Evidence map›Paper›PMID 34401866›Full record

ArticleJournal of the American College of Emergency Physicians open2021

Developing an emergency department order set to treat acute pain in sickle cell disease.

Yves Duroseau, David Beenhouwer, Michael S Broder, Bonnie Brown, Tartania Brown, Sarah N Gibbs, Kaedrea Jackson, Sally Liang, Melanie Malloy, Marie-Laure Romney and 3 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
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.

NCT06184126 narecruitingnot on this mapstarted 2024, after this paper: background citation

Pilot Study to Investigate the Use of Virtual Reality Devices as an Adjunct to Usual Care for Patients With Sickle Cell Disease Experiencing Vaso-Occlusive Crises

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2024 to 2026Enrolled30ConditionsSickle Cell Disease, Vaso-occlusive Pain Episode in Sickle Cell Disease, Acute PainArmsVirtual Reality Headset and Hand-Held Controllers, Blindfolding and Noise Cancelling
NCT07674277 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Randomized EvaLuation of ImmErsive Virtual Experiences in Sickle Cell Disease (RELIEVE-SCD)

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2026 to 2027Enrolled25ConditionsSickle Cell DiseaseArmsSham 2D Headset Control, Passive Immersive 3D Virtual Reality, Active Immersive Interactive 3D Virtual Reality
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Developing an emergency department order set to treat acute pain in sickle cell disease.Journal of the American College of Emergency Physicians open · 2021
    Article
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

13 authors at 7 institutions in 1 country.

Yves DuroseauDepartment of Emergency Medicine Lenox Hill Hospital/Northwell Health New York New York USA.
David BeenhouwerPartnership for Health Analytic Research (PHAR) Beverly Hills California USA.
Michael S BroderPartnership for Health Analytic Research (PHAR) Beverly Hills California USA.
Bonnie BrownObservation Medicine Mount Sinai Morningside and West New York New York USA.
Tartania BrownMetropolitan Jewish Healthcare System Department of Family and Social Medicine Albert Einstein College of Medicine Bronx New York USA.
Sarah N GibbsPartnership for Health Analytic Research (PHAR) Beverly Hills California USA.
Kaedrea JacksonDepartment of Emergency Medicine Mount Sinai Morningside New York New York USA.
Sally LiangMount Sinai Beth Israel Emergency Medicine Icahn School of Medicine at Mount Sinai New York New York USA.
Melanie MalloyEmergency Medicine Mount Sinai Brooklyn Icahn School of Medicine at Mount Sinai Brooklyn New York USA.
Marie-Laure RomneyQuality and Patient Safety Department of Emergency Medicine Columbia University New York New York USA.
Dana ShaniDepartments of Hematology, Medical Oncology and Internal Medicine Lenox Hill Hospital/Northwell Health New York New York USA.
Jena SimonAdult Program for Sickle Cell at Mount Sinai Hospital New York New York USA.
Irina YermilovPartnership for Health Analytic Research (PHAR) Beverly Hills California USA.
Partnership for Health Analytic Research · USIcahn School of Medicine at Mount Sinai · USLenox Hill Hospital · USAlbert Einstein College of Medicine · USMount Sinai Hospital · USMount Sinai Hospital · USNational Patient Safety Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivePatients with sickle cell disease (SCD) have many emergency department visits because of painful vaso-occlusive episodes (VOE). Guidelines recommend treatment within 30 minutes of triage, but this is rarely achieved in clinical practice. Our goal was to develop an order set that is being implemented in the ED to facilitate and standardize emergency care for SCD patients in acute pain from VOEs presenting to the emergency department (ED) in New York City (NYC).

methodsUsing a RAND/University of California, Los Angeles modified Delphi panel, we convened a multidisciplinary panel and reviewed evidence on how to best manage SCD pain in the ED. Panelists collaboratively developed then rated 202 items that could be included in an ED order set.

resultsA consensus order set, a practical how-to guide for managing SCD pain in the ED, was developed based on items that received high median ratings.

conclusionsThe management of acute pain experienced during VOEs is critical to patients with SCD; ED order sets, such as this one, can help standardize pain management, including at triage, evaluation, discharge, and follow-up care. After implementation in NYC EDs, studies to examine changes in quality care metrics (eg, wait times, readmissions) are planned.

Indexed as

acute painanalgesicsanemiaemergency medicineemergency servicehospitalopioidpractice guidelinequality of health caresickle cell

Identifiers

PMID34401866
PMCPMC8349222
OpenAlexW3194302913

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.