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dc.contributor.authorJao, Kathyen
dc.contributor.authorTaylor, David McDen
dc.contributor.authorTaylor, Simone Een
dc.contributor.authorKhan, Munaden
dc.contributor.authorChae, Johnen
dc.identifier.citationEmergency Medicine Australasia : Ema 2011; 23(2): 195-201en
dc.description.abstractWe aimed to determine factors that are significantly associated with a high level of patient satisfaction with their pain management.We undertook an observational study in a large metropolitan ED. Adult patients with a triage pain score of ≥4 (0-10 scale) were enrolled. Data collected included demographics, presenting complaint, pain scores every 30 min, whether nurse-initiated analgesia was administered, the nature of the pain relief administered, time to first dose of analgesia, elements of staff communication and whether 'adequate analgesia' was provided (defined as a decrease in pain score to <4 and a decrease from the triage pain score of ≥2). The primary end-point, determined at follow up within 48 h, was the level of satisfaction with pain management (6-point scale: very unsatisfied-very satisfied).One hundred and sixty-seven (82.7%) of 202 enrolled patients were followed up - mean (SD) age 46.4 (18.3) years, 75 (44.9%) men. Eighty-one (48.5%) patients were very satisfied with their pain management. Only two clinical variables were significantly associated with a high level of satisfaction: receipt of 'adequate analgesia' (as defined) and specific communication regarding pain management. Forty-four (58.7%) versus 37 (40.2%) patients who did/did not receive 'adequate analgesia', respectively, were very satisfied (difference 18.5%, 95% CI 2.3-34.7, P= 0.027). Seventy-seven (53.9%) and four (16.7%) patients who were/were not advised by ED staff that their pain management was important, respectively, were very satisfied (difference 37.2%, 95% CI 17.7-56.6, P= 0.002).Our 'adequate analgesia' definition might provide a useful clinical target, which, combined with adequate communication, might help maximize patient satisfaction.en
dc.subject.otherAnalgesics.therapeutic useen
dc.subject.otherConfidence Intervalsen
dc.subject.otherEmergency Service, Hospital.statistics & numerical dataen
dc.subject.otherMiddle Ageden
dc.subject.otherPain.drug therapyen
dc.subject.otherPain Measurementen
dc.subject.otherPatient Satisfaction.statistics & numerical dataen
dc.subject.otherQualitative Researchen
dc.subject.otherStatistics, Nonparametricen
dc.subject.otherTime Factorsen
dc.subject.otherTreatment Outcomeen
dc.titleSimple clinical targets associated with a high level of patient satisfaction with their pain management.en
dc.typeJournal Articleen
dc.identifier.journaltitleEmergency medicine Australasiaen
dc.identifier.affiliationDepartment of Medicine, University of Melbourne, Melbourne Austin Health, Heidelberg, Victoria, Australiaen
Appears in Collections:Journal articles

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