Evidence map›Paper›PMID 41214507›Full record

SynthesisBMC emergency medicine2025

The impact of virtual reality (VR) on pain management in the emergency department: a systematic review and meta-analysis.

Hany A Zaki, Hussam Elmelliti, Benny Ponappan, Mohammed F Abosamak, Ahmed Shaban, Amira Shaban, Mohamed Elgassim, Eman E Shaban

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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.

Hany A ZakiCollege of Medicine, Qatar University, Doha, Qatar.ORCID http://orcid.org/0000-0002-3994-7088
Hussam ElmellitiEmergency Medicine Department, Hamad Medical Corporation, Doha, Qatar. samellito91@gmail.com.ORCID http://orcid.org/0000-0002-5394-3120
Benny PonappanCollege of Medicine, Qatar University, Doha, Qatar.
Mohammed F AbosamakDepartment of Anesthesia and Intensive Care Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Ahmed ShabanInternal Medicine Department, Mansoura University Hospital, Mansoura, Egypt.
Amira ShabanInternal Medicine Department, Mansoura University Hospital, Mansoura, Egypt.
Mohamed ElgassimEmergency Medicine Department, Hamad Medical Corporation, Doha, Qatar.
Eman E ShabanCardiology Department, Al Jufairi Diagnosis and Treatment, MOH, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough pharmacological and non-pharmacological therapy are available, pain management in the emergency department (ED) may be difficult. In recent years, virtual reality (VR) has emerged as a practical distraction approach for pain relief, especially in children and adolescents. However, little is known about the efficacy of VR in the ED. Therefore, the current study investigated the effect of VR on pain management in adult and pediatric patients in the ED.

objectivesPrimary objective: To assess the effect of VR on pain intensity. SECONDARY

objectivesTo investigate patient satisfaction with VR as a pain management method and to assess the incidence of cybersickness after VR intervention. SEARCH

methodsWe comprehensively searched CENTRAL, Google Scholar, PubMed, and MEDLINE databases for all studies published until May 2024. The search was limited to records authored in English and it did not include grey literature, such as theses and dissertations. SELECTION CRITERIA: We included randomized and non-randomized studies reporting the use of VR to manage pain in patients presenting to the ED.

resultsThe pooled analysis demonstrated a significant reduction in pain scores with the use of VR (SMD: -0.67; p = 0.001). Furthermore, subgroup analyses showed consistent pain reduction with the use of VR across adult and pediatric patients (SMD: -1.08; p = 0.01 and SMD: -0.39; p = 0.009, respectively). Significant pain reduction was also observed in patients undergoing minor medical procedures and those with acute pain unrelated to medical procedures (SMD: -1.55; p = 0.03 and SMD: -0.32; p = 0.002, respectively).

conclusionOverall, VR offers effective pain management in adults and pediatric patients with non-procedural acute pain and those undergoing painful procedures in the ED. SYSTEMIC REVIEW PROTOCOL REGISTRATION: PROSPERO: CRD42024609121. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Emergency Service, HospitalPain ManagementVirtual RealityAdultChildHumansPain MeasurementPatient SatisfactionEmergency department (ED)Pain managementVirtual reality (VR)

Identifiers

PMID41214507
PMCPMC12604313

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Registered trials

None linked

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.