Trial reportBMJ open2020
Relationship between acute pain trajectories after an emergency department visit and chronic pain: a Canadian prospective cohort study.
Trial report in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02799004 (Opioid Prescription for Patient With Acute Pain After Discharge From Emergency Department), which is not on this map. Cited by 16 papers.
What it found
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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.
Opioid Prescription for Patient With Acute Pain After Discharge From Emergency Department: Ideal Duration for Adequate Relief, Adverse Events, and Addiction
Who cites it
16 citing papers in PubMed.
- Subjective risk factors of severe pain at discharge from the emergency department.Internal and emergency medicine · 2025Trial
- Osteoclast-Derived SLIT3 Mediates Osteoarthritis Pain and Degenerative Changes.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026Article
- Postlaparoscopic appendectomy acute pain: identifying risk factors and building a clinical prediction model.Frontiers in surgery · 2026Article
- Emergency department pathway for pain management using DELPHI approach and criticality analysis.Scientific reports · 2025Article
- From acute to chronic: the PREVENT protocol for understanding pain progression after emergency department visits.Primary health care research & development · 2025Observational
- Observational
- Article
- Feelings of Patients Admitted to the Emergency Department.Healthcare (Basel, Switzerland) · 2025Article
- How Does Self-Declared Chronic Pain Compare to Other Definitions? A Prospective Multicenter Study.Pain research & management · 2025Article
- Sex bias in pain management decisions.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- Texting as a method to collect post-discharge data after major pediatric surgery: lessons learned.Pain medicine (Malden, Mass.) · 2024Article
- The effect of dysmenorrhea severity and interference on reactions to experimentally-induced pain.Frontiers in pain research (Lausanne, Switzerland) · 2024Article
- Article
- Physicians prescribe fewer analgesics during night shifts than day shifts.Proceedings of the National Academy of Sciences of the United States of America · 2022Article
- Predictors and predictive effects of acute pain trajectories after gastrointestinal surgery.Scientific reports · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesInadequate acute pain management can reduce the quality of life, cause unnecessary suffering and can often lead to the development of chronic pain. Using group-based trajectory modelling, we previously identified six distinct pain intensity trajectories for the first 14-day postemergency department (ED) discharge; two linear ones with moderate or severe pain during follow-up (~40% of the patients) and four cubic polynomial order trajectories with mild or no pain at the end of the 14 days (low final pain trajectories). We assessed if previously described acute pain intensity trajectories over 14 days after ED discharge are predictive of chronic pain 3 months later.
designProspective cohort study.
settingTertiary care trauma centre academic hospital.
participantsThis study included 18 years and older ED patients who consulted for acute (≤2 weeks) pain conditions that were discharged with an opioid prescription. Patients completed a 14-day diary in which they listed their daily pain intensity (0-10 numeric rating scale). OUTCOMES: Three months after ED visit, participants were questioned by phone about their current pain intensity (0-10 numeric rating scale). Chronic pain was defined as patients with current pain intensity ≥4 at 3 months.
resultsA total of 305 participants remained in the study at 3 months, 49% were women and a mean age of 55±15 years. Twelve per cent (11.9; 95% CI 8.2 to 15.4) of patients had chronic pain at the 3-month follow-up. Controlling for age, sex and pain condition, patients with moderate or severe pain trajectories and those with only a severe pain trajectory were respectively 5.1 (95% CI 2.2 to 11.8) and 8.2 (95% CI 3.4 to 20.0) times more likely to develop chronic pain 3 months later compared with patients in the low final pain trajectories.
conclusionSpecific acute pain trajectories following an ED visit are closely related to the development of chronic pain 3 months later. TRIAL REGISTRATION NUMBER: NCT02799004; Results.
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