PMID- 24199718
OWN - NLM
STAT- MEDLINE
DCOM- 20141114
LR  - 20140303
IS  - 0736-4679 (Print)
IS  - 0736-4679 (Linking)
VI  - 46
IP  - 3
DP  - 2014 Mar
TI  - Is fever treated more promptly than pain in the pediatric emergency department?
PG  - 327-34
LID - S0736-4679(13)01054-8 [pii]
LID - 10.1016/j.jemermed.2013.08.063 [doi]
AB  - BACKGROUND: Fever can be treated with a higher priority than pain in the 
      pediatric emergency department (ED) population. OBJECTIVE: The primary objective 
      was to assess whether patients with a fever are treated with acetaminophen or 
      ibuprofen more promptly than they are treated for pain. METHODS: A retrospective 
      descriptive study was performed on all patients between the ages of 3 and 19 
      years who received acetaminophen or ibuprofen in the pediatric ED from February 
      1, 2010 to January 31, 2011. The time interval from arrival to treatment with 
      acetaminophen or ibuprofen was compared for those patients with a fever 
      (>/=100.4 degrees F) and those without a fever and had reported pain. Other measurable 
      points (time of vital signs, bed assignment, and medication order) on the medical 
      record were compared to further describe any differences. RESULTS: Pediatric 
      patients with fever (n = 1097) received ibuprofen or acetaminophen a median of 
      54.0 min (interquartile range [IQR], 35.4-89.3 min) after arrival. The 
      corresponding median time for afebrile patients (n = 1861) that received the same 
      medications was 83.2 min (IQR, 52.7-136.1). The difference between medians was 
      24.6 min (95% confidence interval 21.3-27.9 min). CONCLUSIONS: Fever is treated 
      more promptly than pain in the pediatric ED. This difference is associated with 
      prevailing and largely unfounded concerns about fever and the undertreatment of 
      pain (oligoanalgesia).
CI  - Copyright (c) 2014 Elsevier Inc. All rights reserved.
FAU - Dvorkin, Ronald
AU  - Dvorkin R
AD  - Good Samaritan Hospital Medical Center, West Islip, New York.
FAU - Bair, Jacob
AU  - Bair J
AD  - Good Samaritan Hospital Medical Center, West Islip, New York.
FAU - Patel, Hardik
AU  - Patel H
AD  - Good Samaritan Hospital Medical Center, West Islip, New York.
FAU - Glantz, Sanford
AU  - Glantz S
AD  - Good Samaritan Hospital Medical Center, West Islip, New York.
FAU - Yens, David P
AU  - Yens DP
AD  - New York Colleges of Osteopathic Medicine Educational Consortium, Old Westbury, 
      New York.
FAU - Rosalia, Anthony Jr
AU  - Rosalia A Jr
AD  - Good Samaritan Hospital Medical Center, West Islip, New York.
FAU - Marguilies, Jeffrey
AU  - Marguilies J
AD  - Good Samaritan Hospital Medical Center, West Islip, New York.
LA  - eng
PT  - Journal Article
DEP - 20131105
PL  - United States
TA  - J Emerg Med
JT  - The Journal of emergency medicine
JID - 8412174
RN  - 0 (Analgesics, Non-Narcotic)
RN  - 0 (Antipyretics)
RN  - 362O9ITL9D (Acetaminophen)
RN  - WK2XYI10QM (Ibuprofen)
SB  - IM
MH  - Acetaminophen/therapeutic use
MH  - Adolescent
MH  - Age Factors
MH  - Analgesics, Non-Narcotic/therapeutic use
MH  - Antipyretics/therapeutic use
MH  - Child
MH  - Child, Preschool
MH  - Emergency Service, Hospital/*statistics & numerical data
MH  - Female
MH  - Fever/*drug therapy
MH  - Humans
MH  - Ibuprofen/therapeutic use
MH  - Male
MH  - Pain/*drug therapy
MH  - Pain Measurement
MH  - Patient Acuity
MH  - Pediatrics/*statistics & numerical data
MH  - Retrospective Studies
MH  - Time Factors
MH  - Time-to-Treatment/*statistics & numerical data
MH  - Triage
MH  - Young Adult
OTO - NOTNLM
OT  - acetaminophen
OT  - acuity
OT  - database
OT  - electronic medical record
OT  - emergency department
OT  - fever
OT  - ibuprofen
OT  - pain
OT  - pediatric
OT  - triage
EDAT- 2013/11/10 06:00
MHDA- 2014/11/15 06:00
CRDT- 2013/11/09 06:00
PHST- 2013/01/09 00:00 [received]
PHST- 2013/07/13 00:00 [revised]
PHST- 2013/08/15 00:00 [accepted]
PHST- 2013/11/09 06:00 [entrez]
PHST- 2013/11/10 06:00 [pubmed]
PHST- 2014/11/15 06:00 [medline]
AID - S0736-4679(13)01054-8 [pii]
AID - 10.1016/j.jemermed.2013.08.063 [doi]
PST - ppublish
SO  - J Emerg Med. 2014 Mar;46(3):327-34. doi: 10.1016/j.jemermed.2013.08.063. Epub 
      2013 Nov 5.