Pain management practices in the emergency departments in Turkey

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dc.contributor.authorÇetin, Murat
dc.contributor.authorKaya, Bora
dc.contributor.authorKılıç, Turgay Yılmaz
dc.contributor.authorHanoğlu, Nazife
dc.contributor.authorGökhan, Şervan
dc.contributor.authorEroğlu, Serkan Emre
dc.contributor.authorAkar, Sakine
dc.contributor.authorÇekic, Özgen
dc.contributor.authorPolat, Dicle
dc.contributor.authorÜstsoy, Emre
dc.contributor.authorÇınar, Orhan
dc.contributor.authorYılmaz, Serkan
dc.date.accessioned2022-03-15T11:06:34Z
dc.date.available2022-03-15T11:06:34Z
dc.date.issued2021en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Acil Tıp Ana Bilim Dalıen_US
dc.descriptionWOS:000719364100004
dc.descriptionPMID: 34849431
dc.description.abstractOBJECTIVES: This study aimed to evaluate pain management practices in the emergency departments (EDs) in Turkey and to evaluate the prevalence and etiologies of oligoanalgesia to identify possible improvement strategies. METHODS: This multicenter cross-sectional observational study was conducted in 10 tertiary care hospitals in Turkey. Patients who were admitted to the ED with pain chief complaints were included in the study. Both patients and physicians were surveyed with two separate forms by the research associates, respectively. The patient survey collected data about the pain and the interventions from the patients' perspective. The pain was evaluated using the Numerical Rating Scale. The physician survey collected data to assess the differences between study centers on pain management strategies and physician attitudes in pain management. RESULTS: Ten emergency physicians and 740 patients (male/female: 365/375) enrolled in the study. The median pain score at admission at both triage and ED was 7 (interquartile range: 5-8). The most frequent type of pain at admission was headache (n = 184, 24.7%). The most common analgesics ordered by physicians were nonsteroidal anti-inflammatory drugs (n = 505, 67.9%), and the most frequent route of administration was intramuscular injection (n = 396, 53.2%). About half of the patients (n = 366, 49.2%) received analgesics 10-30 min from ED admission. The posttreatment median pain score decreased to 3 (P < 0.001). About 79.2% of patients did not need a second analgesic administration (n = 589), and opioid analgesics were the most frequently administered analgesic if the second application was required. Physicians prescribed an analgesic at discharge from the ED in 55.6% of the patients (n = 414) and acute pain was present in 7.5% (n = 56) of the patients. CONCLUSION: Our study on the pain management practices in the EDs in Turkey suggested that high rate of intramuscular analgesic use and long emergency room stay durations are issues that should constitute the focus of our quality improvement efforts in pain management.en_US
dc.identifier.citationÇetin, M., Kaya, B., Kılıç, T. Y., Hanoğlu, N., Gökhan, Ş., Eroğlu, S. E. ve diğerleri. (2021).Pain management practices in the emergency departments in Turkey. Turkish Journal of Emergency Medicine, 21(4), 189-1997.en_US
dc.identifier.doi10.4103/2452-2473.329633
dc.identifier.endpage197en_US
dc.identifier.issn2452-2473
dc.identifier.issue4en_US
dc.identifier.pmid34849431
dc.identifier.scopus2-s2.0-85119212794
dc.identifier.scopusqualityQ2
dc.identifier.startpage189en_US
dc.identifier.trdizinid532321
dc.identifier.urihttps://www.turkjemergmed.org/showcaptcha.asp?RedirectUrl=article&issn=2452-2473;year=2021;volume=21;issue=4;spage=189;epage=197;aulast=Cetin
dc.identifier.urihttps://hdl.handle.net/11468/9429
dc.identifier.volume21en_US
dc.identifier.wosWOS:000719364100004
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorPolat, Dicle
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofTurkish Journal of Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmergency medicineen_US
dc.subjectOligoanalgesiaen_US
dc.subjectPainen_US
dc.subjectPain managementen_US
dc.subjectTurkeyen_US
dc.titlePain management practices in the emergency departments in Turkeyen_US
dc.titlePain management practices in the emergency departments in Turkey
dc.typeArticleen_US

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