Department of Emergency Medicine, University Hospital, Basel, Switzerland.
Swiss Med Wkly. 2010 Jun 12;140(23-24):341-7. doi: 10.4414/smw.2010.12975.
Although pain is one of the most common presenting complaints in the Emergency Department (ED), pain management is often inadequate. Pain management protocols have been shown to be useful. The objective of this study was to assess the adherence to an already implemented pain management protocol in an urban ED.
Secondary analysis of a prospective single centre cohort study on patient preferences for analgesia in the ED. Patient charts were reviewed with a focus on selection, timing and dosage of analgesics according to a visual analogue scale (VAS) on arrival and during the ED stay.
Three hundred and thirty-seven patient charts were reviewed. The adherence to the implemented pain management protocol was 42% at the time of initial evaluation and 43% during the course of therapy in all patients. Forty-two percent of the study population were discharged with at least moderate pain. However, 43% of the patients discharged with pain did not request analgesics.
The benefits of pain management protocols are proven. However, adherence to these protocols needs to be monitored regularly in order to optimise pain management.
尽管疼痛是急诊科（ED）最常见的就诊主诉之一，但疼痛管理往往不足。疼痛管理方案已被证明是有用的。本研究的目的是评估在城市急诊科实施疼痛管理方案的依从性。
对 ED 中患者对镇痛药物偏好的前瞻性单中心队列研究进行二次分析。重点根据到达时和 ED 期间的视觉模拟量表（VAS）评估患者的图表，评估镇痛药物的选择、时机和剂量。
共审查了 337 份患者图表。在初始评估时，所有患者对既定疼痛管理方案的依从率为 42%，在治疗过程中为 43%。研究人群中有 42%的人出院时仍有中度以上疼痛。然而，43%的出院时有疼痛的患者没有要求使用止痛药。
疼痛管理方案的益处已得到证实。然而，为了优化疼痛管理，需要定期监测这些方案的依从性。
