BACKGROUND: Acute pain in the A&E department (ED) has been described as a problem, however insight into the problem for trauma patients is lacking. OBJECTIVE: This study describes the prevalence of pain, the pain intensity and the effect of conventional pain treatment in trauma patients in the ED. METHODS: In a prospective cohort study of 450 trauma patients, pain was measured on admission and at discharge, using standardized and validated pain instruments. RESULTS: The prevalence of pain was high, both on admission (91%) and at discharge (86%). Two thirds of the trauma patients reported moderate or severe pain at discharge. Few patients received pharmacological or non-pharmacological pain relieving treatment during their stay in the ED. Pain decreased in 37% of the patients, did not change at all in 46%, or had increased in 17% of the patients at discharge from the ED. The most effective pain treatment given was a combination of injury treatment and supplementary pharmacological interventions, however this treatment was given to a small group of patients. CONCLUSIONS: Acute pain in trauma patients is a significant problem in the ED's. Pain itself does not seem to be treated systematically and sufficiently, anywhere in the cycle of injury treatment in the ED.
BACKGROUND: Acute pain in the A&E department (ED) has been described as a problem, however insight into the problem for traumapatients is lacking. OBJECTIVE: This study describes the prevalence of pain, the pain intensity and the effect of conventional pain treatment in traumapatients in the ED. METHODS: In a prospective cohort study of 450 traumapatients, pain was measured on admission and at discharge, using standardized and validated pain instruments. RESULTS: The prevalence of pain was high, both on admission (91%) and at discharge (86%). Two thirds of the traumapatients reported moderate or severe pain at discharge. Few patients received pharmacological or non-pharmacological pain relieving treatment during their stay in the ED. Pain decreased in 37% of the patients, did not change at all in 46%, or had increased in 17% of the patients at discharge from the ED. The most effective pain treatment given was a combination of injury treatment and supplementary pharmacological interventions, however this treatment was given to a small group of patients. CONCLUSIONS: Acute pain in traumapatients is a significant problem in the ED's. Pain itself does not seem to be treated systematically and sufficiently, anywhere in the cycle of injury treatment in the ED.
Authors: Mari A Griffioen; Meg Johantgen; Kathryn Von Rueden; Joel D Greenspan; Susan G Dorsey; Cynthia L Renn Journal: Pain Manag Nurs Date: 2015-11-03 Impact factor: 1.929
Authors: Geesje Van Woerden; Crispijn L Van Den Brand; Cornelis F Den Hartog; Floris J Idenburg; Diana C Grootendorst; M Christien Van Der Linden Journal: Int J Emerg Med Date: 2016-02-10
Authors: Ali Cyrus; Mehrdad Moghimi; Abolfazle Jokar; Mohammad Rafeie; Ali Moradi; Parisa Ghasemi; Hanieh Shahamat; Ali Kabir Journal: Korean J Pain Date: 2014-03-28