高龄和延迟腹痛的风险 在急诊室的护理
Ben Bloom1,2, Christie L Fritz3, Shivani Gupta2
1Blizard Institute for Neuroscience, Surgery, and Trauma, Barts and The London School of Medicine.
概括
老年人经历了更长的等待疼痛缓解在急诊室. 年龄增长是与延迟腹痛止痛相关的唯一人口因素,每十年等待时间增加近7分钟.
科学领域:
- 紧急医疗 紧急医疗
- 疼痛管理 疼痛管理
- 医疗服务研究 医疗服务研究
背景情况:
- 低于最佳的急性疼痛管理是一个已知的问题,可能与患者人口统计学有关.
- 了解人口统计学与疼痛护理的关联对于提高急诊室 (ED) 效率至关重要.
研究的目的:
- 调查患者人口统计学 (年龄,性别,种族) 和疼痛管理终点之间的关联,以治疗腹部疼痛的ED出席.
- 分析初始止痛的时间和选择阿片类药物作为主要的止痛方法.
主要方法:
- 在英国国家卫生服务信托基金会 (ED) 中,对患有腹部疼痛的成年患者进行了回顾性观察研究.
- 收集的数据包括人口统计数据,疼痛评分和止痛药的使用情况;使用量子位数中位数和逻辑回归进行分析.
主要成果:
- 在接受治疗的34.4%的患者中,观察到初始止痛的中位延迟为110分钟.
- 年龄的增加与疼痛缓解时间的延长显著相关,每十年的增加增加6.9分钟 (P=0.007).
- 种族和性别与止痛或阿片类药物选择的时间没有显著关联;疼痛评分是阿片类药物选择的唯一因素.
结论:
- 年龄增长是唯一与ED中腹痛延迟初始止痛相关的人口因素.
- 老年患者面临长时间等待疼痛管理的风险线性增加,突出需要针对年龄特定的护理考虑.
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