Table 4.
Interactions between differences in analgesic use during daytime and night-time and characteristics of children, centres and procedures in univariate analysis
Factor | Univariate analysis |
||||||
---|---|---|---|---|---|---|---|
Procedures carried out with specific analgesic |
Daytime compared with night-time: relative reduction* (%) | Daytime compared with night-time: OR | Interaction test (p Value)† | ||||
Daytime |
Night-time |
||||||
n/N | % | n/N | % | ||||
Day of procedure‡ | |||||||
D1 | 272/1789 | 15.2 | 276/1667 | 16.6 | −8.9 | 0.90 (0.75–1.09) | |
D2–D14 | 3989/17 164 | 23.2 | 3187/17 392 | 18.3 | 21.2 | 1.35 (1.28–1.42) | <10.3 |
Mechanical ventilation | |||||||
Yes | 1668/11 908 | 14.0 | 1501/12 327 | 12.2 | 13.1 | 1.18 (1.09–1.27) | |
No | 2593/7045 | 36.8 | 1962/6732 | 29.1 | 20.8 | 1.42 (1.32–1.52) | <10.3 |
Parental presence | |||||||
Yes | 331/1488 | 22.2 | 131/485 | 27.0 | −21.4 | 0.77 (0.61–0.98) | |
No | 3930/17 465 | 22.5 | 3332/18 574 | 17.9 | 21.0 | 1.33 (1.26–1.40) | <10.3 |
Continuous analgesic | |||||||
Yes | 738/6341 | 11.6 | 722/6864 | 10.8 | 9.6 | 1.12 (1.01–1.25) | |
No | 3523/12 612 | 27.9 | 2741/12 195 | 22.5 | 19.5 | 1.34 (1.26–1.42) | 0.005 |
Surgery | |||||||
Yes | 337/1576 | 21.4 | 300/1714 | 17.5 | 18.2 | 1.28 (1.08–1.53) | |
No | 3924/17 377 | 22.6 | 3163/17 345 | 18.2 | 19.5 | 1.31 (1.24–1.38) | 0.829 |
Sex | |||||||
Male | 2363/10 758 | 22.0 | 1877/10 757 | 17.4 | 20.9 | 1.33 (1.25–1.43) | |
Female | 1898/8198 | 23.2 | 1586/8302 | 19.1 | 17.6 | 1.28 (1.18–138) | 0.410 |
Gestational age | |||||||
≥37 weeks | 583/3803 | 15.3 | 435/3796 | 11.5 | 25.2 | 1.40 (1.22–1.60) | |
<37 weeks | 3678/15 150 | 24.3 | 3028/15 263 | 19.8 | 18.3 | 1.30 (1.23–1.37) | 0.295 |
Nurse shift | |||||||
3 per day | 1634/5995 | 27.3 | 1276/5907 | 21.6 | 20.7 | 1.36 (1.25–1.48) | |
2 per day | 2627/12 958 | 20.3 | 2187/13 152 | 16.6 | 18.0 | 1.28 (1.20–1.36) | 0.230 |
Nurse rotation | |||||||
No | 1853/7507 | 24.7 | 1477/7704 | 19.2 | 22.3 | 1.38 (1.28–1.49) | |
Yes | 2408/11 446 | 21.0 | 1986/11 355 | 17.5 | 16.9 | 1.26 (1.18–1.34) | 0.068 |
Pain coordinator | |||||||
No | 502/2844 | 17.7 | 368/2933 | 12.5 | 28.9 | 1.49 (1.29–1.73) | |
Yes | 3759/16 109 | 23.3 | 3095/16 126 | 19.2 | 17.8 | 1.28 (1.22–1.35) | 0.053 |
Written protocols for sucrose analgesia | |||||||
Yes | 3663/15 325 | 23.9 | 3155/15 508 | 20.3 | 14.9 | 1.23 (1.17–1.30) | |
No | 598/3628 | 16.5 | 308/3551 | 8.7 | 47.4 | 2.08 (1.80–2.41) | <10-3 |
Parental presence authorised 24 hours | |||||||
No | 2510/11 949 | 21.0 | 2091/12 023 | 17.4 | 17.2 | 1.26 (1.18–1.35) | |
Yes | 1751/7004 | 25.0 | 1372/7036 | 19.5 | 22.0 | 1.28 (1.27–1.49) | 0.102 |
Night head nurse | |||||||
No | 2843/12 348 | 23.0 | 2399/12 889 | 18.6 | 19.2 | 1.31 (1.23–1.39) | |
Yes | 1418/6605 | 21.5 | 1064/6170 | 17.2 | 19.7 | 1.31 (1.20–1.43) | 0.955 |
Teaching status | |||||||
Minor | 1798/7222 | 24.9 | 1511/7516 | 20.1 | 19.2 | 1.32 (1.22–1.42) | |
Major | 2463/11 731 | 21.0 | 1952/11 543 | 16.9 | 19.5 | 1.31 (1.22–1.40) | 0.864 |
*If positive, analgesia was higher during daytime.
†p Value <0.05 indicates that the factor modified the difference in analgesic use between daytime and night-time in univariate.
‡Related to admission.