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• W1978332806 abstract "Study objectives: Patients with abdominal pain experience significant pain on emergency department (ED) presentation. This study analyzes the factors that predict ED pain management. Methods: Patient selection was based on the ED logbook diagnoses of cholecystitis, small bowel obstruction, large bowel obstruction, or unspecified bowel obstruction. Medical records of patients treated in the ED from January 2, 1999, through December 18, 2002, in 5 urban EDs were retrospectively reviewed. Patients younger than 18 years were excluded. When a numeric pain scale was used, 8 to 10 was considered severe, 4 to 7 moderate, and 1 to 3 mild pain severity. Results: Of the 330 patients with abdominal pain who presented to the ED, 60% were women, the mean age was 60±21 years, and 93% were admitted. Patients reported severe (41%), moderate (19%), and mild (5%) maximal pain severities while in the ED. A pain medication was given to 47% of patients; 39% received a narcotic, 6% received a nonsteroidal anti-inflammatory drug (NSAID), 2% received a narcotic and an NSAID, and 33% received an antiemetic. A parenteral medication was given to 62% of patients while in the ED. Patients were most commonly administered morphine (19%), meperidine (18%), promethazine (13%), and prochlorperazine (12%). Patients experiencing moderate or severe pain were 2.1 times more likely to receive a pain medication (60% versus 28%, adjusted odds ratio [OR] 3.9, <i>P</i>=.01) and were 2.6 times more likely to receive a narcotic (51% versus 20%, adjusted OR=3.9, <i>P</i>=.01). Patients with cholecystitis were 2.6 times more likely to receive a pain medication (51% versus 20%, adjusted OR=3.9, <i>P</i>=.01), and there was a trend for patients with cholecystitis to receive a narcotic (48% versus 32%, adjusted OR=1.7, <i>P</i>=.06). Conclusion: Patients presenting to the ED with abdominal pain are most often in moderate or severe pain and receive a parenteral narcotic. Pain medication and narcotic administration were positively correlated with pain severity. Patients with bowel obstruction are at risk for inadequate analgesia." @default.
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• W1978332806 date "2004-10-01" @default.
• W1978332806 modified "2023-09-25" @default.
• W1978332806 title "Abdominal pain patient management in the emergency department" @default.
• W1978332806 doi "https://doi.org/10.1016/j.annemergmed.2004.07.190" @default.
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