Opioid and non-opioid pain relief after an emergency department acute pain visit
Objectives Treatment of acute pain after emergency department (ED) discharge remains a challenge in the opioid crisis context. Our objective was to determine the proportion of patients using opioid vs non-opioid pain medication following discharge from the ED with acute pain, and the association of...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Daoust, Raoul [verfasserIn] Paquet, Jean [verfasserIn] Cournoyer, Alexis [verfasserIn] Piette, Éric [verfasserIn] Morris, Judy [verfasserIn] Lessard, Justine [verfasserIn] Castonguay, Véronique [verfasserIn] Lavigne, Gilles [verfasserIn] Huard, Vérilibe [verfasserIn] Chauny, Jean-Marc [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2021 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Canadian journal of emergency medicine - Berlin : Springer, 1999, 23(2021), 3 vom: 04. Jan., Seite 342-350 |
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| Übergeordnetes Werk: |
volume:23 ; year:2021 ; number:3 ; day:04 ; month:01 ; pages:342-350 |
| Links: |
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| DOI / URN: |
10.1007/s43678-020-00041-3 |
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SPR04396589X |
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| 520 | |a Objectives Treatment of acute pain after emergency department (ED) discharge remains a challenge in the opioid crisis context. Our objective was to determine the proportion of patients using opioid vs non-opioid pain medication following discharge from the ED with acute pain, and the association of type of pain medication with average pain intensity before pain medication intake and report of pain relief. Methods This was a prospective cohort study of ED patients aged ≥ 18 years with an acute pain (≤ 2 weeks) who were discharged with an opioid prescription. Patients completed a 14-day diary assessing daily pain intensity level before each pain medication intake (0–10 numeric rating scale), type of pain medication use (opioid vs non-opioid), and if pain was relieved by the medication used that day. Multilevel analyses were used to compare the effect of type of analgesic used on pain intensity and relief. Results A total of 381 participants completed the 14-day diary; 50% were women and median age was 54 years (IQR = 43–66). Average daily pain intensity before pain medication intake was significantly higher for patients who used opioids (5.9; 95% CI 5.7–6.2) as compared to non-opioid analgesics (4.2; 95% CI 4.0–4.5) or no pain medication (2.2; 95% CI 1.9–2.5). Controlling for pain intensity, patients using opioids were more likely to report a pain relief (OR = 1.3; 95% CI 1.1–1.8) as compared to those who used non-opioid analgesics. Conclusion Overall, opioids appear to be effective and used as intended by the prescribing physician. | ||
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| 650 | 4 | |a Pain relief |7 (dpeaa)DE-He213 | |
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| 650 | 4 | |a Emergency department |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Paquet, Jean |e verfasserin |4 aut | |
| 700 | 1 | |a Cournoyer, Alexis |e verfasserin |4 aut | |
| 700 | 1 | |a Piette, Éric |e verfasserin |4 aut | |
| 700 | 1 | |a Morris, Judy |e verfasserin |4 aut | |
| 700 | 1 | |a Lessard, Justine |e verfasserin |4 aut | |
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| 700 | 1 | |a Lavigne, Gilles |e verfasserin |4 aut | |
| 700 | 1 | |a Huard, Vérilibe |e verfasserin |4 aut | |
| 700 | 1 | |a Chauny, Jean-Marc |e verfasserin |4 aut | |
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10.1007/s43678-020-00041-3 doi (DE-627)SPR04396589X (DE-599)SPRs43678-020-00041-3-e (SPR)s43678-020-00041-3-e DE-627 ger DE-627 rakwb eng 610 ASE Daoust, Raoul verfasserin aut Opioid and non-opioid pain relief after an emergency department acute pain visit 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Treatment of acute pain after emergency department (ED) discharge remains a challenge in the opioid crisis context. Our objective was to determine the proportion of patients using opioid vs non-opioid pain medication following discharge from the ED with acute pain, and the association of type of pain medication with average pain