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首页> 外文期刊>Prehospital emergency care >Prevalence and management of acute pain in prehospital emergency medicine.
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Prevalence and management of acute pain in prehospital emergency medicine.

机译：院前急诊医学中急性疼痛的发生和管理。

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BACKGROUND: Less is known about the prevalence of pain in prehospital emergency medicine than about pain in the emergency department. Objectives. To estimate the prehospital prevalence of pain and to identify the factors associated with oligoanalgesia. METHODS: The mobile intensive care units of the emergency services of a Paris suburb conducted this prospective study. All consecutive patients aged 16 years or older who were able to self-assess pain were included around the clock over a period of 11 months in 2007. RESULTS: Among the 2,279 included patients, 947 had acute pain (42% [95% confidence interval (CI) 40-44]). Pain was intense to severe in 64% of patients. Factors associated with acute pain were trauma (odds ratio [OR] = 2.9 [1.9-4.3]) and age under 75 years (OR = 2.2 [1.7-2.8]). Intense pain was significantly associated with pain of cardiac or traumatic origin. Among the 1,364 patients transported by the mobile units, 48% experienced acute pain (71% had intense to severe pain). An analgesic agent was administered to 73%. According to multivariate analysis, only gynecologic/obstetric emergencies were associated with inadequate treatment (OR = 0.2 [95% CI 0.1-0.6]). Overall, 51% of patients [46-56] experienced pain relief. The rate of pain relief was lowest in patients suffering from trauma or a gynecologic/obstetric disorder. CONCLUSION: In our studied population, pain in prehospital emergency medicine affects 42% of patients. However, the rate varies widely according to the origin of the pain. Pain management is inadequate, as only one in two patients experiences relief.
机译：背景：关于院前急诊医学中疼痛的患病率比急诊室中的疼痛知之甚少。目标。评估院前疼痛的患病率，并确定与痛觉过敏相关的因素。方法：巴黎郊区紧急服务的流动重症监护室进行了这项前瞻性研究。在2007年的11个月中，所有连续的16岁以上且能够自我评估疼痛的患者都被全天候纳入研究。结果：在包括2279名患者中，有947名患有急性疼痛（42％[95％置信区间（CI）40-44]）。 64％的患者疼痛剧烈至严重。与急性疼痛相关的因素是创伤（优势比[OR] = 2.9 [1.9-4.3]）和年龄在75岁以下（OR = 2.2 [1.7-2.8]）。剧烈疼痛与心脏或创伤起源的疼痛显着相关。在移动单位运送的1,364例患者中，有48％经历了急性疼痛（71％经历了重度至重度疼痛）。止痛药的使用率为73％。根据多变量分析，只有妇科/产科急症与治疗不足相关（OR = 0.2 [95％CI 0.1-0.6]）。总体而言，有51％的患者[46-56]疼痛得到缓解。遭受外伤或妇科/产科疾病的患者的疼痛缓解率最低。结论：在我们研究的人群中，院前急救药物的疼痛影响了42％的患者。但是，根据疼痛的起源，其发生率差异很大。疼痛处理不充分，因为只有二分之一的患者会得到缓解。

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