International Emergency Nursing Vol. 49 March 2020
Evaluation of the intensity and management of pain before arrival in hospital among patients with suspected hip fractures
Dublin Core
Title
International Emergency Nursing Vol. 49 March 2020
Evaluation of the intensity and management of pain before arrival in hospital among patients with suspected hip fractures
Evaluation of the intensity and management of pain before arrival in hospital among patients with suspected hip fractures
Subject
Hip fracture, Pain, Pain management, Pain measurement, Emergency medical services, Analgesia
Description
Background: 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.
Methods: 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.
Results: 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.
Conclusions: 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.
in patients with suspected hip fractures in a prehospital setting.
Methods: 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.
Results: 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.
Conclusions: 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.
Creator
Pär Wennberg, Margareta Möller, Elisabeth Kenne Sarenmalm, Johan Herlitz
Publisher
Elsevier Ltd.
Date
March 2020
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 49 March 2020
Files
Citation
Pär Wennberg, Margareta Möller, Elisabeth Kenne Sarenmalm, Johan Herlitz, “International Emergency Nursing Vol. 49 March 2020
Evaluation of the intensity and management of pain before arrival in hospital among patients with suspected hip fractures,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1543.
Evaluation of the intensity and management of pain before arrival in hospital among patients with suspected hip fractures,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1543.