How patients and physicians rate patients’ pain in a French emergency department using a verbally administered numerical rating scale and a visual analog scale

Marquié, Laetitia; Duarte, Liliana Rico; Mariné, Claudette; Lauque, D.; Sorum, Paul Clay

doi:10.1016/j.acpain.2008.01.003

Cited by 23 publications

(20 citation statements)

References 34 publications

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“…The pain assessment in the Triage should become the sixth vital sign, monitored and assessed from the triage to EP visit. In our study the pain scales were used both by nurses and physicians, in particular the results showed that in most cases the NRS was used [18,19]. The probability for the EP to prescribe medication for pain was directly related to increasing scores of pain scales, that is, the higher was the score of pain scales, and the more probably drugs were administered.…”

Section: Discussionmentioning

confidence: 99%

Emergency Department Pain Management and Its Impact On Patients’ Short Term Outcome

Berardinis¹,

Magrini²,

Calcinaro³

et al. 2013

TOEMJ

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Abstract:Background: Although pain is the most common complaint in the Emergency Department (ED), there is still a lack of adequate pain treatment by Emergency Physicians. Aim of this study was to describe pain management in ED from triage to discharge and to verify the effect of pain treatment in ED on a short term follow-up after discharge in order to evaluate patient's outcome.Methods: A prospective multicentric study was conducted over two consecutive one week period in 4 ED teaching hospitals in Italy. All patients presenting with an acute, painful condition were eligible to participate in the study. The complete ED pain treatment was recorded, we enrolled 582 consecutive patients. One week after ED discharge a follow up evaluation through a phone call on patient's pain clinical condition was also obtained.Results: There was a statistical significant difference between nurse and Emergency Physicians pain judgement (p<0.001). During ED visit: 54.2% received non steroid anti inflammatory drug (NSAID), 12.2% received paracetamol and 9.9% tramadol while morphine was used only in 5.6%of patients. Overall patient's satisfaction at one-week follow-up was as follows: in 63% of patients pain was completely absent, but on the other hand, 37% of patients had no pain relief, despite analgesic therapy prescription. Conclusion:In our study we found differences between nurses and physicians judgments, they disagreed on the severity of pain. It was observed a low use of pain intensity scale with a formal measurement scales to assess pain. Our study demonstrates the importance of adequate ED and analgesic drug prescription for patients referring for pain in ED, and follow up assessment, many patients in follow up reported continued pain because of poor prescription of analgesic drug at discharge from ED. Improving analgesia in ED seems to be crucial for patients' quality of life and for preventing ED readmission for relapse of pain.

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Section: Discussionmentioning

confidence: 99%

Emergency Department Pain Management and Its Impact On Patients’ Short Term Outcome

Berardinis¹,

Magrini²,

Calcinaro³

et al. 2013

TOEMJ

View full text Add to dashboard Cite

show abstract

“…In previous studies, VAS has been found to be less accurate in the elderly and young children because of visual and cognitive limitations (17,22,23). However, the VNRS has been shown to be a valid and reliable for measuring pain in young and elderly patients (17).…”

Section: Discussionmentioning

confidence: 98%

The Assessment of Acute Pain in Pre-Hospital Care Using Verbal Numerical Rating and Visual Analogue Scales

Ismail

Ghafar

Shamsuddin

et al. 2015

The Journal of Emergency Medicine

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“…These findings remain evident in recently published work (c.f. Coll et al, 2011;Krahulec et al, 2012;Marquié et al, 2008). Considerable variation in the practice of different areas of healthcare is evidenced by the literature (Busato & Kunzi, 2008;Davis, et al, 2002;Howard, 2012;Lay-Yee, Scott, & Davis 2013;Wennberg, 1984Wennberg, , 2002Wennberg, , 2011.…”

Section: Journal Of Decision Systems 171mentioning

confidence: 94%

“…It is argued that decisions in healthcare are primarily based on the healthcare providers' perception of the pain that patients undergo (Davis, Gribben, Lay-Yee, & Scott, 2002). While healthcare providers' experience and knowledge play an important role in their decision making activities, differences in their assessment of pain against patients' assessment has been reported by the literature (Bowman, 1994;Coll, Grégoire, Latimer, Eugène, & Jackson, 2011;Guru & Dubinsky, 2000;Krahulec, Schmidt, Habacher, & Kratzer, 2012;Marquié et al, 2003;Marquié, Duarte, Mariné, Lauque, & Sorum, 2008;Solomon, 2001). Previous studies have compared the patients' and healthcare providers' ratings of pain, as a measure of patients' health status.…”

Section: Decision Makingmentioning

confidence: 97%

Variation in health care providers’ perceptions: decision making based on patient vital signs

Zarabzadeh

O’Donoghue

O’Connor

et al. 2013

Journal of Decision Systems

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Clinical decision making plays an imperative role when delivering healthcare services. To assist healthcare practitioners in decision making activities, Early Warning Scorecards (EWS) have been developed to classify patients based on their vital sign readings. This paper aims to evaluate the variation among healthcare practitioners' perceptions of vital signs critical ranges and priorities, and if there is a variation between decisions made based on paper-based Modified EWS (MEWS) and electronic MEWS. A survey is conducted to analyse these variations for six vital sign parameters. Further investigation is carried out on the variations in decisions made for six simulated patients using the paper-based MEWS and eMEWS. Thus, the variations of decisions made for a given patient among the survey participants are analysed in light of paper-based MEWS and eMEWS. Therefore, this paper contributes to both theory and practice by identifying variations in health care providers' perceptions when deciding the actions/treatment of patients.

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How patients and physicians rate patients’ pain in a French emergency department using a verbally administered numerical rating scale and a visual analog scale

Cited by 23 publications

References 34 publications

Emergency Department Pain Management and Its Impact On Patients’ Short Term Outcome

Emergency Department Pain Management and Its Impact On Patients’ Short Term Outcome

The Assessment of Acute Pain in Pre-Hospital Care Using Verbal Numerical Rating and Visual Analogue Scales

Variation in health care providers’ perceptions: decision making based on patient vital signs

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