Acute pain management in the trauma patient population: are we doing enough? A prospective observational study
Purpose There is a strong correlation between trauma and pain. Pain increases the rate of depression, posttraumatic stress disorder, and even mortality in trauma patients. Methods This institution-based, provider-blinded and patient-blinded, observational study was conducted among trauma patients tr...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2022-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0068.pdf |
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| author | Segni Kejela Nebyou Seyoum |
| author_facet | Segni Kejela Nebyou Seyoum |
| author_sort | Segni Kejela |
| collection | DOAJ |
| description | Purpose There is a strong correlation between trauma and pain. Pain increases the rate of depression, posttraumatic stress disorder, and even mortality in trauma patients. Methods This institution-based, provider-blinded and patient-blinded, observational study was conducted among trauma patients treated at kur Anbessa Specialized Hospital. Over the course of 3 months, this study included patients who had no prior pain management at other hospitals before presentation, and who presented within 24 hours of the traumatic event. Results Of the 74 patients evaluated, none of the patients had their pain level scored. The researcher-provided pain scale showed a severe subjective pain score for 79.7% of the patients and a severe functional activity score for 59.5% of the patients. Analgesia was provided at an average of 55.4 minutes after presentation and all patients received either diclofenac or tramadol. Satisfactory pain reduction after analgesia was 28.8% for patients initially complaining of severe pain, 54.6% for moderate pain, and 66.7% for mild pain, with the difference being statistically significant (P<0.05). Forty percent of patients discharged home received no analgesia after the first dose provided upon presentation. Conclusions Pain scoring was nonexistent during the course of the study. The poor utilization rate of analgesia combination and opioids led to unsatisfactory pain outcomes in patients evaluated and followed for 24 hours after presentation. |
| format | Article |
| id | doaj-art-4f73a5656cd445b18d01bd3f9dad40b0 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-4f73a5656cd445b18d01bd3f9dad40b02025-01-16T04:54:41ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-09-0135315115810.20408/jti.2021.00681189Acute pain management in the trauma patient population: are we doing enough? A prospective observational studySegni Kejela0Nebyou Seyoum1 Department of Surgery, Tikur Anbessa Specialized Hospital, Addis Ababa University, College of Health Sciences, Addis Ababa, Ethiopia Department of Surgery, Tikur Anbessa Specialized Hospital, Addis Ababa University, College of Health Sciences, Addis Ababa, EthiopiaPurpose There is a strong correlation between trauma and pain. Pain increases the rate of depression, posttraumatic stress disorder, and even mortality in trauma patients. Methods This institution-based, provider-blinded and patient-blinded, observational study was conducted among trauma patients treated at kur Anbessa Specialized Hospital. Over the course of 3 months, this study included patients who had no prior pain management at other hospitals before presentation, and who presented within 24 hours of the traumatic event. Results Of the 74 patients evaluated, none of the patients had their pain level scored. The researcher-provided pain scale showed a severe subjective pain score for 79.7% of the patients and a severe functional activity score for 59.5% of the patients. Analgesia was provided at an average of 55.4 minutes after presentation and all patients received either diclofenac or tramadol. Satisfactory pain reduction after analgesia was 28.8% for patients initially complaining of severe pain, 54.6% for moderate pain, and 66.7% for mild pain, with the difference being statistically significant (P<0.05). Forty percent of patients discharged home received no analgesia after the first dose provided upon presentation. Conclusions Pain scoring was nonexistent during the course of the study. The poor utilization rate of analgesia combination and opioids led to unsatisfactory pain outcomes in patients evaluated and followed for 24 hours after presentation.http://jtraumainj.org/upload/pdf/jti-2021-0068.pdfpain managementanalgesicsinjuries |
| spellingShingle | Segni Kejela Nebyou Seyoum Acute pain management in the trauma patient population: are we doing enough? A prospective observational study Journal of Trauma and Injury pain management analgesics injuries |
| title | Acute pain management in the trauma patient population: are we doing enough? A prospective observational study |
| title_full | Acute pain management in the trauma patient population: are we doing enough? A prospective observational study |
| title_fullStr | Acute pain management in the trauma patient population: are we doing enough? A prospective observational study |
| title_full_unstemmed | Acute pain management in the trauma patient population: are we doing enough? A prospective observational study |
| title_short | Acute pain management in the trauma patient population: are we doing enough? A prospective observational study |
| title_sort | acute pain management in the trauma patient population are we doing enough a prospective observational study |
| topic | pain management analgesics injuries |
| url | http://jtraumainj.org/upload/pdf/jti-2021-0068.pdf |
| work_keys_str_mv | AT segnikejela acutepainmanagementinthetraumapatientpopulationarewedoingenoughaprospectiveobservationalstudy AT nebyouseyoum acutepainmanagementinthetraumapatientpopulationarewedoingenoughaprospectiveobservationalstudy |