Simple clinical targets associated with a high level of patient satisfaction with their pain management

Jao, Kathy; Taylor, David; Taylor, Simone E; Khan, Munad; Chae, John

doi:10.1111/j.1742-6723.2011.01397.x

Cited by 31 publications

(49 citation statements)

References 36 publications

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“…Last, more patients received ‘adequate analgesia’ and specific advice about pain post‐intervention. Positive associations between these two variables and satisfaction with pain management have been reported . In this study, this association was explored with all patients combined.…”

Section: Discussionmentioning

confidence: 98%

“…In this regard, there is increasing interest in the provision of ‘adequate analgesia’ (as defined). It has been reported that the provision of ‘adequate analgesia’ is associated with a very high level of patient satisfaction with pain management . The rationale behind this definition is that pain would be decreased by both a clinically significant amount and to a level considered mild.…”

Section: Discussionmentioning

confidence: 99%

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Nurse‐initiated analgesia pathway for paediatric patients in the emergency department: A clinical intervention trial

Taylor

Jao

et al. 2013

Emerg Medicine Australasia

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Nurse‐initiated analgesia pathway for paediatric patients in the emergency department: A clinical intervention trial

Taylor

Jao

et al. 2013

Emerg Medicine Australasia

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“…Recently, the concept of ‘adequate analgesia’ has been developed . Intuitively, adequate analgesia should decrease a patient's pain by a ‘clinically significant amount’ and to a level that is ‘no more than mild’.…”

Section: Introductionmentioning

confidence: 99%

Best‐practice pain management in the emergency department: A cluster‐randomised, controlled, intervention trial

Taylor

Fatovich

Finucci

et al. 2015

Emerg Medicine Australasia

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“…However, in ED patients with acute pain as the principal complaint, satisfaction is mainly influenced by the precocity and efficacy of analgesic treatment. Jao et al . and Shill et al .…”

Section: Discussionmentioning

confidence: 96%

“…The average waiting time is estimated to range from 70 to 90 minutes before the first administration of analgesia, with a dose often insufficient to relieve patients’ discomfort . For all these reasons, patients presenting in EDs remain largely dissatisfied . Over the past 2 decades, medical societies have sought to initiate recommendations to improve the treatment of pain, which is now regarded as the fifth vital sign .…”

Section: Introductionmentioning

confidence: 99%

Effect on Morphine Requirement of Early Administration of Oral Acetaminophen vs. Acetaminophen/Tramadol Combination in Acute Pain

et al. 2019

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Objectives To evaluate the effect on opioid requirement of pain treatment starting at triage, and to evaluate satisfaction in emergency department (ED) patients with acute pain. Methods This is a single‐blind, randomized, prospective study conducted in the ED. The included patients were randomly assigned to single oral doses of placebo, acetaminophen, or a tramadol/acetaminophen combination. Protocol treatment was given at triage. The primary outcome was the need for rescue morphine during ED stay. The secondary outcome included patient satisfaction, ED length of stay, and percentage of patients discharged from the ED with a VAS score of <30. Results We included 1,485 patients: 496 patients in the placebo group, 497 in the acetaminophen group, and 492 in the tramadol/acetaminophen combination group. The groups were similar regarding demographic and clinical characteristics and baseline VAS pain scores. Rescue morphine was significantly decreased in the tramadol/acetaminophen combination group compared to that in the placebo and acetaminophen groups (11.5%, 23.2%, and 18.9%, respectively; P = 0.03). Patient satisfaction was higher in the tramadol/acetaminophen combination group (77% vs. 69% in the acetaminophen group and 68% in the placebo group). A VAS score of <30 was observed in 84% of patients in the placebo group, 83% in the acetaminophen group, and 87% in the tramadol/acetaminophen combination group (P = 0.01 between the acetaminophen group and tramadol/acetaminophen combination group). The ED length of stay was 60 minutes for the acetaminophen group and tramadol/acetaminophen combination group and 71 minutes for the placebo group (P = 0.04). Conclusion Oral tramadol/acetaminophen combination administered early in triage was associated with a decrease in intravenous morphine requirement and increase in satisfaction among ED patients with acute pain when compared with patients taking acetaminophen. No significant increase in side effects was found. This intervention may be considered in EDs with an aim of similar benefits.

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Simple clinical targets associated with a high level of patient satisfaction with their pain management

Abstract: Our 'adequate analgesia' definition might provide a useful clinical target, which, combined with adequate communication, might help maximize patient satisfaction.

Cited by 31 publications

References 36 publications

Nurse‐initiated analgesia pathway for paediatric patients in the emergency department: A clinical intervention trial

Nurse‐initiated analgesia pathway for paediatric patients in the emergency department: A clinical intervention trial

Best‐practice pain management in the emergency department: A cluster‐randomised, controlled, intervention trial

Effect on Morphine Requirement of Early Administration of Oral Acetaminophen vs. Acetaminophen/Tramadol Combination in Acute Pain

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