Research and Development Centre, Skaraborg Hospital, Skövde, Sweden; University Health Care Research Center, Region Örebro, and School of Health Sciences, Örebro University, Sweden.
University Health Care Research Center, Region Örebro, and School of Health Sciences, Örebro University, Sweden.
Int Emerg Nurs. 2020 Mar;49:100825. doi: 10.1016/j.ienj.2019.100825. Epub 2020 Feb 3.
Pain management needs to be comprehensively investigated in patients with hip fractures, as it represents a fast-growing challenge to emergency care. The purpose of this study was to describe reported pain in patients with suspected hip fractures in a prehospital setting.
In this observational study, 1,426 patients with a suspected hip fracture were included. Dynamic and static pain were assessed on the arrival of the emergency medical services (EMS) and on hospital admission using the Numerical Rating Scale (NRS), if feasible, and the Behaviour Rating Scale (BRS), if not.
On EMS arrival, the median dynamic NRS pain score was eight and 84% of the patients had severe or moderate dynamic pain according to the BRS. On admission to hospital, the median dynamic NRS pain score was reduced to five and 45% of the patients had reduced dynamic pain according to the BRS. Among all patients, the NRS was judged to be feasible and was therefore used in 36%. Furthermore, there was an association between the decrease in pain and the increase in the number of administered medications, as well as the duration of prehospital care.
Patients with suspected hip fractures suffered substantial pain on EMS arrival. Only half experienced a reduction in pain on hospital admission and only 75% received pain-relieving medication.
疼痛管理需要在髋部骨折患者中进行全面调查，因为这是对急救护理的一个快速增长的挑战。本研究的目的是描述在院前环境中疑似髋部骨折患者的报告疼痛情况。
在这项观察性研究中，共纳入了 1426 例疑似髋部骨折的患者。在紧急医疗服务（EMS）到达时和入院时使用数字评分量表（NRS）评估动态和静态疼痛，如果可行的话，还使用行为评分量表（BRS）进行评估。
在 EMS 到达时，根据 BRS，80%的患者有严重或中度动态疼痛，中位数动态 NRS 疼痛评分是 8。入院时，中位数动态 NRS 疼痛评分降至 5，根据 BRS，45%的患者疼痛减轻。在所有患者中，NRS 被认为是可行的，因此有 36%的患者使用了 NRS。此外，疼痛的减轻与给药药物数量的增加以及院前护理时间的延长有关。
疑似髋部骨折的患者在 EMS 到达时承受着严重的疼痛。只有一半的患者在入院时疼痛减轻，只有 75%的患者接受了止痛药物治疗。
