Pain prevalence and pain relief in trauma patients in the Accident &amp; Emergency department

Berben, Sivera; Meijs, T; Dongen, R.T.M. van; Vugt, A.B. van; Vloet, Lilian; Groot, Joke J. Mintjes-de; Achterberg, Theo van

doi:10.1016/j.injury.2007.04.013

Cited by 122 publications

(102 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The mean pain intensity score and pain categories in this study indicated that a majority of this sample experienced moderate to severe pain during hospitalization, which corresponds to that reported from other studies (Berben et al, 2008b; Bernstein, Gallagher, Cabral, & Bijur, 2009; Gordon et al, 2002). The pain intensity score is useful for measuring the magnitude or strength a person ascribes the pain experience.…”

Section: Discussionsupporting

confidence: 90%

Characteristics of Patients with Lower Extremity Trauma with Improved and Not Improved Pain During Hospitalization: A Pilot Study

Griffioen

Johantgen

Rueden

et al. 2016

Pain Management Nursing

View full text Add to dashboard Cite

Background Up to 62% of patients report chronic pain at the injury site 6-12 months after blunt trauma, with pain from lower extremity fractures exceeding that from other sites. High pain intensity at time of injury is a risk factor for chronic pain, but it is not clear what patient characteristics influence the pain intensity level during the immediate hospitalization following injury. Aim The purpose of this pilot study was to determine the feasibility of collecting pain scores from medical records, to calculate pain trajectories, and to determine whether it is possible to examine patient characteristics by classifying them into those whose pain improved and those whose pain did not improve. Design This descriptive study retrospectively reviewed medical records of 18 randomly chosen patients admitted to an academic trauma center. Methods Patient characteristics and pain scores were collected form electronic and handwritten medical records. Results The pain trajectories calculated from routinely collected pain scores during the in-patient stay showed that for 44% of the patients the pain improved during the hospitalization, for 39% the pain remained the same and for 17% the pain worsened. Variables age, smoking, weight, abbreviated injury scores, length of hospital stay, mean pain score and opioid equianalgesic dose differed based on pain trajectory. Conclusion While patient characteristics differed based on pain trajectory, any significant effects seen from individual tests should be considered tentative, given the number of analyses conducted on this data set. However, feasibility and significance of conducting a larger study has been established.

show abstract

Section: Discussionsupporting

confidence: 90%

Characteristics of Patients with Lower Extremity Trauma with Improved and Not Improved Pain During Hospitalization: A Pilot Study

Griffioen

Johantgen

Rueden

et al. 2016

Pain Management Nursing

View full text Add to dashboard Cite

show abstract

“…A part of the blame should also be put on primary care doctors. They suggest to patients that if they go to the emergency department, they can be provided with the essential diagnostic tests rather quickly [1]. This makes it difficult to access help for people who need immediate medical intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Our study showed that most patients in the ED were there as a result of trauma. Trauma patients admitted to the emergency department are a group requiring special treatment because of the high probability of loss of life and health [1,5,6]. Based on research conducted by Karavan [7] the injured patients are usually young people.…”

Section: Discussionmentioning

confidence: 99%

Meta-analysis of pain and stress in emergency department patients

Krzyszycha

Goniewicz

et al. 2016

Polish Journal of Public Health

View full text Add to dashboard Cite

Introduction. In Poland, among patients coming to hospital emergency departments (ED), one third require immediate surgical treatment. About one third are transferred to long-term intensive care. The remaining patients require a different type of care, e.g. consultation, healing wounds, observation in the emergency department. From there, they might either be referred to another hospital department or sent home after receiving outpatient help.Aim. The aim of this study was to determine the prevalence of pain and stress in patients treated in the emergency department with particular emphasis on the factors that determine their level.Material and methods. The study group consisted of 200 individuals treated in the emergency department of the Regional Hospital No. 2 in Rzeszów in 2013. The applied research method was a diagnostic survey that used a questionnaire as a research tool. The results were statistically analyzed using SPSS 20, whereas a statistically significant dependence was considered in those with level of significance p≤0.05.Results. Most respondents reported pain and feelings of stress while staying in the ED. Women and the unemployed were significantly less likely to report pain. Factors like gender, age, education level, and the coexistence of chronic diseases significantly affected the degree of stress among patients in the ED.Conclusion. Each patient treated at the emergency department should receive holistic care, so that the pain and stress of his injuries are reduced as soon as possible.

show abstract

“…As previously noted, trauma patients often suffer moderate to severe pain in the Emergency Department [Berben et al, 2008]. In Europe, emergency response teams are frequently physician-based.…”

Section: Early Management With Regional Anesthesiamentioning

confidence: 97%

“…In the United States, almost 30 million patients receive medical care for trauma every year [CDC, 2011], and trauma results in 30% of intensive care unit (ICU) admissions in the United States [Mackenzie et al, 2007]. In the Emergency Department, 91% of trauma patients are in pain [Berben et al, 2008], and two-thirds of those patients are discharged from the Emergency Department with moderate to severe pain [Berben et al, 2008]. Regional anesthesia (RA) can reduce pain in many of these patients.…”

Section: Introductionmentioning

confidence: 99%