Observational studyPloS one2025
Profile of analgesic prescription by medical specialties: A comparative study of symptomatic management in emergency care between orthopedics and other specialties-A retrospective observational brief report.
Observational study in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectiveThis study aims to analyze whether specific medical specialties are associated with potentially inappropriate analgesic prescriptions by examining and identifying variables related to both patient and prescriber profiles that influence certain analgesic choices.
methodsThis is a retrospective longitudinal observational cohort study conducted based on medical records and charts from the Emergency Department (ED) at Hospital Sírio-Libanês (HSL), Bela Vista Unit, São Paulo, Brazil, from 2019 to 2022. It includes patients treated for pain with symptomatic medication administered alone or in combination, with outcomes assessing the efficiency of associations and the need for additional drugs.
resultsAmong 154,404 adult ED visits, 16,787 patients met the inclusion criteria. Orthopedics had a higher proportion of male patients (45.0%) with an older average age of 48.1 (±14.7) years. Additionally, 60.6% of these cases were classified as having a relatively urgent risk, and only 2.1% were emergencies. Orthopedic specialists had a higher likelihood of prescribing Level 2 and Level 3 analgesics, as well as being more likely to require rescue medication.
conclusionThe "Orthopedics" specialty prescribed more potent and a higher number of initial analgesics compared to other specialties, with a greater proportion of patients receiving rescue medications.
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