Evidence map›Paper›PMID 27414816›Full record

ReviewJournal of injury & violence research2016

Pain management in trauma: A review study.

Alireza Ahmadi, Shahrzad Bazargan-Hejazi, Zahra Heidari Zadie, Pramote Euasobhon, Penkae Ketumarn, Ali Karbasfrushan, Javad Amini-Saman, Reza Mohammadi

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of injury & violence research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04705480 (Pregabalin vs. Gabapentin on Reducing Opioid Usage in Trauma Patients), which is not on this map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 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.

NCT04705480 phase4completednot on this mapstarted 2021, after this paper: background citation

Pregabalin vs. Gabapentin on Reducing Opioid Usage in Trauma Patients

TypeinterventionalSponsorCAMC Health SystemRan2021 to 2024Enrolled109ConditionsAnalgesics, Gabapentin, Injuries, NarcoticsArmsPregabalin 50mg, Gabapentin 300mg, Neither Pregabalin nor Gabapentin
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Ketamine versus morphine for musculoskeletal trauma pain: a meta-analysis of randomized controlled trials.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Pooled it
  2. Pooled it
  3. Guideline
  4. Guideline
  5. The assessment and management of acute trauma pain in a Cape Town, South Africa Emergency Centre: A retrospective chart review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Opioid Prescribing Disparity in Traumatically Injured Patients.Journal of the American College of Surgeons · 2025
    Article
  11. Article
  12. Article
  13. Optimizing acute pain management in trauma care: the role, structure and core principles of acute trauma pain services.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Review
  14. 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
  15. Article
  16. Article
  17. Article
  18. Article
  19. Analgesia use in trauma patients at a university teaching hospital in Kigali, Rwanda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023
    Article
  20. Review
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

8 authors.

Alireza AhmadiDepartment of Anesthesiology, Critical Care and Pain Management, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. Email: ahmadiar1012@yahoo.com.
Shahrzad Bazargan-Hejazi
Zahra Heidari Zadie
Pramote Euasobhon
Penkae Ketumarn
Ali Karbasfrushan
Javad Amini-Saman
Reza Mohammadi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPain in trauma has a role similar to the double-edged sword. On the one hand, pain is a good indicator to determine the severity and type of injury. On the other hand, pain can induce sever complications and it may lead to further deterioration of the patient. Therefore, knowing how to manage pain in trauma patients is an important part of systemic approach in trauma. The aim of this manuscript is to provide information about pain management in trauma in the Emergency Room settings.

methodsIn this review we searched among electronic and manual documents covering a 15-yr period between 2000 and 2016. Our electronic search included Pub Med, Google scholar, Web of Science, and Cochrane databases. We looked for articles in English and in peer-reviewed journals using the following keywords: acute pain management, trauma, emergency room and injury.

resultsMore than 3200 documents were identified. After screening based on the study inclusion criteria, 560 studies that had direct linkage to the study aim were considered for evaluation based World Health Organization (WHO) pain ladder chart.

conclusionsTo provide adequate pain management in trauma patients require: adequate assessment of age-specific pharmacologic pain management; identification of adequate analgesic to relieve moderate to severe pain; cognizance of serious adverse effects of pain medications and weighting medications against their benefits, and regularly reassessing patients and reevaluating their pain management regimen. Patient-centered trauma care will also require having knowledge of barriers to pain management and discussing them with the patient and his/her family to identify solutions.

Indexed as

Pain ManagementEmergency Service, HospitalHumansWounds and Injuries

Identifiers

PMID27414816
PMCPMC4967367

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.