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Dolor por opciones: Utilización del departamento de emergencias para el dolor crónico en un hospital de red de
Chun Nok Lam1, Ryan Lui1, Robert Allen2
1Department of Emergency Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles, California, USA.
Resumen
El dolor crónico prevalece en los departamentos de emergencia (ED), con pacientes que buscan atención debido a emergencias percibidas. Los sistemas de salud deben mejorar las estrategias de manejo para estos pacientes.
Área de la Ciencia:
- Medicina de emergencia
- Tratamiento del dolor
- Investigación en servicios de salud
Sus antecedentes:
- Los pacientes con dolor crónico utilizan con frecuencia los departamentos de emergencia (ED) debido a la accesibilidad.
- El impacto del dolor crónico en la utilización de la disfunción eréctil a menudo se subestima.
- Este estudio se centra en la prevalencia del dolor crónico en la sala de emergencias de un hospital urbano.
Objetivo del estudio:
- Determinar la prevalencia del dolor crónico entre los pacientes adultos con disfunción eréctil.
- Para caracterizar a los pacientes que se presentan al servicio de urgencias por dolor crónico.
- Para comparar las características de los pacientes con dolor crónico con dolor agudo y pacientes sin dolor en la DE.
Principales métodos:
- Muestreo sistemático de pacientes adultos con disfunción eréctil de junio a agosto de 2024.
- Categoría en dolor crónico, dolor agudo o condiciones sin dolor.
- Datos recopilados sobre la demografía, el acceso a la salud, los tiempos de espera de ED, la duración de la estancia, el seguro y la hora de llegada.
Principales resultados:
- El 18% de los 602 participantes se presentó al ED por dolor crónico.
- Los pacientes con dolor crónico informaron de un peor estado de salud y utilizaron la ED como fuente habitual de atención.
- Estos pacientes experimentaron estancias de ED más largas y fueron más propensos a percibir su visita como una emergencia.
Conclusiones:
- El dolor crónico representa una carga significativa en las poblaciones de ED con red de seguridad.
- Los pacientes con dolor crónico perciben su condición como emergente, impulsando visitas a urgencias.
- Se necesitan estrategias de manejo efectivas para abordar las necesidades únicas de los pacientes con dolor crónico en la ED.
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