intensity before pain medication intake and report of pain relief. Methods This was a prospective cohort study of ED patients aged ≥ 18 years with an acute pain (≤ 2 weeks) who were discharged with an opioid prescription. Patients completed a 14-day diary assessing daily pain intensity level before each pain medication intake (0–10 numeric rating scale), type of pain medication use (opioid vs non-opioid), and if pain was relieved by the medication used that day. Multilevel analyses were used to compare the effect of type of analgesic used on pain intensity and relief. Results A total of 381 participants completed the 14-day diary; 50% were women and median age was 54 years (IQR = 43–66). Average daily pain intensity before pain medication intake was significantly higher for patients who used opioids (5.9; 95% CI 5.7–6.2) as compared to non-opioid analgesics (4.2; 95% CI 4.0–4.5) or no pain medication (2.2; 95% CI 1.9–2.5). Controlling for pain intensity, patients using opioids were more likely to report a pain relief (OR = 1.3; 95% CI 1.1–1.8) as compared to those who used non-opioid analgesics. Conclusion Overall, opioids appear to be effective and used as intended by the prescribing physician. Acute pain (dpeaa)DE-He213 Pain relief (dpeaa)DE-He213 Opioids (dpeaa)DE-He213 Emergency department (dpeaa)DE-He213 Paquet, Jean verfasserin aut Cournoyer, Alexis verfasserin aut Piette, Éric verfasserin aut Morris, Judy verfasserin aut Lessard, Justine verfasserin aut Castonguay, Véronique verfasserin aut Lavigne, Gilles verfasserin aut Huard, Vérilibe verfasserin aut Chauny, Jean-Marc verfasserin aut Enthalten in Canadian journal of emergency medicine Berlin : Springer, 1999 23(2021), 3 vom: 04. Jan., Seite 342-350 (DE-627)335259669 (DE-600)2059217-6 1481-8035 nnns volume:23 year:2021 number:3 day:04 month:01 pages:342-350 https://dx.doi.org/10.1007/s43678-020-00041-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_121 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 23 2021 3 04 01 342-350 |
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10.1007/s43678-020-00041-3 doi (DE-627)SPR04396589X (DE-599)SPRs43678-020-00041-3-e (SPR)s43678-020-00041-3-e DE-627 ger DE-627 rakwb eng 610 ASE Daoust, Raoul verfasserin aut Opioid and non-opioid pain relief after an emergency department acute pain visit 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Treatment of acute pain after emergency department (ED) discharge remains a challenge in the opioid crisis context. Our objective was to determine the proportion of patients using opioid vs non-opioid pain medication following discharge from the ED with acute pain, and the association of type of pain medication with average pain intensity before pain medication intake and report of pain relief. Methods This was a prospective cohort study of ED patients aged ≥ 18 years with an acute pain (≤ 2 weeks) who were discharged with an opioid prescription. Patients completed a 14-day diary assessing daily pain intensity level before each pain medication intake (0–10 numeric rating scale), type of pain medication use (opioid vs non-opioid), and if pain was relieved by the medication used that day. Multilevel analyses were used to compare the effect of type of analgesic used on pain intensity and relief. Results A total of 381 participants completed the 14-day diary; 50% were women and median age was 54 years (IQR = 43–66). Average daily pain intensity before pain medication intake was significantly higher for patients who used opioids (5.9; 95% CI 5.7–6.2) as compared to non-opioid analgesics (4.2; 95% CI 4.0–4.5) or no pain medication (2.2; 95% CI 1.9–2.5). Controlling for pain intensity, patients using opioids were more likely to report a pain relief (OR = 1.3; 95% CI 1.1–1.8) as compared to those who used non-opioid analgesics. Conclusion Overall, opioids appear to be effective and used as intended by the prescribing physician. Acute pain (dpeaa)DE-He213 Pain relief (dpeaa)DE-He213 Opioids (dpeaa)DE-He213 Emergency department (dpeaa)DE-He213 Paquet, Jean verfasserin aut Cournoyer, Alexis verfasserin aut Piette, Éric verfasserin aut Morris, Judy verfasserin aut Lessard, Justine verfasserin aut Castonguay, Véronique verfasserin aut Lavigne, Gilles verfasserin aut Huard, Vérilibe verfasserin aut Chauny, Jean-Marc verfasserin aut Enthalten in Canadian journal of emergency medicine Berlin : Springer, 1999 23(2021), 3 vom: 04. Jan., Seite 342-350 (DE-627)335259669 (DE-600)2059217-6 1481-8035 nnns volume:23 year:2021 number:3 day:04 month:01 pages:342-350 https://dx.doi.org/10.1007/s43678-020-00041-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_121 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 23 2021 3 04 01 342-350 |
