2017
DOI: 10.2147/jpr.s137992
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Prospective study on prevalence, intensity, type, and therapy of acute pain in a second-level urban emergency department

Abstract: AimPain represents the most frequent cause for patient admission to emergency departments (EDs). Oligoanalgesia is a common problem in this field. The aims of this study were to assess prevalence and intensity of pain in patients who visited a second-level urban ED and to evaluate the efficacy of pharmacological treatment administered subsequent to variations in pain intensity.MethodsA 4-week prospective observational study was carried out on 2,838 patients who visited a second-level urban ED. Pain intensity w… Show more

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Cited by 59 publications
(56 citation statements)
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“…Effective management of moderate-to-severe pain in emergency medicine is a crucial element of patient care. In Europe, approximately 38 million injured patients are treated each year in hospital emergency departments, and pain is the primary reason for most patients visiting the emergency department 1–3. Unfortunately, undertreatment of pain in emergency settings is common.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Effective management of moderate-to-severe pain in emergency medicine is a crucial element of patient care. In Europe, approximately 38 million injured patients are treated each year in hospital emergency departments, and pain is the primary reason for most patients visiting the emergency department 1–3. Unfortunately, undertreatment of pain in emergency settings is common.…”
Section: Introductionmentioning
confidence: 99%
“…Unfortunately, undertreatment of pain in emergency settings is common. Indeed, large-scale studies of European hospital emergency departments indicate fewer than one third of patients with moderate-to-severe pain receive analgesia 3 4…”
Section: Introductionmentioning
confidence: 99%
“…Pain is a major healthcare issue. Estimates of the prevalence of acute pain in adults suggest that it may be as high as 70.7% in accident and emergency departments and 50% in hospital inpatients, with up to 35% of patients reporting severe pain 1. Estimates of the worldwide prevalence of chronic pain in the general adult population suggest it may affect up to 45% of people, with up to 15% reporting severe disabling pain 2–6.…”
Section: Introductionmentioning
confidence: 99%
“…In emergency rescue situations, effective analgesia reduces the patient’s physiological and psychological stress and aids extrication and procedural interventions such as realignment and splinting of fractures. However, the undertreatment of acute pain (“oligoanalgesia”) in the pre-hospital emergency setting remains a significant problem [ 2 , 3 ]. Albrecht and colleagues reported a prevalence of oligoanalgesia of 43% in a 10-year retrospective study of adult trauma patients transported by a physician-staffed air-medical transport system in Switzerland [ 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…In Europe, commonly used analgesics for trauma pain include paracetamol, non-steroidal anti-inflammatory drugs, nitrous oxide, ketamine and opioids [ 3 , 6 8 ]. Besides analgesic efficacy, safety profile and ease of use will influence the treatment choice, particularly in emergency situations in remote and/or hostile environments where cannulation may be difficult or where bulky equipment cannot be carried.…”
Section: Introductionmentioning
confidence: 99%