| Autor: |
Natasha Jiwa, Jeremy Read, Syed Aftab |
| Rok vydání: |
2014 |
| Předmět: |
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| Zdroj: |
International Journal of Surgery. 12:S64 |
| ISSN: |
1743-9191 |
| DOI: |
10.1016/j.ijsu.2014.08.054 |
| Popis: |
s / International Journal of Surgery 12 (2014) S13eS117 S64 McDermott et al identified that in cognitively impaired patients there was poorer recognition of pain and a longer time until administration of analgesia. This study aimed to identify whether these findings were consistent with the management of NOF fractures admitted to a District General Hospital. Methods: Data was collected retrospectively on NOF fracture patients between 26/10/2013 e 12/1/2014. An abbreviated mental test score (AMTS) of less than 7 was classed as cognitive impairment. Significance was ascertained with Chi2 and Mann-Whitney-U tests. Results: Significantly less cognitively impaired patients received analgesia in the ambulance compared to the cognitively intact (23% vs 86%, p1⁄40.001). Once in the emergency department, the cognitively impaired waited substantially longer on average to receive any analgesia (2:03hrs, p1⁄40.020). Conclusions: This study shows lower AMTS to be consistent with poorer pain management, both pre-hospital and in the emergency department. This suggests we rely more on patient vocalisation than the objective signs of pain in determining analgesia. These findings prompt the utility of objective pain scorings tools for cognitively impaired patients as an area for further research. 1058: DOCUMENTATION OF ORTHOPAEDIC TRAUMA MEETING DISCUSSIONS IN A DISTRICT GENERAL HOSPITAL Natasha Jiwa , Syed Aftab, Jeremy Read. Watford General Hospital |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect