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Patient Controlled Analgesia for Adults with Sickle Cell Disease Awaiting Admission from the Emergency Department
المؤلفون المشاركون
Santos, Josue
Jones, Sasia
Wakefield, Daniel
Grady, James
Andemariam, Biree
المصدر
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-03-29
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
A treatment algorithm for sickle cell disease (SCD) pain in adults presenting to a single emergency department (ED) was developed prioritizing initiation of patient controlled analgesia (PCA) for patients awaiting hospitalization.
Objectives.
Evaluate the proportion of ED visits in which PCA was started in the ED.
Methods.
A two-year retrospective chart review of consecutive SCD pain ED visits was undertaken.
Data abstracted included PCA initiation, low versus high utilizer status, pain scores, bolus opioid number, treatment times, and length of hospitalization.
Results.
258 visits resulted in hospitalization.
PCA was initiated in 230 (89 % ) visits of which 157 (68 % ) were initiated in the ED.
Time to PCA initiation was longer when PCA was begun after hospitalization versus in the ED (8.6 versus 4.5 hours, p < 0.001 ).
ED PCA initiation was associated with fewer opioid boluses following decision to admit and less time without analgesic treatment (all p < 0.05 ).
Mean pain intensity (MPI) reduction did not differ between groups.
Among visits where PCA was begun in the ED, low utilizers demonstrated greater MPI reduction than high utilizers (2.8 versus 2.0, p = 0.04 ).
Conclusions.
ED PCA initiation for SCD-related pain is possible and associated with more timely analgesic delivery.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Santos, Josue& Jones, Sasia& Wakefield, Daniel& Grady, James& Andemariam, Biree. 2016. Patient Controlled Analgesia for Adults with Sickle Cell Disease Awaiting Admission from the Emergency Department. Pain Research and Management،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1115416
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Santos, Josue…[et al.]. Patient Controlled Analgesia for Adults with Sickle Cell Disease Awaiting Admission from the Emergency Department. Pain Research and Management No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1115416
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Santos, Josue& Jones, Sasia& Wakefield, Daniel& Grady, James& Andemariam, Biree. Patient Controlled Analgesia for Adults with Sickle Cell Disease Awaiting Admission from the Emergency Department. Pain Research and Management. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1115416
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1115416
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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