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Subjective risk factors of severe pain at discharge from the emergency department

dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorTANDZI TONLEU, Florentine
dc.contributor.authorPILET, Claire
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorLAGARDE, Emmanuel
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGIL-JARDINE, Cedric
ORCID: 0000-0001-5329-6405
IDREF: 159039223
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGALINSKI, Michel
dc.contributor.authorLAFONT, Sylviane
dc.date.accessioned2024-10-16T09:03:54Z
dc.date.available2024-10-16T09:03:54Z
dc.date.issued2024-08-06
dc.identifier.issn1970-9366en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/202530
dc.description.abstractEnOBJECTIVE: To examine the risk factors for severe pain upon discharge from the emergency department, assuming appropriate pharmacological treatment of pain, in order to improve pain relief in emergency departments and reduce the risk of potential chronic pain. METHODS: An analytic study was conducted utilizing data from a multicenter randomized controlled trial to evaluate patients' experiences upon admission and discharge from the emergency department (ED). Severe pain was defined by a score of six on a numerical rating scale of zero to ten. Stress and negative emotions (including anger, fear, sadness, and regret) were evaluated using numerical rating scales, respectively ranging from 0 to 10 and 1 to 5. The risk factors of severe pain at discharge (SPD) from ED were calculated using logistic regression considering patient characteristics evaluated at their admission to the ED. RESULTS: From the 1240 patients analyzed, 22.2% had SPD from the ED. Each increase of one point in the intensity of acute pain and anger was significantly associated with a higher risk of SPD from ED. In addition, woman, negative self-perceived health, and age under 65 years, are other significant factors associated with SPD from the ED. DISCUSSION: In addition to acute pain on admission, this study highlights new factors to consider when managing pain in emergency care, such as anger, and self-perceived health. Addressing these aspects can help reduce the likelihood of developing SPD from the ED, which in turn could potentially lead to the onset of chronic pain in future. CLINICAL TRIAL REGISTRY: SOFTER IV Project clinical identification number: NCT04916678.
dc.language.isoENen_US
dc.subject.enAnger
dc.subject.enEmergency department
dc.subject.enNegative emotions
dc.subject.enPain
dc.subject.enRisk factors
dc.title.enSubjective risk factors of severe pain at discharge from the emergency department
dc.title.alternativeIntern Emerg Meden_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1007/s11739-024-03730-4en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed39107668en_US
bordeaux.journalInternal and Emergency Medicineen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamAHEAD_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04739329
hal.version1
hal.date.transferred2024-10-16T09:03:56Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Internal%20and%20Emergency%20Medicine&rft.date=2024-08-06&rft.eissn=1970-9366&rft.issn=1970-9366&rft.au=TANDZI%20TONLEU,%20Florentine&PILET,%20Claire&LAGARDE,%20Emmanuel&GIL-JARDINE,%20Cedric&GALINSKI,%20Michel&rft.genre=article


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