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10.1007/s43678-020-00041-3 doi (DE-627)SPR04396589X (DE-599)SPRs43678-020-00041-3-e (SPR)s43678-020-00041-3-e DE-627 ger DE-627 rakwb eng 610 ASE Daoust, Raoul verfasserin aut Opioid and non-opioid pain relief after an emergency department acute pain visit 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Treatment of acute pain after emergency department (ED) discharge remains a challenge in the opioid crisis context. Our objective was to determine the proportion of patients using opioid vs non-opioid pain medication following discharge from the ED with acute pain, and the association of type of pain medication with average pain intensity before pain medication intake and report of pain relief. Methods This was a prospective cohort study of ED patients aged ≥ 18 years with an acute pain (≤ 2 weeks) who were discharged with an opioid prescription. Patients completed a 14-day diary assessing daily pain intensity level before each pain medication intake (0–10 numeric rating scale), type of pain medication use (opioid vs non-opioid), and if pain was relieved by the medication used that day. Multilevel analyses were used to compare the effect of type of analgesic used on pain intensity and relief. Results A total of 381 participants completed the 14-day diary; 50% were women and median age was 54 years (IQR = 43–66). Average daily pain intensity before pain medication intake was significantly higher for patients who used opioids (5.9; 95% CI 5.7–6.2) as compared to non-opioid analgesics (4.2; 95% CI 4.0–4.5) or no pain medication (2.2; 95% CI 1.9–2.5). Controlling for pain intensity, patients using opioids were more likely to report a pain relief (OR = 1.3; 95% CI 1.1–1.8) as compared to those who used non-opioid analgesics. Conclusion Overall, opioids appear to be effective and used as intended by the prescribing physician. Acute pain (dpeaa)DE-He213 Pain relief (dpeaa)DE-He213 Opioids (dpeaa)DE-He213 Emergency department (dpeaa)DE-He213 Paquet, Jean verfasserin aut Cournoyer, Alexis verfasserin aut Piette, Éric verfasserin aut Morris, Judy verfasserin aut Lessard, Justine verfasserin aut Castonguay, Véronique verfasserin aut Lavigne, Gilles verfasserin aut Huard, Vérilibe verfasserin aut Chauny, Jean-Marc verfasserin aut Enthalten in Canadian journal of emergency medicine Berlin : Springer, 1999 23(2021), 3 vom: 04. Jan., Seite 342-350 (DE-627)335259669 (DE-600)2059217-6 1481-8035 nnns volume:23 year:2021 number:3 day:04 month:01 pages:342-350 https://dx.doi.org/10.1007/s43678-020-00041-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_121 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 23 2021 3 04 01 342-350 |
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10.1007/s43678-020-00041-3 doi (DE-627)SPR04396589X (DE-599)SPRs43678-020-00041-3-e (SPR)s43678-020-00041-3-e DE-627 ger DE-627 rakwb eng 610 ASE Daoust, Raoul verfasserin aut Opioid and non-opioid pain relief after an emergency department acute pain visit 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Treatment of acute pain after emergency department (ED) discharge remains a challenge in the opioid crisis context. Our objective was to determine the proportion of patients using opioid vs non-opioid pain medication following discharge from the ED with acute pain, and the association of type of pain medication with average pain intensity before pain medication intake and report of pain relief. Methods This was a prospective cohort study of ED patients aged ≥ 18 years with an acute pain (≤ 2 weeks) who were discharged with an opioid prescription. Patients completed a 14-day diary assessing daily pain intensity level before each pain medication intake (0–10 numeric rating scale), type of pain medication use (opioid vs non-opioid), and if pain was relieved by the medication used that day. Multilevel