Predictors for opioid analgesia administration in children with abdominal pain presenting to the emergency department

The Clinical Journal of Pain
Ran D GoldmanAlex Rogovik

Abstract

Abdominal pain is one of the most common symptoms in children. The aim of this study was to determine the rate of opioid analgesia in children with abdominal pain presenting to the pediatric Emergency Department (ED) and to identify factors associated with administration of opioids. We retrospectively reviewed all charts of patients with abdominal pain < 7 days presenting to the ED of a tertiary pediatric hospital over a 3-month period. Demographic and illness-related variables were recorded, and the primary outcome variable was whether opioid analgesia was used to relieve abdominal pain. We analyzed the data with a univariate analysis and a multivariate stepwise regression analysis to determine independent influences on the rate of opioid prescribing. Of 582 children included in the analysis, 53 (9%) received opioid analgesia. Pain in the right lower quadrant on examination, documentation of a pain score in triage, and the level of acuity as determined by the triage nurse were predictors of administration of opioids by the physician. Thirty-four (77%) of the opioids given were below the recommended dose for the child. Few pediatric patients with abdominal pain are treated with pain medications. The decision to use opioid analg...Continue Reading

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Citations

Oct 2, 2012·Pediatric Emergency Care·La Vonne A Downey, Leslie S Zun
Jul 2, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Graham C ThompsonUNKNOWN Pediatric Emergency Research Canada
Jun 23, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Sergey M Motov, John P Marshall
Aug 26, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Eric J HawkinsAndrew J Saxon
Dec 19, 2019·Journal of General Internal Medicine·Karen H SealJennifer Tighe
Feb 9, 2017·The Clinical Journal of Pain·Ron JacobItai Shavit
Feb 7, 2020·The Clinical Journal of Pain·Itai ShavitOren Feldman
Dec 3, 2016·CJEM·Andrea L RobbUNKNOWN Pediatric Emergency Research Canada (PERC) Appendicitis Study Group

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