کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6085003 1589117 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Original ContributionsImpact of Age on Pain Perception for Typical Painful Diagnoses in the Emergency Department
ترجمه فارسی عنوان
تأثیرات اصلی تاثیر سن بر روی درک درد برای تشخیصهای شدید درد در بخش اورژانس
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

BackgroundAge-related differences in pain perception have been demonstrated in experimental settings but have been investigated scarcely and without valid scale in the clinical framework.ObjectivesTo examine the effect of age on pain perception for recognized painful diagnoses encountered in the emergency department (ED).MethodsA post-hoc analysis of real-time archived data was performed in a tertiary urban and a secondary regional ED. We included all consecutive adult patients (≥18 years) with the following diagnosis at discharge: renal colic, pancreatitis, appendicitis, headache/migraine, dislocation and extremities fractures, and a pain evaluation of ≥1 (0−10, verbal numerical scale) at triage. The primary outcome was to compare for each of these diagnoses the level of pain intensity between four age groups (18−44; 45−64; 65−74; 75+ years).ResultsA total of 15,670 patients (48% women) were triaged with a mean pain intensity of 7.7 (SD=2.0). Women exhibited greater pain scores than men for pancreatitis, headache/migraine, and extremity fracture. Renal colic, pancreatitis, appendicitis, and headache/migraine showed a linear decrease in pain scores with age whereas dislocation and extremity fractures did not present age differences. Mean differences in pain intensity scores between young adults (18−44 years) and patients aged ≥75 years were 0.79 (95% confidence interval [95% CI] 0.5−1.1) for renal colic, 1.1 (95% CI 0.7−1.4) for pancreatitis, 0.70 (95% CI 0.2−1.2) for appendicitis, and 0.86 (95% CI 0.6−1.1) for headache/migraine.ConclusionOlder patients perceive similar pain for dislocation and extremity fractures and less for visceral and headache/migraine pain; however, these age differences may not be clinically important.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Emergency Medicine - Volume 50, Issue 1, January 2016, Pages 14-20
نویسندگان
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