Pain management consultation for acute pancreatitis: impact on length of stay and opioid utilization.

Autor: Ushe T; Pain Management, Carilion Clinic (at time of study data collection), Roanoke, VA 24014, USA., Lakhan SE; Pain Management, Carilion Clinic (at time of study data collection), Roanoke, VA 24014, USA.; Biosciences, Global Neuroscience Initiative Foundation, Boston, MA 02127, USA., Locklear T; Health Analytics Research Team, Carilion Clinic, Roanoke, VA 24014, USA., Muthukattil R; Health Analytics Research Team, Carilion Clinic, Roanoke, VA 24014, USA., Whitehead P; Palliative Medicine, Carilion Clinic & Virginia Tech Carilion School of Medicine, Roanoke, VA 24014, USA., Benson A; Research & Development, Carilion Clinic, Roanoke, VA 24014, USA., Ladak AA; Medical College, Aga Khan University, Hospital, Karachi, Sindh, 74800, Pakistan., Carter KF; Nursing Research, EBP, & Excellence, Carilion Clinic, Roanoke, VA 24014, USA.
Jazyk: angličtina
Zdroj: Pain management [Pain Manag] 2022 Mar; Vol. 12 (2), pp. 159-166. Date of Electronic Publication: 2021 Aug 23.
DOI: 10.2217/pmt-2021-0012
Abstrakt: Aim: The purpose of the study was to understand the impact of a pain management consult for acute pancreatitis patients on their inpatient length of stay, morphine milligram equivalences (MMEs) and pancreatitis severity. Materials & methods: Adult patient data were extracted from the electronic health records from 1 October 2016 to 31 December 2018. Results & conclusion: Of 277 patients with a single acute pancreatitis hospitalization, 23 had a pain consultation (treatment group), whereas 254 did not (control group). There were statistically significant differences in median length of stay, median MME total and median MME per day between the treatment and control groups with comparable severity and pain scores (6.8 vs 3.1 days, 196.5 vs 33.8 MMEs, 30.9 vs 12.1 MMEs, respectively, p < 0.0001). This study emphasizes the complexity of pain management and the importance of further research in the field.
Databáze: MEDLINE