Zhaoxia, Yu Lingzhi, Zhan Leyun, Zhang Dong, Zhang Jinjun, Wu Duozhi, Yang Dong,
Abstract
Abstract
Background
Humane treatment requires the provision of appropriate sedation and analgesia during medical diagnosis and treatment. However, limited information is available about the status of procedural analgesic interventions in Chinese hospitals. Therefore, a nationwide survey was established to identify challenges and propose potential improvement strategies.
Methods
Forty-three members of the Pain Group of Chinese Society of Anesthesiology established and reviewed the questionnaire, which included (1) general information on the hospitals, (2) the sedation/analgesia rate in gastrointestinal endoscopy, labor, flexible bronchoscopy, hysteroscopy in China, (3) staff assignments, (4) drug use for procedural analgesic interventions, and (5) difficulties in procedural analgesic interventions. The data were obtained using an online questionnaire sent to the chief anesthesiologists of Chinese hospitals above Grade II or members of the Pain Group of Chinese Society of Anesthesiology.
Results
Valid and complete questionnaires were received from 2198 (44.0%) hospitals, of which 64.5% were Grade III. The overall sedation/analgesia rates were as follows: gastroscopy (50.6%), colonoscopy (53.7%), ERCP (65.9%), induced abortion (67.5%), labor (42.3%), hysteroscopy (67.0%) and fiber bronchoscopy (52.6%). Compared with Grade II hospitals, Grade III hospitals had a higher proportion of procedural analgesic interventions services except for induced abortion. On average (median [IQR]), each anesthesiologist performed 5.7 [2.3—11.4] cases per day, with 7.3 [3.2—13.6] performed in Grade III hospitals and 3.4 [1.8—6.8] performed in Grade II hospitals (z = -7.065, p < 0.001).
Conclusions
Chinese anesthesiologists have made great efforts to achieve procedural analgesic interventions, as evidenced by the increased rate. The uneven health care provided by hospitals at different levels and in different regions and the lack of anesthesiologists are the main barriers to optimal procedural analgesic interventions.
Publisher
Springer Science and Business Media LLC
Subject
Anesthesiology and Pain Medicine
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