PMID- 29573161
OWN - NLM
STAT- MEDLINE
DCOM- 20190314
LR  - 20190314
IS  - 1742-6723 (Electronic)
IS  - 1742-6723 (Linking)
VI  - 30
IP  - 4
DP  - 2018 Aug
TI  - Association between pain control and patient satisfaction outcomes in the 
      emergency department setting.
PG  - 523-529
LID - 10.1111/1742-6723.12945 [doi]
AB  - OBJECTIVE: Pain management and patient satisfaction are key markers for health 
      systems performance. There is a lack of consensus on the role of analgesia, its 
      adequacy, and its links to patient satisfaction in the ED. The present study 
      aimed to assess the relationship between adequacy of analgesia and patient 
      satisfaction in the ED setting. METHODS: Consenting adult patients (n = 115) 
      presenting to the ED with pain were enrolled, and their pain tracked throughout 
      admission with 11 point numerical pain scores. Eleven point numerical scores were 
      also utilised to measure satisfaction and compassion at the end of each ED stay. 
      The primary outcome was patient satisfaction score >/=7. RESULTS: Of 115 enrolled 
      patients, 94 (81.7%) were eligible for analysis. Median time to physician 
      evaluation was 54.0 min (inter-quartile range [IQR] 35.0-98.0) and median ED 
      length of stay was 205 min (IQR 129.0-280.0). Fifty-four patients (57.5%) 
      received analgesia during their stay, of whom 36 (38.3%) had a significant 
      response to analgesia (>/=2 change in pain score). Median time to analgesia was 
      87.5 min (IQR 66.1-108.9). Patient satisfaction was inversely associated with 
      male sex, and positively correlated (Spearman's rank correlation P < 0.05) with 
      increasing age, significant change in pain score (+/-2) and compassion scores. 
      CONCLUSION: In the present study of patients presenting to the ED with pain, 
      oligoanalgesia remains a significant issue. Male sex was inversely associated 
      with satisfaction, whereas compassion, and significant change in pain score were 
      associated with improved patient satisfaction. Of the factors analysed, staff 
      compassion demonstrated the strongest correlation with satisfaction.
CI  - (c) 2018 Australasian College for Emergency Medicine and Australasian Society for 
      Emergency Medicine.
FAU - Brown, Tristam
AU  - Brown T
AUID- ORCID: 0000-0002-0320-504X
AD  - Sydney Medical School, The University of Sydney, Sydney, New South Wales, 
      Australia.
FAU - Shetty, Amith
AU  - Shetty A
AUID- ORCID: 0000-0001-7349-1128
AD  - Sydney Medical School, The University of Sydney, Sydney, New South Wales, 
      Australia.
AD  - Emergency Department, Westmead Hospital, Sydney, New South Wales, Australia.
FAU - Zhao, Dong Fang
AU  - Zhao DF
AD  - Sydney Medical School, The University of Sydney, Sydney, New South Wales, 
      Australia.
FAU - Harvey, Nathan
AU  - Harvey N
AD  - Sydney Medical School, The University of Sydney, Sydney, New South Wales, 
      Australia.
FAU - Yu, Teresa
AU  - Yu T
AD  - Sydney Medical School, The University of Sydney, Sydney, New South Wales, 
      Australia.
FAU - Murphy, Margaret
AU  - Murphy M
AD  - Emergency Department, Westmead Hospital, Sydney, New South Wales, Australia.
AD  - Sydney Nursing School, The University of Sydney, Sydney, New South Wales, 
      Australia.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20180323
PL  - Australia
TA  - Emerg Med Australas
JT  - Emergency medicine Australasia : EMA
JID - 101199824
SB  - IM
MH  - Adult
MH  - Emergency Service, Hospital/organization & administration/statistics & numerical 
      data
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain/drug therapy/psychology
MH  - Pain Management/methods/*standards
MH  - Pain Measurement/methods
MH  - *Patient Satisfaction
MH  - Prospective Studies
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - analgesia
OT  - emergency medicine
OT  - oligoanalgesia
OT  - pain
OT  - satisfaction
EDAT- 2018/03/25 06:00
MHDA- 2019/03/15 06:00
CRDT- 2018/03/25 06:00
PHST- 2017/08/13 00:00 [received]
PHST- 2018/01/07 00:00 [revised]
PHST- 2018/01/24 00:00 [accepted]
PHST- 2018/03/25 06:00 [pubmed]
PHST- 2019/03/15 06:00 [medline]
PHST- 2018/03/25 06:00 [entrez]
AID - 10.1111/1742-6723.12945 [doi]
PST - ppublish
SO  - Emerg Med Australas. 2018 Aug;30(4):523-529. doi: 10.1111/1742-6723.12945. Epub 
      2018 Mar 23.