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The relationship between narcotic administration and Emergency Department recidivism.

机译：麻醉品管理与急诊部门累犯之间的关系。

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Pain is the most common problem presented by patients admitted to the Emergency Department (ED) of general medical hospitals (Grant, 2006). Despite increased attention in the general medical field, little research has been dedicated to examining the specific challenges of pain in emergency medical care. This lack of research, coupled with the high prevalence of complaints of pain in EDs, is both a cause for concern as well as an opportunity for improvement (Cordell et al., 2002; Gallagher, 1998). As EDs continue to experience overwhelming crowding (Hauswald, 2004), efficient and effective pain management is an increasingly important component of emergency medical care (Wilsey et al., 2004). The present study was designed to investigate the impact of narcotic administration on ED recidivism. The null hypothesis of the proposed study was that there would be no statistically significant difference in ED recidivism for patients who are administered or prescribed a narcotic versus those who are not. A second investigative question explored the differential administration and prescription of narcotics by different physicians in one general medical hospital. A total of 86 Emergency Department patients' medical records were reviewed from the twelve-month period between June 1, 2006 and June 1, 2007. Results indicated that the number of visits for those who received narcotics was significantly higher than for those that did not receive narcotics. Likewise, this study also suggested that there is a difference between physicians in the rate of narcotic administration for patients presenting with pain in the Emergency Department of the same medical hospital. This study shows that an established protocol for treating patients with chronic pain who present in the ED may be useful in reducing ED recidivism and in changing the attitudes of emergency medical providers about pain assessment and management.
机译：疼痛是普通综合医院急诊科（ED）收治的患者最常见的问题（Grant，2006年）。尽管在一般医学领域受到越来越多的关注，但很少有研究致力于研究紧急医疗中疼痛的具体挑战。缺乏研究，再加上急诊部对疼痛的抱怨普遍存在，既引起关注，也有改善的机会（Cordell等，2002； Gallagher，1998）。随着急诊部继续遭受压倒性的拥挤（Hauswald，2004），有效和有效的疼痛管理已成为紧急医疗保健中越来越重要的组成部分（Wilsey等，2004）。本研究旨在调查麻醉剂给药对ED累犯的影响。拟议研究的无效假设是，接受或开具麻醉药的患者与未接受麻醉药的患者在ED再犯中没有统计学上的显着差异。第二个调查问题探讨了一家综合性医院中不同医生对麻醉品的区别管理和处方。从2006年6月1日至2007年6月1日的12个月中，共检查了86例急诊科患者的病历。结果表明，接受麻醉品治疗的患者就诊次数明显高于未接受麻醉品治疗的患者接受麻醉品。同样，这项研究还表明，在同一家医疗医院急诊科中，对于出现疼痛的患者，麻醉剂的施用率存在医师差异。这项研究表明，针对急诊科中存在的慢性疼痛患者的既定治疗方案可能有助于降低急诊科累及率，并改变急诊医疗人员对疼痛评估和管理的态度。

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