Pain prevalence in infants and preschool children in a Colombian hospital

  • José Manuel Quintero-Castellanos a. Pain Unit, Hospital San Rafael de Tunja. Tunja, Colombia. b. Research Postgraduate Program, Universidad Pedagógica y Tecnológica de Colombia. Tunja, Colombia.
  • Ángela Hernández Pain Unit, Hospital San Rafael de Tunja. Tunja, Colombia.
  • Tania Parra Research Postgraduate Program, Universidad Pedagógica y Tecnológica de Colombia. Tunja, Colombia.
Keywords: Pain, Prevalence, Infant, Child, Preschool, Pain Measurement


Introduction: The pain prevalence in hospitalized infants and preschool children has not been accurately identified in high-income countries, and in low and medium-income countries it has not been extensively studied. The assessment instruments are limited.

Objective: To describe the prevalence and management of pain in infants and preschool children during the first 24 hours of hospitalization in a third level institution in Colombia, using the CRIES scale.

Methods: An observational study was conducted during the first 24 hours of hospitalization. Demographic information was recorded, pain was assessed at admission, after 4, and 24 hours using the CRIES scale. Pharmacological therapy was also documented.

Results: 250 children between one month and 5 years old were studied. The pain prevalence at admission was 12 %. The pain prevalence per subgroups was higher among the surgical patients, as compared to the clinical patients (35.9 % vs. 7.6 %). The pharmacological analysis revealed that 70.8 % of patients received treatment; the most widely used medications were oral acetaminophen and intravenous dipyrone.

Conclusions: Pain prevalence was lower than the levels described for the general pediatric population. This result may be due to the sensitivity of the CRIES instrument, or to a particular pain behavior. Further studies are needed to identify the sensitivity of the assessment instruments in early life and to accurately investigate any associated phenomena.


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How to Cite
Quintero-Castellanos JM, Hernández Ángela, Parra T. Pain prevalence in infants and preschool children in a Colombian hospital . Colomb. J. Anesthesiol. [Internet]. 2021Sep.2 [cited 2021Oct.16];49. Available from:


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How to Cite
Quintero-Castellanos JM, Hernández Ángela, Parra T. Pain prevalence in infants and preschool children in a Colombian hospital . Colomb. J. Anesthesiol. [Internet]. 2021Sep.2 [cited 2021Oct.16];49. Available from:

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