Pain outside of the hospital: What is the situation in pre-hospital care, and how could it be improved?

Pain outside of the hospital: What is the situation in pre-hospital care, and how could it be... Acute pain research seems to frequently concentrate on postoperative pain studies. Much too often the focus in research is on the immediate postoperative period, when the patient stays conveniently in the post-anaesthesia care unit (PACU), and pain measurements are relatively easy to perform. But there is a lot of acute pain in other parts of the hospital, and outside of it, too. Indeed, pain is one of the most common reasons for patients to seek acute medical care [1]. In a prospective study of 2279 consecutive patients treated by the mobile intensive care units of the emergency services of a Paris suburb in France [2], 42% of patients had pain, which was intense to severe in 27% of the whole population. Factors associated with acute pain were trauma and age under 75 years. Pain management was inadequate, as only one in two patients experienced pain relief [2].1Pain treatment in pre-hospital care is not optimalAdequate treatment of acute pain outside the hospital is as important as treatment of pain in the hospital. It has even been found in a retrospective review of 2741 patients in North-Carolina that good pre-hospital pain management was associated with increased perception of overall quality of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Scandinavian Journal of Pain de Gruyter

Pain outside of the hospital: What is the situation in pre-hospital care, and how could it be improved?

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Publisher
De Gruyter
Copyright
© 2015 Scandinavian Association for the Study of Pain
ISSN
1877-8860
eISSN
1877-8879
D.O.I.
10.1016/j.sjpain.2015.05.001
Publisher site
See Article on Publisher Site

Abstract

Acute pain research seems to frequently concentrate on postoperative pain studies. Much too often the focus in research is on the immediate postoperative period, when the patient stays conveniently in the post-anaesthesia care unit (PACU), and pain measurements are relatively easy to perform. But there is a lot of acute pain in other parts of the hospital, and outside of it, too. Indeed, pain is one of the most common reasons for patients to seek acute medical care [1]. In a prospective study of 2279 consecutive patients treated by the mobile intensive care units of the emergency services of a Paris suburb in France [2], 42% of patients had pain, which was intense to severe in 27% of the whole population. Factors associated with acute pain were trauma and age under 75 years. Pain management was inadequate, as only one in two patients experienced pain relief [2].1Pain treatment in pre-hospital care is not optimalAdequate treatment of acute pain outside the hospital is as important as treatment of pain in the hospital. It has even been found in a retrospective review of 2741 patients in North-Carolina that good pre-hospital pain management was associated with increased perception of overall quality of

Journal

Scandinavian Journal of Painde Gruyter

Published: Dec 29, 2017

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