Korean J Pain.  2014 Apr;27(2):152-161. 10.3344/kjp.2014.27.2.152.

Model Determination of Delayed Causes of Analgesics Prescription in the Emergency Ward in Arak, Iran

• Cyrus A
• Moghimi M
• Jokar A
• Rafeie M
• Moradi A
• Ghasemi P
• Shahamat H
• Kabir A

• KMID: 2074062
• DOI: http://doi.org/10.3344/kjp.2014.27.2.152

Abstract

BACKGROUND
According to the reports of the World Health Organization 20% of world population suffer from pain and 33% of them suffer to some extent that they cannot live independently.
METHODS
This is a cross-sectional study which was conducted in the emergency department (ED) of Valiasr Hospital of Arak, Iran, in order to determine the causes of delay in prescription of analgesics and to construct a model for prediction of circumstances that aggravate oligoanalgesia. Data were collected during a period of 7 days.
RESULTS
Totally, 952 patients participated in this study. In order to reduce their pain intensity, 392 patients (42%) were treated. Physicians and nurses recorded the intensity of pain for 66.3% and 41.37% of patients, respectively. The mean (SD) of pain intensity according to visual analogue scale (VAS) was 8.7 (1.5) which reached to 4.4 (2.3) thirty minutes after analgesics prescription. Median and mean (SD) of delay time in injection of analgesics after the physician's order were 60.0 and 45.6 (63.35) minutes, respectively. The linear regression model suggested that when the attending physician was male or intern and patient was from rural areas the delay was longer.
CONCLUSIONS
We propose further studies about analgesics administration based on medical guidelines in the shortest possible time and also to train physicians and nurses about pain assessment methods and analgesic prescription.

Keyword

analgesics; attitude of health personnel; emergency medicine; narcotics; pain; physician's practice patterns

MeSH Terms

Analgesics*
Attitude of Health Personnel
Cross-Sectional Studies
Emergencies*
Emergency Medicine
Emergency Service, Hospital*
Humans
Iran*
Linear Models
Male
Narcotics
Pain Measurement
Physician's Practice Patterns
Prescriptions*
World Health Organization
Analgesics
Narcotics

Figure

• 

  Fig. 1 Relative frequency of prescribing pain medication to patients in stages I, II and III.

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