Evidence map›Paper›PMID 40635343›Full record

ArticleCroatian medical journal2025

Inadequate pain management in prehospital emergency care: a retrospective study from Krapina-Zagorje County.

Morena Milić, Ada Barić Grgurević, Josip Vrdoljak, Krunoslav Fučkar, Ana Brundula

Abstract read
In one paragraph

Article in Croatian medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

5 authors.

Morena Milić
Ada Barić Grgurević
Josip Vrdoljak
Krunoslav Fučkar
Ana BrundulaAna Brundula, Polyclinic Amruševa, Amruševa 6, 10000 Zagreb, Croatia, procelnik.jdk@kbd.hr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the type of analgesics administered and their frequency of administration in pre-hospital pain management in Krapina-Zagorje County, Croatia.

methodsWe retrospectively reviewed the data from 86 573 patients treated by the Emergency Department of Krapina-Zagorje County from October 1, 2017 to September 30, 2022. Data were obtained through the "e-Hitna" program. The inclusion criterion was a possible occurrence of pain based on the International Classification of Diseases diagnosis in patients who were treated by emergency team 1. We collected data on the type of analgesic and the frequency of administration according to age, the main diagnosis, emergency index, and the visual analog scale (VAS) score.

resultsIn 75% of the patients (64 938), analgesics were not administered. When analgesics were administered (21 635; 25%), physicians mostly opted for non-opioid analgesics (15480, 71.6%). Opioid analgesia was usually the treatment of choice in palliative care. Tramadol was administered significantly more often than morphine or pethidine (P<0.001, χ2 test).

conclusionDespite wide accessibility of analgesics, pain is still not treated adequately in the Emergency Department of Krapina-Zagorje County.

Indexed as

AnalgesicsEmergency Medical ServicesPain ManagementAdolescentAdultAgedAged, 80 and overAnalgesics, OpioidCroatiaEmergency Service, HospitalFemaleHumansMaleMiddle AgedPain MeasurementRetrospective StudiesAnalgesicsAnalgesics, Opioid

Identifiers

PMID40635343
PMCPMC12246969

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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.