Chronic Pain in the Emergency Department: A Pilot Mixed-Methods Cross-Sectional Study Examining Patient Characteristics and Reasons for Presentations
Joint Authors
Taljaard, Monica
Poulin, Patricia A.
Nelli, Jennifer
Tremblay, Steven
Small, Rebecca
Caluyong, Myka B.
Freeman, Jeffrey
Romanow, Heather
Stokes, Yehudis
Carpino, Tia
Carson, Amanda
Shergill, Yaadwinder
Stiell, Ian G.
Nathan, Howard
Smyth, Catherine E.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-18
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Chronic pain (CP) accounts for 10–16% of emergency department (ED) visits, contributing to ED overcrowding and leading to adverse events.
Objectives.
To describe patients with CP attending the ED and identify factors contributing to their visit.
Methods.
We used a mixed-method design combining interviews and questionnaires addressing pain, psychological distress, signs of opioid misuse, and disability.
Participants were adults who attended the EDs of a large academic tertiary care center for their CP problem.
Results.
Fifty-eight patients (66% women; mean age 46.5, SD = 16.9) completed the study.
The most frequently cited reason (60%) for ED visits was inability to cope with pain.
Mental health problems were common, including depression (61%) and anxiety (45%).
Participants had questions about the etiology of their pain, concerns about severe pain-related impairment, and problems with medication renewals or efficacy and sometimes felt invalidated in the ED.
Although most participants had a primary care physician, the ED was seen as the only or best option when pain became unmanageable.
Conclusions.
Patients with CP visiting the ED often present with complex difficulties that cannot be addressed in the ED.
Better access to interdisciplinary pain treatment is needed to reduce the burden of CP on the ED.
American Psychological Association (APA)
Poulin, Patricia A.& Nelli, Jennifer& Tremblay, Steven& Small, Rebecca& Caluyong, Myka B.& Freeman, Jeffrey…[et al.]. 2016. Chronic Pain in the Emergency Department: A Pilot Mixed-Methods Cross-Sectional Study Examining Patient Characteristics and Reasons for Presentations. Pain Research and Management،Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1115409
Modern Language Association (MLA)
Poulin, Patricia A.…[et al.]. Chronic Pain in the Emergency Department: A Pilot Mixed-Methods Cross-Sectional Study Examining Patient Characteristics and Reasons for Presentations. Pain Research and Management No. 2016 (2016), pp.1-10.
https://search.emarefa.net/detail/BIM-1115409
American Medical Association (AMA)
Poulin, Patricia A.& Nelli, Jennifer& Tremblay, Steven& Small, Rebecca& Caluyong, Myka B.& Freeman, Jeffrey…[et al.]. Chronic Pain in the Emergency Department: A Pilot Mixed-Methods Cross-Sectional Study Examining Patient Characteristics and Reasons for Presentations. Pain Research and Management. 2016. Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1115409
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1115409