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Publication year
2008Source
Injury : International Journal of the Care of the Injured, 39, 5, (2008), pp. 578-85ISSN
Publication type
Article / Letter to editor
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Organization
IQ Healthcare
Anesthesiology
Surgery
Geriatrics
Former Organization
Centre for Quality of Care Research
Journal title
Injury : International Journal of the Care of the Injured
Volume
vol. 39
Issue
iss. 5
Page start
p. 578
Page end
p. 85
Subject
DCN 1: Perception and Action; EBP 4: Quality of Care; N4i 1: Pathogenesis and modulation of inflammation; NCEBP 6:Quality of nursing and allied health care; NCEBP 7: Effective primary care and public health; NCEBP 9: Mental health; ONCOL 4: Quality of Care; UMCN 3.3: Neurosensory disorders; UMCN 4.3: Tissue engineering and reconstructive surgeryAbstract
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.
This item appears in the following Collection(s)
- Academic publications [238441]
- Electronic publications [122508]
- Faculty of Medical Sciences [90373]
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