ArticleInternational journal of emergency medicine2016
Increased analgesia administration in emergency medicine after implementation of revised guidelines.
Article in International journal of emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed.
- Review
- Variations in Prehospital Analgesic Use Based on Pain Etiology.Biomedicines · 2025Article
- Observational
- Pain control in trauma patients in emergency departments: current status and influencing factors.Frontiers in public health · 2025Article
- Factors Impacting the Adoption and Potential Reimbursement of a Virtual Reality Tool for Pain Management in Switzerland: Qualitative Case Study.JMIR human factors · 2024Article
- The Pain Management of Trauma Patients in the Emergency Department.Journal of clinical medicine · 2023Review
- Acute Pain Assessment Inadequacy in the Emergency Department: Patients' Perspective.Journal of patient experience · 2022Article
- Perioperative anaesthetic management of patients with or at risk of acute distress respiratory syndrome undergoing emergency surgery.BMC anesthesiology · 2019Review
- A multicenter randomized control trial evaluating professional practice assessment of patient pain management after simulation training course: Study protocol.Contemporary clinical trials communications · 2019Article
- Low-dose methoxyflurane analgesia in adolescent patients with moderate-to-severe trauma pain: a subgroup analysis of the STOP! study.Journal of pain research · 2019Article
- A Review of the Burden of Trauma Pain in Emergency Settings in Europe.Pain and therapy · 2018Review
- Acute Pain Management in the Year 2018-A Review.Journal of acute medicine · 2018Review
- Pain assessment in the Emergency Department. Correlation between pain rated by the patient and by the nurse. An observational study.Acta bio-medica : Atenei Parmensis · 2018Observational
- Evaluation of the effectiveness and efficiency of the triage emergency department nursing protocol for the management of pain.Journal of pain research · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe most common complaint of patients attending the emergency department (ED) is pain, caused by different diseases. Yet the treatment of pain at the ED is suboptimal, and oligoanalgesia remains common. The objective of this study is to determine whether the administration of analgesia at the ED increases by implementation of revised guidelines in pain management.
methodsWe conducted a prospective pre-post intervention cohort study with implementation of a revised guideline for pain management at our ED, in which nurses are allowed to administer analgesia (including low-dosage piritramid (opioid) intravenous) without doctor intervention. Numeric Rating Scales (NRS) were measured, and administration of medication (main outcome) was documented. We included every adult patient presenting with pain (NRS 4-10) at the ED.
resultsA total of 2107 patients (1089 pre-implementation phase and 1018 post-implementation phase) were included in our study. During pre-implementation, 25.4 % of the patients with NRS between 4 and 10 received analgesia. After implementation, 32.0 % of these patients received analgesia (p < 0.001).
conclusionsAfter implementation of the revised guidelines in pain management at the ED, the administration of pain medication increased significantly. Nevertheless, the percentage of patients in pain receiving analgesia remain low (32 % after implementation).
Indexed as
Identifiers
What OpenQuestion holds
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.