Evidence map›Paper›PMID 26514633›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2015

Assessment of pain in a Norwegian Emergency Department.

Jostein Dale, Lars Petter Bjørnsen

Registry-linked trialAbstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03585374 (Efficacy and Safety of Methoxyflurane Vaporized), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03585374 phase3completednot on this mapstarted 2018, after this paper: background citation

Efficacy and Safety of Methoxyflurane Vaporized (PENTHROX®) in the Treatment of Acute Trauma Pain in Pre-hospital Setting and in the Emergency Department in Italy: a Multicentre, Randomized, Controlled, Open-label Study

TypeinterventionalSponsorMundipharma Pharmaceuticals srlRan2018 to 2019Enrolled272ConditionsAcute Traumatic PainArmsMethoxyflurane and Penthrox inhaler, Morphine, Paracetamol, Ketoprofen
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
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  4. Article
  5. Improving pain management for trauma patients at two Rwandan emergency departments.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024
    Article
  6. Review
  7. Review
  8. Article
  9. Article
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  11. Article
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  14. Attributes of analgesics for emergency pain relief: results of the Consensus on Management of Pain Caused by Trauma Delphi initiative.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2020
    Article
  15. Article
  16. Observational
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  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Jostein DaleEmergency Department, Clinic of Emergency Medicine and Prehospital Care, St. Olav's Hospital, Trondheim, Norway.
Lars Petter BjørnsenEmergency Department, Clinic of Emergency Medicine and Prehospital Care, St. Olav's Hospital, Trondheim, Norway. larspb@me.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough pain management is a fundamental aspect of care in emergency departments (EDs), inadequate treatment of pain is unfortunately common. There are multiple local protocols for pain assessment in the ED. This study evaluated whether the initial assessment and treatment of pain in the ED are in accordance with the in-hospital protocol of the ED at a Norwegian University Hospital. MATERIALS AND

methodsProspective data on pain assessment and initial treatment in the ED were collected from nursing and physician documentation. The patients' perceptions of subjective pain were recorded using a numerical rating scale (NRS) that ranged from 0 to 10.

resultsSeventy-seven percent of the 764 enrolled patients were evaluated for pain at arrival. Female patients had a higher probability of not being asked about pain, but there was no difference in the percentage of patients asked about pain with respect to age. Additionally, patients with low oxygen saturation and systolic blood pressure were less likely to be asked about pain. Of those with moderate and severe pain (58 %), only 14 % received pain relief. DISCUSSION: Assessment and treatment of pain in the ED are inadequate and not in line with the local protocols. A focus on strategies to improve pain treatment in the ED is a necessary aspect of developing optimal acute patient care in Norway in the future.

Indexed as

Pain ManagementPain MeasurementAgedEmergency Service, HospitalFemaleHumansMaleMiddle AgedNorwaySex Factors

Identifiers

PMID26514633
PMCPMC4625614

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.