Rehmani Rifat S
Department of Emergency Medicine, King Abdul-Aziz Hospital, PO Box 2477, Al-Hasa 31982, Kingdom of Saudi Arabia.
Saudi Med J. 2010 May;31(5):539-44.
To describe analgesic practices among adults presenting to the emergency department (ED), and to determine factors affecting the timeliness and adequacy of analgesia.
A retrospective cohort study with descriptive and comparable data analysis was conducted on 2,199 patient visits. This included a structured medical records review for all adult patients (over 14 years old) from August 1, 2006 to October 31, 2006 that presented to the Emergency Department (ED) of King Abdul-Aziz Hospital, Al-Ahsa, Kingdom of Saudi Arabia. Patients with acute pain episode associated with sickle cell disease, headache, backache, renal colic, and trauma (specific isolated injuries) were included. Patients quantified their pain on arrival by using 2 scales.
There were 2199 patient visits during the study period that included 1190 males (54.1%). The mean age was 24.4 10.6 years. One quarter of all the patients did not receive any analgesia in the ED. The median time to administration of initial analgesic was 54 minutes. Approximately one fourth of all patients were sent home with no analgesics. Data identified female patients and low triage level as the predictors for longer time to initial analgesia.
Our data illustrate that adults with painful conditions in our ED often receive inadequate or no analgesic treatment.
描述前往急诊科（ED）的成年人的镇痛情况，并确定影响镇痛及时性和充分性的因素。
对2199例患者就诊情况进行回顾性队列研究，并进行描述性和对比数据分析。这包括对2006年8月1日至2006年10月31日期间前往沙特阿拉伯王国艾哈萨市阿卜杜勒 - 阿齐兹国王医院急诊科的所有成年患者（14岁以上）的结构化病历审查。纳入患有与镰状细胞病、头痛、背痛,肾绞痛和创伤（特定孤立损伤）相关的急性疼痛发作的患者。患者在抵达时使用两种量表对疼痛进行量化。
在研究期间有2199例患者就诊，其中包括1190名男性（54.1%）。平均年龄为24.4±10.6岁。所有患者中有四分之一在急诊科未接受任何镇痛治疗。首次给予镇痛剂的中位时间为54分钟。约四分之一的患者未使用镇痛剂就被送回家。数据表明女性患者和低分诊级别是首次镇痛时间较长的预测因素。
我们的数据表明，在我们急诊科患有疼痛性疾病的成年人通常接受的镇痛治疗不足或未接受任何镇痛治疗。
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