選択の為の苦痛:セーフティネット病院における慢性的な痛みに対する緊急治療室の利用
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.
まとめ
慢性疼痛は緊急治療室 (ED) で多く見られ,患者は緊急事態を想定して治療を受けています. 医療制度はこれらの患者に対する 管理戦略を改善しなければなりません
科学分野:
- 緊急 医療
- 痛みの管理
- 医療サービス研究
背景:
- 慢性疼痛の患者は,アクセシビリティのため,緊急治療室 (ED) を頻繁に利用します.
- 慢性疼痛がED利用に与える影響はしばしば過小評価されています.
- この研究は,都市安全ネットワーク病院のEDにおける慢性疼痛の流行に焦点を当てています.
研究 の 目的:
- 成人のED患者における慢性疼痛の罹患率を決定する.
- 慢性的な痛みのためにEDに報告する患者を特徴づけるために
- 慢性疼痛の患者と痛みを感じない患者の特徴を比較する.
主な方法:
- 2024年6月から8月までの成人ED患者の 系統的なサンプリング
- 慢性疼痛,急性疼痛,または無痛状態に分類されます.
- 人口統計,医療へのアクセス,EDの待ち時間,滞在期間,保険,到着時間に関するデータ
主要な成果:
- 慢性的な痛みのためにEDに報告した参加者の18%でした.
- 慢性疼痛の患者は健康状態が悪化し,通常の治療の源としてEDを使用しました.
- これらの患者はEDの長期滞在を経験し,彼らの訪問を緊急事態として認識する可能性が高くなった.
結論:
- 慢性疼痛は,安全網のED集団において大きな負担を伴う.
- 慢性的な痛みを感じている患者は 緊急事態として自分の状態を認識し 緊急治療室を訪ねるのです
- 慢性疼痛患者の独特のニーズに対処するために効果的な管理戦略が必要です.
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