A Multicenter Evaluation of the Impact of Sex on Abdominal and Fracture Pain Care
| Autor: | Laura Rivera-Reyes, Ammar Siddiqui, Amanda Eisenberg, Laura Belland, Kennon Heard, Ula Hwang, Daniel A. Handel, Kabir Yadav |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Research design
Male medicine.medical_specialty Abdominal pain Analgesic Clinical Trials and Supportive Activities Psychological intervention Health Services Accessibility Article Cohort Studies Hospital Fractures Bone 7.1 Individual care needs Clinical Research Internal medicine Medicine sex Humans Pain Management Sex Distribution Bone Emergency Treatment Quality of Health Care Retrospective Studies Emergency Service Analgesics business.industry Pain Research Public Health Environmental and Occupational Health Neurosciences Retrospective cohort study health policy Emergency department Triage Abdominal Pain Applied Economics Physical therapy Public Health and Health Services Health Policy & Services pain care Female Management of diseases and conditions medicine.symptom Chronic Pain business Emergency Service Hospital Fractures Cohort study |
| Zdroj: | Medical care, vol 53, iss 11 |
| ISSN: | 1537-1948 |
| Popis: | BACKGROUND Previous studies examining sex-based disparities in emergency department (ED) pain care have been limited to a single pain condition, a single study site, and lack rigorous control for confounders. OBJECTIVE A multicenter evaluation of the effect of sex on abdominal pain (AP) and fracture pain (FP) care outcomes. RESEARCH DESIGN A retrospective cohort review of ED visits at 5 US hospitals in January, April, July, and October 2009. SUBJECTS A total of 6931 patients with a final ED diagnosis of FP (n=1682) or AP (n=5249) were included. MEASURES The primary predictor was sex. The primary outcome was time to analgesic administration. Secondary outcomes included time to medication order, and the likelihood of receiving an analgesic and change in pain scores 360 minutes after triage: Multivariable models, clustered by study site, were conducted to adjust for race, age, comorbidities, initial pain score, ED crowding, and triage acuity. RESULTS On adjusted analyses, compared with men, women with AP waited longer for analgesic administration [AP women: 112 (65-187) minutes, men: 96 (52-167) minutes, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|