The efficacy of an augmented virtual reality system to alleviate pain in children undergoing burns dressing changes: a randomised controlled trial.

Mott, J; Bucolo, S; Cuttle, L; Mill, J; Hilder, M; Miller, K; Kimble, RM

The efficacy of an augmented virtual reality system to alleviate pain in children undergoing burns dressing changes: a randomised controlled trial.

Mott, J Bucolo, S

Cuttle, L Mill, J Hilder, M Miller, K Kimble, RM

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Publication Type:: Journal Article
Citation:: Burns, 2008, 34 (6), pp. 803 - 808
Issue Date:: 2008-09

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Field	Value	Language
dc.contributor.author	Mott, J	en_US
dc.contributor.author	Bucolo, S https://orcid.org/0000-0002-4195-4500	en_US
dc.contributor.author	Cuttle, L	en_US
dc.contributor.author	Mill, J	en_US
dc.contributor.author	Hilder, M	en_US
dc.contributor.author	Miller, K	en_US
dc.contributor.author	Kimble, RM	en_US
dc.date.available	2007-10-25	en_US
dc.date.issued	2008-09	en_US
dc.identifier.citation	Burns, 2008, 34 (6), pp. 803 - 808	en_US
dc.identifier.issn	0305-4179	en_US
dc.identifier.uri	http://hdl.handle.net/10453/29890
dc.description.abstract	In children, the pain and anxiety associated with acute burn dressing changes can be severe, with drug treatment alone frequently proving to be inadequate. Virtual reality (VR) systems have been successfully trialled in limited numbers of adult and paediatric burn patients. Augmented reality (AR) differs from VR in that it overlays virtual images onto the physical world, instead of creating a complete virtual world. This prospective randomised controlled trial investigated the use of AR as an adjunct to analgesia and sedation in children with acute burns. Forty-two children (30 male and 12 female), with an age range of 3-14 years (median age 9 years) and a total burn surface area ranging from 1 to 16% were randomised into a treatment (AR) arm and a control (basic cognitive therapy) arm after administration of analgesia and/or sedation. Pain scores, pulse rates (PR), respiratory rates (RR) and oxygen saturations (SaO2) were recorded pre-procedurally, at 10 min intervals and post-procedurally. Parents were also asked to grade their child's overall pain score for the dressing change. Mean pain scores were significantly lower (p=0.0060) in the AR group compared to the control group, as were parental pain assessment scores (p=0.015). Respiratory and pulse rates showed significant changes over time within groups, however, these were not significantly different between the two study groups. Oxygen saturation did not differ significantly over time or between the two study groups. This trial shows that augmented reality is a useful adjunct to pharmacological analgesia.	en_US
dc.language	eng	en_US
dc.relation.ispartof	Burns	en_US
dc.relation.isbasedon	10.1016/j.burns.2007.10.010	en_US
dc.subject.classification	Emergency & Critical Care Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Pain	en_US
dc.subject.mesh	Burns	en_US
dc.subject.mesh	Analgesics, Opioid	en_US
dc.subject.mesh	Pain Measurement	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Bandages	en_US
dc.subject.mesh	Computer Simulation	en_US
dc.subject.mesh	User-Computer Interface	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Child	en_US
dc.subject.mesh	Child, Preschool	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Pain Management	en_US
dc.title	The efficacy of an augmented virtual reality system to alleviate pain in children undergoing burns dressing changes: a randomised controlled trial.	en_US
dc.type	Journal Article
utslib.citation.volume	6	en_US
utslib.citation.volume	34	en_US
utslib.location.activity	Netherlands	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (International)
pubs.organisational-group	/University of Technology Sydney/Strength - DIRC - Design Innovation Research Centre
utslib.copyright.status	closed_access
pubs.issue	6	en_US
pubs.publication-status	Published	en_US
pubs.volume	34	en_US

Abstract:

In children, the pain and anxiety associated with acute burn dressing changes can be severe, with drug treatment alone frequently proving to be inadequate. Virtual reality (VR) systems have been successfully trialled in limited numbers of adult and paediatric burn patients. Augmented reality (AR) differs from VR in that it overlays virtual images onto the physical world, instead of creating a complete virtual world. This prospective randomised controlled trial investigated the use of AR as an adjunct to analgesia and sedation in children with acute burns. Forty-two children (30 male and 12 female), with an age range of 3-14 years (median age 9 years) and a total burn surface area ranging from 1 to 16% were randomised into a treatment (AR) arm and a control (basic cognitive therapy) arm after administration of analgesia and/or sedation. Pain scores, pulse rates (PR), respiratory rates (RR) and oxygen saturations (SaO2) were recorded pre-procedurally, at 10 min intervals and post-procedurally. Parents were also asked to grade their child's overall pain score for the dressing change. Mean pain scores were significantly lower (p=0.0060) in the AR group compared to the control group, as were parental pain assessment scores (p=0.015). Respiratory and pulse rates showed significant changes over time within groups, however, these were not significantly different between the two study groups. Oxygen saturation did not differ significantly over time or between the two study groups. This trial shows that augmented reality is a useful adjunct to pharmacological analgesia.

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http://hdl.handle.net/10453/29890