398: Arrival and Discharge Pain Intensity in the Emergency Department

OBJECTIVES: To determine the intensity of pain in the emergency department (ED), the use of analgesics in relation to pain intensity, which patients are at risk for unresolved pain at one week post-discharge, and the postdischarge treatment of pain.METHODS: Patients (n=871) admitted to two urban, university-affiliated EDs who were experiencing any pain were recruited on different shifts over the summer months of 1997. Pain intensity was self-reported, and chart reviews of the assessment, immediate treatment and follow-up prescriptions were conducted. Patients (n=699) were contacted one week later, and reports of pain intensity, activity, resuming normal functions and patient attitudes toward pain were documented. Descriptive and regression analyses were performed on the results of patients with complete data (n=585).RESULTS: Mean pain intensity on admission was 6.0 (SD=2.5) on a zero to 10 visual analogue scale, and 5.0 (SD=2.9) at discharge (n=871). One-quarter (23%) of patients were given analgesics while in the ED; their mean pain intensity was 7.0 (95% CI 6.7 to 7.3) versus 5.7 (95% CI 5.5 to 5.9) for those who were not given analgesics (P<0.001). At one week, the mean intensity for worst pain in the past 24 h was 5.2 (SD=2.9) and the usual pain intensity was 3.7 (SD=2.6). Using a cutoff point of pain greater than three on the zero to 10 visual analogue scale as residual pain at one week, 35% (n=207) remained in pain, with musculoskeletal pain accounting for half (n=102) of those cases. Logistic regression showed that the following patients were most likely to have pain at one week: women; those with pain present longer than 48 h before ED visit; those with a high discharge pain rating; those who were taking analgesics; and those who had pain of musculoskeletal origin. Both the attitudes and beliefs about pain and the treatment of pain while in the ED or on discharge were unrelated to the presence of residual pain at one week. An examination of the same factors in relation to the return to normal activities found that they were similar, with the exception that admission and not discharge pain intensity was predictive of not returning to normal activities.CONCLUSIONS: More than one-third of patients presenting to the ED with pain do not experience resolution of their pain. Women presenting with severe musculoskeletal pain of more than a week in duration are less likely to have resolution of their pain and to return to normal activities within a week of the ED visit.

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Emergency Department Pain Intensity Rating Scale

PsycTESTS Dataset ◽

10.1037/t16834-000 ◽

2007 ◽

Author(s):

Knox H. Todd ◽

◽

James Ducharme ◽

Manon Choiniere ◽

Cameron S. Crandall ◽

...

Keyword(s):

Emergency Department ◽

Pain Intensity ◽

Rating Scale ◽

Intensity Rating

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Evaluation of the effects of pain scale and analgesic administration on radiological imaging methods and hospitalization in trauma patients admitted to the emergency service

10.22514/sv.2021.037 ◽

2021 ◽

Keyword(s):

Emergency Department ◽

Pain Intensity ◽

Pain Scale ◽

Trauma Patients ◽

Radiological Imaging ◽

Age And Gender ◽

Imaging Methods ◽

Trauma Types ◽

And Gender ◽

Analgesic Administration

Background: Trauma, one of the major concerns in today’s world, exposes societies to important economic, social and health-related problems. Trauma is known to account for 10% of the world’s deaths. Objective: The aim of the study is to evaluate the demographic characteristics of trauma, which is common in emergency services and causes significant loss of workload and function when appropriate diagnosis and treatment methods are not applied, with radiological imaging methods, pain scale and analgesics. Materials and Methods: This prospective study included 1267 patients over the age of 18, who were admitted to the emergency department due to trauma between 1 January and 31 December 2019. The mean age of patients was 47.01 ± 14.97 year, with a male/female ratio of 1.46. 59.3% of the patients were male and 40.7% were female. Patients’ trauma types, radiology results, mortality, numerical pain scale and analgesic administration were evaluated. Results: Numerical pain scale score of trauma patients in the emergency department was 6.23 ± 2.02. Analysis of radiological imaging methods showed significance with age, numerical pain scale, thoracic and lumbar vertebrae, thoracic and abdominal injuries, types of trauma, consultation, hospitalization, analgesics administration and pain severity. Trauma types were insignificant with age and gender, but a significant relationship was found with all other parameters. Pain intensity was not correlated with gender and tetanus application but was significant with other variables. There was significance in radiological imaging methods and diagnostic types between injury types. Types of diagnosis were found to be correlated with imaging methods, orthopedic consultation, numerical pain scale and injury types. There was a significant correlation with the types of diagnosis, analgesia administration, consultation, and pain classification according to the pain rating scale. There was no correlation between age and gender according to pain intensity. However, there was a strong positive correlation with pain scale scores, consultation, hospitalization, types of trauma, administration of analgesia, and a weak correlation with radiological imaging methods. Conclusion: Early pain scale with radiological imaging and analgesic administration in trauma patients can reduce morbidity rates and shorten hospital stay.

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The effect of intravenous morphine compare to lidocaine on renal colic patients in emergency department

Chinese Journal of Medical Research ◽

10.37515/cjmr.091x.3104 ◽

2020 ◽

Vol 3 (1) ◽

pp. 11-13

Author(s):

Alireza Esmaili ◽

◽

Laleh Borjian ◽

Mohammadali Jafari ◽

Sedighe Vaziribozorg ◽

...

Keyword(s):

Emergency Department ◽

Pain Intensity ◽

Renal Colic ◽

The Other ◽

Intensity Scale ◽

Morphine Group ◽

Lidocaine Group ◽

Pain Scores ◽

Intravenous Morphine ◽

Reduction Of Pain

Introduction: The aim of this study was to compare the effect of intravenous morphine versus lidocaine on renal colic in patients admitted to the emergency department. Methods and Materials: In this clinical trial study, 80 patients with renal colic admitted to the emergency department were included. Patients were divided into two groups randomly, namely Lidocaine and morphine groups. Each patient’s pain score was recorded 5, 10, 15 and 30 minutes after the injection using Numeric Pain Intensity Scale (NPIS). Results: There were significant decreases in mean of pain scores in both groups (p <0.001). Pain reduction was significantly higher in Lidocaine-received group at 30th minutes after injection (p <0.001). Having compared groups in terms of complications, it was found that only dizziness in patients who received Lidocaine was significantly higher than that of the other group (p = 0.016). Conclusion: Considering the significant reduction in pain intensity of all patients, the effect of both medications on the reduction of pain in renal colic is confirmed. Given that pain relief in Lidocaine group was significantly more than that in morphine group after 10 minutes of injection, it can be concluded that Lidocaine is more effective than morphine in controlling renal colic.

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