Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/25370
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dc.contributor.authorTaylor, David McD-
dc.contributor.authorValentine, Safire-
dc.contributor.authorMajer, James-
dc.contributor.authorGrant, Nicole-
dc.date2020-
dc.date.accessioned2020-11-25T04:54:36Z-
dc.date.available2020-11-25T04:54:36Z-
dc.date.issued2020-11-22-
dc.identifier.citationEmergency Medicine Australasia : EMA 2020; online first: 22 Novemberen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/25370-
dc.description.abstractTo determine patient knowledge of the nature of their pain management in the ED. This was a planned sub-study of data collected during a randomised, controlled trial of the nature of the informed consent process in a single ED. Patients aged ≥18 years, with a triage pain score of ≥4, were enrolled. Forty-eight hours post-ED discharge, patients were asked if they had declined analgesia or if a range of pain management options had been administered. The primary outcome was discordance between the patient report and the ED report (proportion of cases where these reports differed). Outcome data were collected on 655 patients. There was significant discordance for all variables examined (P < 0.001). Discordance for patients declining analgesia was lowest at 8.9% (95% confidence interval [CI] 6.8-11.4). Discordance for administration of pain management 'other' than analgesia was highest at 32.6% (95% CI 29.0-36.4). Discordance for the administration of oral analgesia or 'any' analgesia was 17.1% (95% CI 14.3-20.3) and 14.4% (95% CI 11.8-17.3), respectively. For both of these outcomes, patients with chest pain and lower triage pain scores were more likely to report discordant responses. With the exception of 'other' pain management, smaller proportions of patients incorrectly reported not receiving management than incorrectly reporting that they did receive it. Patients are often unaware of the nature of their pain management. They are most often unaware of management other than analgesia. Patients with chest pain and lower triage pain scores had the least knowledge of their pain management.en
dc.language.isoeng-
dc.subjectemergency departmenten
dc.subjectknowledgeen
dc.subjectpainen
dc.titleDiscordance between patient-reported and actual emergency department pain management.en
dc.typeJournal Articleen
dc.identifier.journaltitleEmergency Medicine Australasia : EMAen
dc.identifier.affiliationDepartment of Medicine, The University of Melbourne, Melbourne, Victoria, Australiaen
dc.identifier.affiliationBarwon Health, Geelong, Victoria, Australiaen
dc.identifier.affiliationBox Hill Hospital, Melbourne, Victoria, Australiaen
dc.identifier.affiliationEmergencyen
dc.identifier.affiliationWestern Health, Melbourne, Victoria, Australiaen
dc.identifier.doi10.1111/1742-6723.13690en
dc.type.contentTexten
dc.identifier.orcid0000-0002-8986-9997en
dc.identifier.pubmedid33225600-
local.name.researcherTaylor, David McD
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
crisitem.author.deptEmergency-
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