Discordance between patient‐reported and actual emergency department pain management
Autor: | David Taylor, James Majer, Nicole Grant, Safire Valentine |
---|---|
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Pain score business.industry 030208 emergency & critical care medicine Emergency department Pain management Chest pain Triage law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Informed consent law Emergency Medicine medicine Physical therapy 030212 general & internal medicine medicine.symptom Patient report business |
Zdroj: | Emergency Medicine Australasia. |
ISSN: | 1742-6723 1742-6731 |
Popis: | To determine patient knowledge of the nature of their pain management in the ED.This was a planned sub-study of data collected during a randomised, controlled trial of the nature of the informed consent process in a single ED. Patients aged ≥18 years, with a triage pain score of ≥4, were enrolled. Forty-eight hours post-ED discharge, patients were asked if they had declined analgesia or if a range of pain management options had been administered. The primary outcome was discordance between the patient report and the ED report (proportion of cases where these reports differed).Outcome data were collected on 655 patients. There was significant discordance for all variables examined (P 0.001). Discordance for patients declining analgesia was lowest at 8.9% (95% confidence interval [CI] 6.8-11.4). Discordance for administration of pain management 'other' than analgesia was highest at 32.6% (95% CI 29.0-36.4). Discordance for the administration of oral analgesia or 'any' analgesia was 17.1% (95% CI 14.3-20.3) and 14.4% (95% CI 11.8-17.3), respectively. For both of these outcomes, patients with chest pain and lower triage pain scores were more likely to report discordant responses. With the exception of 'other' pain management, smaller proportions of patients incorrectly reported not receiving management than incorrectly reporting that they did receive it.Patients are often unaware of the nature of their pain management. They are most often unaware of management other than analgesia. Patients with chest pain and lower triage pain scores had the least knowledge of their pain management. |
Databáze: | OpenAIRE |
Externí odkaz: |