Methods in the Development of a Multidimensional Measure for Recurrent Abdominal Pain in Children (MMRAP): A Population-Based study

2004 ◽  
Vol 59 (5) ◽  
pp. P142
Author(s):  
Hoda M. Malaty ◽  
Suhaib A. Abudayyeh ◽  
Kimberly J. O'Malley ◽  
Mark A. Gilger ◽  
David Y. Graham ◽  
...  
2014 ◽  
Vol 26 (10) ◽  
pp. 1417-1425 ◽  
Author(s):  
M. Henström ◽  
M. Zucchelli ◽  
C. Söderhäll ◽  
A. Bergström ◽  
J. Kere ◽  
...  

2021 ◽  
pp. emermed-2020-210215
Author(s):  
Torey Lau ◽  
Jake Hayward ◽  
Shabnam Vatanpour ◽  
Grant Innes

BackgroundSex differences in pain experience and expression may influence ED pain management. Our objective was to evaluate the effect of sex on ED opioid administration.MethodsWe conducted a multicentre population-based observational cohort study using administrative data from Calgary’s four EDs between 2017 and 2018. Eligible patients had a presenting complaint belonging to one of nine pain categories or an arrival pain score >3. We performed multivariable analyses to identify predictors of opioid administration and stratified analyses by age, pain severity and pain category.ResultsWe studied 119 510 patients (mean age 47.4 years; 55.4% female). Opioid administration rates were similar for men and women. After adjusting for age, hospital site, pain category, ED length of stay and pain severity, male sex was not a predictor of opioid treatment (adjusted OR (aOR)=0.93; 95% CI 0.85 to 1.02). However, men were more likely to receive opioids in the categories of trauma (aOR=1.58, 95% CI 1.40 to 1.78), flank pain (aOR=1.24, 95% CI 1.11 to 1.38), headache (aOR=1.18, 95% CI 1.03 to 1.34) and abdominal pain (aOR=1.11, 95% CI 1.08 to 1.18). Pain category appears to be a strong determinant of opioid administration, especially back pain (aOR=6.56, 95% CI 5.99 to 7.19) and flank pain (aOR=6.04, 95% CI 5.48 to 6.65). There was significant variability in opioid provision by ED site (aOR 0.76 to 1.24).ConclusionsThis population-based study demonstrated high variability in opioid use across different settings. Overall, men and women had similar likelihood of receiving opioids; however men with trauma, flank pain, headache and abdominal pain were much more likely to receive opioids. ED physicians should self-examine their analgesic practices with respect to possible sex biases, and departments should introduce evidence-based, indication-specific analgesic protocols to reduce practice variability and optimise opioid analgesia.


2002 ◽  
Vol 31 (6) ◽  
pp. 1219-1225 ◽  
Author(s):  
Smita LS Halder ◽  
John McBeth ◽  
Alan J Silman ◽  
David G Thompson ◽  
Gary J Macfarlane

2013 ◽  
Vol 39 (2) ◽  
pp. 217-225 ◽  
Author(s):  
R. S. Choung ◽  
G. R. Locke ◽  
C. D. Schleck ◽  
A. R. Zinsmeister ◽  
N. J. Talley

2018 ◽  
Vol 27 (4) ◽  
pp. 379-383
Author(s):  
Ewa Stachowska ◽  
Dominika Maciejewska ◽  
Karina Ryterska ◽  
Piotr Baszuk ◽  
Karolina Skonieczna Żydecka ◽  
...  

Background & Aims: Functional gastrointestinal disorders are prevalent worldwide and alterations of gutbrain axis and intestinal barrier integrity may play a pivotal role in both the pathophysiology and clinical course of these bowel malfunctions. We aimed to assess the prevalence of abdominal pain in a selected adult population of Poland to determine potential environmental factors associated with gastrointestinal complaints.Methods: There were 1479 individuals – 657 women (44.42%) and 822 men (55.58%), aged 24.20±6.08 years. The responders fulfilled an authors’ questionnaire based on Rome II and III criteria focused on the abdominal pain prevalence and environmental factors involved in its occurrence.Results: The frequency of abdominal pain was found to be as high as 19.2%. Male gender (n=822) and basic education level (n=151) lowered the risk of abdominal pain occurrence (OR=0.7, p<0.012 and OR=0.5, p<0.021, respectively). Psychological distress, proton pump inhibitors (PPIs) and antibiotics usage were found as risk factors of abdominal pain (OR=2.503, p<0.01; OR=3.308, p<0.01; OR=3.105, p<0.01, respectively).Conclusions: Abdominal pain is prevalent in young adult inhabitants of Poland, especially in women. Intense psychological stress, as well as PPIs and antibiotics usage elevate the risk.


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