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Acute Painful Crisis In Sickle Cell Disease: Severity Assessment

机译:镰状细胞病的急性疼痛危机:严重性评估

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The lack of an objective way of assessing the severity of sickle cell painful crises prompted this study. Adult sickle cell disease patients who presented to a tertiary hospital with acute painful episodes over a nine-month period were studied. The patients' vital signs at presentation, the pain scale and the effect of pain on the patients' daily activities were used in association with the doctor's clinical assessment of severity. The effect of the pain on daily activities was closely associated with the doctors' and the patients' assessments (p=0.02).The systolic blood pressure and the respiratory rate were good indicators of the severity of pain. We suggest that the pain scale, the effect of pain on daily activities and the the vital signs be used in conjunction with the doctor's assessment in determining the severity of the painful crises.
机译:缺乏客观的方法来评估镰状细胞疼痛危机的严重性促使了这项研究。研究了在九个月内就诊于三级医院并伴有急性疼痛发作的成人镰状细胞病患者。将患者的生命体征,疼痛程度和疼痛对患者日常活动的影响与医生对严重程度的临床评估结合起来使用。疼痛对日常活动的影响与医生和患者的评估密切相关(p = 0.02)。收缩压和呼吸频率是疼痛严重程度的良好指标。我们建议将疼痛量表,疼痛对日常活动的影响以及生命体征与医生的评估相结合,以确定疼痛危机的严重程度。

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