Oligoanalgesia in blunt geriatric trauma

The Journal of Emergency Medicine
Erin QuattromaniPreeti Dalawari

Abstract

Research suggests that older age can influence perception, assessment, and treatment of acute pain, resulting in inadequate pain control for geriatric patients. The purpose of this study was to determine if geriatric trauma patients are less likely to receive analgesia in our emergency department (ED). This retrospective chart review includes blunt trauma adult patients who presented to a Level I trauma center ED between June 1 and December 31, 2012. Age was categorized as ≥65 years old and 18-64 years old. χ(2) was used to analyze differences in patients receiving pain medication by age groups. Analysis excluded those with no or low pain. A logistic regression model estimated the odds ratio of analgesic use controlling for age, pain level, sex, race, alcohol, drugs, Glasgow Coma Scale, ED length of stay, and Injury Severity Score. T-test compared differences in analgesia administration time. Four hundred and sixty-three blunt trauma patients were included in the analysis. Seventy percent of those ≥65 years received analgesia, compared with 84% of those 18-64 years old (p < 0.01). The mean time to analgesia administration was 92 min (≥65 years) compared to 61 min (18-64 years) (p = 0.03). Those ≥65 years were 69% less likely (o...Continue Reading

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Citations

Jan 28, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Shweta KapoorPhoebe Block
Jan 15, 2017·Emergency Medicine Australasia : EMA·UNKNOWN New Zealand Emergency Medicine Network and The Shorter Stays in Emergency Department National Research Project Group
Jan 21, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Kristian D FriesgaardLone Nikolajsen
Jul 19, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Nicholas KarlowEvan S Schwarz
Jul 18, 2018·The Western Journal of Emergency Medicine·Erin M MarraJesse M Pines

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