analyses were used to compare the effect of type of analgesic used on pain intensity and relief. Results A total of 381 participants completed the 14-day diary; 50% were women and median age was 54 years (IQR = 43–66). Average daily pain intensity before pain medication intake was significantly higher for patients who used opioids (5.9; 95% CI 5.7–6.2) as compared to non-opioid analgesics (4.2; 95% CI 4.0–4.5) or no pain medication (2.2; 95% CI 1.9–2.5). Controlling for pain intensity, patients using opioids were more likely to report a pain relief (OR = 1.3; 95% CI 1.1–1.8) as compared to those who used non-opioid analgesics. Conclusion Overall, opioids appear to be effective and used as intended by the prescribing physician. Acute pain (dpeaa)DE-He213 Pain relief (dpeaa)DE-He213 Opioids (dpeaa)DE-He213 Emergency department (dpeaa)DE-He213 Paquet, Jean verfasserin aut Cournoyer, Alexis verfasserin aut Piette, Éric verfasserin aut Morris, Judy verfasserin aut Lessard, Justine verfasserin aut Castonguay, Véronique verfasserin aut Lavigne, Gilles verfasserin aut Huard, Vérilibe verfasserin aut Chauny, Jean-Marc verfasserin aut Enthalten in Canadian journal of emergency medicine Berlin : Springer, 1999 23(2021), 3 vom: 04. Jan., Seite 342-350 (DE-627)335259669 (DE-600)2059217-6 1481-8035 nnns volume:23 year:2021 number:3 day:04 month:01 pages:342-350 https://dx.doi.org/10.1007/s43678-020-00041-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_121 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 23 2021 3 04 01 342-350 |
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10.1007/s43678-020-00041-3 doi (DE-627)SPR04396589X (DE-599)SPRs43678-020-00041-3-e (SPR)s43678-020-00041-3-e DE-627 ger DE-627 rakwb eng 610 ASE Daoust, Raoul verfasserin aut Opioid and non-opioid pain relief after an emergency department acute pain visit 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives Treatment of acute pain after emergency department (ED) discharge remains a challenge in the opioid crisis context. Our objective was to determine the proportion of patients using opioid vs non-opioid pain medication following discharge from the ED with acute pain, and the association of type of pain medication with average pain intensity before pain medication intake and report of pain relief. Methods This was a prospective cohort study of ED patients aged ≥ 18 years with an acute pain (≤ 2 weeks) who were discharged with an opioid prescription. Patients completed a 14-day diary assessing daily pain intensity level before each pain medication intake (0–10 numeric rating scale), type of pain medication use (opioid vs non-opioid), and if pain was relieved by the medication used that day. Multilevel analyses were used to compare the effect of type of analgesic used on pain intensity and relief. Results A total of 381 participants completed the 14-day diary; 50% were women and median age was 54 years (IQR = 43–66). Average daily pain intensity before pain medication intake was significantly higher for patients who used opioids (5.9; 95% CI 5.7–6.2) as compared to non-opioid analgesics (4.2; 95% CI 4.0–4.5) or no pain medication (2.2; 95% CI 1.9–2.5). Controlling for pain intensity, patients using opioids were more likely to report a pain relief (OR = 1.3; 95% CI 1.1–1.8) as compared to those who used non-opioid analgesics. Conclusion Overall, opioids appear to be effective and used as intended by the prescribing physician. Acute pain (dpeaa)DE-He213 Pain relief (dpeaa)DE-He213 Opioids (dpeaa)DE-He213 Emergency department (dpeaa)DE-He213 Paquet, Jean verfasserin aut Cournoyer, Alexis verfasserin aut Piette, Éric verfasserin aut Morris, Judy verfasserin aut Lessard, Justine verfasserin aut Castonguay, Véronique verfasserin aut Lavigne, Gilles verfasserin aut Huard, Vérilibe verfasserin aut Chauny, Jean-Marc verfasserin aut Enthalten in Canadian journal of emergency medicine Berlin : Springer, 1999 23(2021), 3 vom: 04. Jan., Seite 342-350 (DE-627)335259669 (DE-600)2059217-6 1481-8035 nnns volume:23 year:2021 number:3 day:04 month:01 pages:342-350 https://dx.doi.org/10.1007/s43678-020-00041-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_121 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_374 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 23 2021 3 04 01 342-350 |
