until further notice
SourceInjury : International Journal of the Care of the Injured, 39, 5, (2008), pp. 578-85
Article / Letter to editor
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Centre for Quality of Care Research
Injury : International Journal of the Care of the Injured
SubjectDCN 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 surgery
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.
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