School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, Victoria 3004, Australia.
Victorian Adult Burns Service, Alfred Hospital, 55 Commercial Road, Melbourne, Victoria 3004, Australia.
Australas Emerg Care. 2021 Mar;24(1):73-79. doi: 10.1016/j.auec.2020.07.007. Epub 2020 Aug 15.
Pain is common following burn injury. Pain assessments are required to ensure appropriate pain management is provided. This study aimed to describe the prevalence and potential variation in practice of validated and documented pain assessment following burn injury in Australian and New Zealand burn units, identify clinical characteristics of patients who receive a pain assessment, and explore the associations between receiving a pain assessment and in-hospital outcomes.
Burns Registry of Australia and New Zealand (BRANZ) admissions data were extracted. Responses to the pain assessment field were presented by contributing burns unit using frequencies and percentages. Demographic, injury severity and event, and in-hospital outcomes data were assessed.
There were 3009 admissions over the study period; 2481 of these received an assessment. The rate of pain assessment varied considerably between units. Women and adult patients more commonly received a pain assessment. Receiving a pain assessment was associated with a 53% adjusted increase in LOS.
There are differences in the profile of patients who receive a pain assessment after burn injury. The findings of this study will be reported back to designated burns units to improve pain assessment rates and patient care.
烧伤后常伴有疼痛。需要进行疼痛评估以确保提供适当的疼痛管理。本研究旨在描述澳大利亚和新西兰烧伤单位烧伤患者疼痛评估的流行率和实践中的潜在差异，确定接受疼痛评估患者的临床特征，并探讨接受疼痛评估与住院结局之间的关系。
提取澳大利亚和新西兰烧伤登记处（BRANZ）的入院数据。使用频率和百分比呈现各参与烧伤单位对疼痛评估字段的响应。评估人口统计学、伤害严重程度和事件以及住院结局数据。
在研究期间有 3009 例入院，其中 2481 例接受了评估。各单位之间疼痛评估率差异很大。女性和成年患者更常接受疼痛评估。接受疼痛评估与 LOS 增加 53%有关。
烧伤后接受疼痛评估的患者特征存在差异。本研究的结果将反馈给指定的烧伤单位，以提高疼痛评估率和患者护理。