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Enthalten in Canadian journal of emergency medicine 23(2021), 3 vom: 04. Jan., Seite 342-350 volume:23 year:2021 number:3 day:04 month:01 pages:342-350 |
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Daoust, Raoul @@aut@@ Paquet, Jean @@aut@@ Cournoyer, Alexis @@aut@@ Piette, Éric @@aut@@ Morris, Judy @@aut@@ Lessard, Justine @@aut@@ Castonguay, Véronique @@aut@@ Lavigne, Gilles @@aut@@ Huard, Vérilibe @@aut@@ Chauny, Jean-Marc @@aut@@ |
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Our objective was to determine the proportion of patients using opioid vs non-opioid pain medication following discharge from the ED with acute pain, and the association of type of pain medication with average pain intensity before pain medication intake and report of pain relief. Methods This was a prospective cohort study of ED patients aged ≥ 18 years with an acute pain (≤ 2 weeks) who were discharged with an opioid prescription. Patients completed a 14-day diary assessing daily pain intensity level before each pain medication intake (0–10 numeric rating scale), type of pain medication use (opioid vs non-opioid), and if pain was relieved by the medication used that day. Multilevel analyses were used to compare the effect of type of analgesic used on pain intensity and relief. Results A total of 381 participants completed the 14-day diary; 50% were women and median age was 54 years (IQR = 43–66). Average daily pain intensity before pain medication intake was significantly higher for patients who used opioids (5.9; 95% CI 5.7–6.2) as compared to non-opioid analgesics (4.2; 95% CI 4.0–4.5) or no pain medication (2.2; 95% CI 1.9–2.5). Controlling for pain intensity, patients using opioids were more likely to report a pain relief (OR = 1.3; 95% CI 1.1–1.8) as compared to those who used non-opioid analgesics. 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Daoust, Raoul |
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Daoust, Raoul ddc 610 misc Acute pain misc Pain relief misc Opioids misc Emergency department Opioid and non-opioid pain relief after an emergency department acute pain visit |
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610 ASE Opioid and non-opioid pain relief after an emergency department acute pain visit Acute pain (dpeaa)DE-He213 Pain relief (dpeaa)DE-He213 Opioids (dpeaa)DE-He213 Emergency department (dpeaa)DE-He213 |
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Opioid and non-opioid pain relief after an emergency department acute pain visit |
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Canadian journal of emergency medicine |
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Daoust, Raoul Paquet, Jean Cournoyer, Alexis Piette, Éric Morris, Judy Lessard, Justine Castonguay, Véronique Lavigne, Gilles Huard, Vérilibe Chauny, Jean-Marc |
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verfasserin |
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opioid and non-opioid pain relief after an emergency department acute pain visit |
| title_auth |
Opioid and non-opioid pain relief after an emergency department acute pain visit |
| abstract |
Objectives Treatment of acute pain after emergency department (ED) discharge remains a challenge in the opioid crisis context. Our objective was to determine the proportion of patients using opioid vs non-opioid pain medication following discharge from the ED with acute pain, and the association of type of pain medication with average pain intensity before pain medication intake and report of pain relief. Methods This was a prospective cohort study of ED patients aged ≥ 18 years with an acute pain (≤ 2 weeks) who were discharged with an opioid prescription. Patients completed a 14-day diary assessing daily pain intensity level before each pain medication intake (0–10 numeric rating scale), type of pain medication use (opioid vs non-opioid), and if pain was relieved by the medication used that day. Multilevel analyses were used to compare the effect of type of analgesic used on pain intensity and relief. Results A total of 381 participants completed the 14-day diary; 50% were women and median age was 54 years (IQR = 43–66). Average daily pain intensity before pain medication intake was significantly higher for patients who used opioids (5.9; 95% CI 5.7–6.2) as compared to non-opioid analgesics (4.2; 95% CI 4.0–4.5) or no pain medication (2.2; 95% CI 1.9–2.5). Controlling for pain intensity, patients using opioids were more likely to report a pain relief (OR = 1.3; 95% CI 1.1–1.8) as compared to those who used non-opioid analgesics. Conclusion Overall, opioids appear to be effective and used as intended by the prescribing physician. |
| abstractGer |
Objectives Treatment of acute pain after emergency department (ED) discharge remains a challenge in the opioid crisis context. Our objective was to determine the proportion of patients using opioid vs non-opioid pain medication following discharge from the ED with acute pain, and the association of type of pain medication with average pain intensity before pain medication intake and report of pain relief. Methods This was a prospective cohort study of ED patients aged ≥ 18 years with an acute pain (≤ 2 weeks) who were discharged with an opioid prescription. Patients completed a 14-day diary assessing daily pain intensity level before each pain medication intake (0–10 numeric rating scale), type of pain medication use (opioid vs non-opioid), and if pain was relieved by the medication used that day. Multilevel analyses were used to compare the effect of type of analgesic used on pain intensity and relief. Results A total of 381 participants completed the 14-day diary; 50% were women and median age was 54 years (IQR = 43–66). Average daily pain intensity before pain medication intake was significantly higher for patients who used opioids (5.9; 95% CI 5.7–6.2) as compared to non-opioid analgesics (4.2; 95% CI 4.0–4.5) or no pain medication (2.2; 95% CI 1.9–2.5). Controlling for pain intensity, patients using opioids were more likely to report a pain relief (OR = 1.3; 95% CI 1.1–1.8) as compared to those who used non-opioid analgesics. Conclusion Overall, opioids appear to be effective and used as intended by the prescribing physician. |
| abstract_unstemmed |
Objectives Treatment of acute pain after emergency department (ED) discharge remains a challenge in the opioid crisis context. Our objective was to determine the proportion of patients using opioid vs non-opioid pain medication following discharge from the ED with acute pain, and the association of type of pain medication with average pain intensity before pain medication intake and report of pain relief. Methods This was a prospective cohort study of ED patients aged ≥ 18 years with an acute pain (≤ 2 weeks) who were discharged with an opioid prescription. Patients completed a 14-day diary assessing daily pain intensity level before each pain medication intake (0–10 numeric rating scale), type of pain medication use (opioid vs non-opioid), and if pain was relieved by the medication used that day. Multilevel analyses were used to compare the effect of type of analgesic used on pain intensity and relief. Results A total of 381 participants completed the 14-day diary; 50% were women and median age was 54 years (IQR = 43–66). Average daily pain intensity before pain medication intake was significantly higher for patients who used opioids (5.9; 95% CI 5.7–6.2) as compared to non-opioid analgesics (4.2; 95% CI 4.0–4.5) or no pain medication (2.2; 95% CI 1.9–2.5). Controlling for pain intensity, patients using opioids were more likely to report a pain relief (OR = 1.3; 95% CI 1.1–1.8) as compared to those who used non-opioid analgesics. Conclusion Overall, opioids appear to be effective and used as intended by the prescribing physician. |
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Opioid and non-opioid pain relief after an emergency department acute pain visit |
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https://dx.doi.org/10.1007/s43678-020-00041-3 |
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Paquet, Jean Cournoyer, Alexis Piette, Éric Morris, Judy Lessard, Justine Castonguay, Véronique Lavigne, Gilles Huard, Vérilibe Chauny, Jean-Marc |
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Paquet, Jean Cournoyer, Alexis Piette, Éric Morris, Judy Lessard, Justine Castonguay, Véronique Lavigne, Gilles Huard, Vérilibe Chauny, Jean-Marc |
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| score |
7.3999014 |