The effect of emergency department crowding on the management of pain in older adults with hip fracture

Journal of the American Geriatrics Society

Volumn 54, Issue 2, 2006, Pages 270-275

  Hwang, Ula ^a,c   Richardson, Lynne D ^a   Sonuyi, Tolulope O ^b   Morrison, R Sean ^a  

^a MOUNT SINAI SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^c Box 1620 ^*  (United States)

Author keywords

Aging; Emergency department crowding; Pain; Quality of care

Indexed keywords

OPIATE; PETHIDINE; ANALGESIC AGENT;

AGED; AGING; ANALGESIA; COMORBIDITY; CROWDING; DEMENTIA; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; HEALTH CARE QUALITY; HIP FRACTURE; HUMAN; NURSING HOME; PAIN; PAIN ASSESSMENT; RETROSPECTIVE STUDY; REVIEW; ARTICLE; COMPARATIVE STUDY; FEMALE; FOLLOW UP; HOSPITALIZATION; MALE; MIDDLE AGED; RISK FACTOR; STATISTICS; TIME; TREATMENT OUTCOME;

AGED; AGED, 80 AND OVER; ANALGESICS; EMERGENCY SERVICE, HOSPITAL; FEMALE; FOLLOW-UP STUDIES; HIP FRACTURES; HOSPITALIZATION; HUMANS; MALE; MIDDLE AGED; PAIN; PAIN MEASUREMENT; QUALITY ASSURANCE, HEALTH CARE; RETROSPECTIVE STUDIES; RISK FACTORS; TIME FACTORS; TREATMENT OUTCOME;

EID: 33645057486     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2005.00587.x     Document Type: Review

References (26)

1. McCaig LF Burt CW. National Hospital Ambulatory Medical Care Survey 2002 Emergency Department Summary Adv Data 2004 Mar 340 1 34
2. Miro O Antonio MT Jiminez S et al Decreased health care quality associated with emergency department overcrowding Eur J Emerg Med 1999 7 105 107
3. Schull MJ Morrison LJ Vermuelen M et al Emergency department overcrowding and ambulance transport delays for patients with chest pain Can Med Assoc J 2003 168 277 283
4. Schull MJ Vermuelen M Slaughter G et al Emergency department crowding and thrombolysis delays in acute myocardial infarction Ann Emerg Med 2004 44 577 585
5. Sloss EM Solomon DH Shekelle PG et al Selecting target conditions for quality of care improvement in vulnerable adults J Am Geriatr Soc 2000 48 363 369
6. Cleeland CS Gonin R Hatfield AK et al Pain and its treatment in outpatients with metastatic cancer N Engl J Med 1994 330 592 596
7. Todd KH Lee R Hoffman JR. The effect of ethnicity on physician estimates of pain severity in patients with isolated extremity trauma JAMA 1994 271 925 928
8. Todd KH Samaroo N Hoffman JR. Ethnicity as a risk factor for inadequate emergency department analgesia JAMA 1993 269 1537 1539
9. Neighbor ML Honner S Kohn MA. Factors affecting emergency department opioid administration to severely injured patients Acad Emerg Med 2004 11 1290 1296
10. Rupp T Delaney KA. Inadequate analgesia in emergency medicine Ann Emerg Med 2004 43 494 503
11. McNamara RM Rousseau E Sanders AB. Geriatric emergency medicine A survey of practicing emergency physicians Ann Emerg Med 1992 21 796 801
12. Morrison RS Siu AL. A comparison of pain and its treatment in advanced dementia and cognitively intact patients with hip fracture J Pain Symptom Manage 2000 19 240 248
13. Hannan EL Magaziner J Wang JJ et al Mortality and locomotion 6 months after hospitalization for hip fracture Risk factors and risk-adjusted hospital outcomes JAMA 2001 285 2736 2742
14. Keeler EB Kahn KL Draper D et al Changes in sickness at admission following the introduction of the prospective payment system JAMA 1990 264 1962 1968
15. Tanabe P Gimbel R Yarnold PR et al The Emergency Severity Index (versions 3) 5-level triage system scores predict ED resource consumption J Emerg Nurs 2004 30 22 29
16. Hwang U Concato J. Care in the emergency department How crowded is overcrowded? Acad Emerg Med 2004 11 1097 1101
17. Bernstein SL Verghese V Leung W et al Development and validation of a new index to measure emergency department crowding Acad Emerg Med 2003 10 938 942
18. Weiss SJ Derlet R Arndahl J et al Estimating the degree of emergency department overcrowding in academic medical centers. Results from the National ED Crowding Study (NEDOCS) Acad Emerg Med 2004 11 38 50
19. Asplin BR Rhodes KV Flottemesch TJ et al Is this emergency department crowded? A multicenter derivation and evaluation of an emergency department crowding scale (EDCS) Acad Emerg Med 2004 11 484
20. Beers MH. Explicit criteria for determining potentially inappropriate medication use by the elderly An update Arch Intern Med 1997 157 1531 1536
21. Joint Commission on Accreditation of Healthcare Organizations Pain Standards [on-line]. Available at Accessed September 17, 2004.
22. Institute of Medicine. Crossing the Quality Chasm Washington, DC National Academy Press 2001
23. Bagust A Place M Posnett JW. Dynamics of bed use in accommodating emergency admissions Stochastic stimulation model BMJ 1999 319 155 158
24. Richardson DB. Refined overcrowding scale (ROCS) based on point occupancy Acad Emerg Med 2005 12 23
25. Cleeland CS Gonin R Baez L et al Pain and treatment of pain in minority patients with cancer. The Easter Cooperative Oncology Group Minority Outpatient Pain Study Ann Intern Med 1997 127 813 816
26. Joranson DE Ryan KM Gilson AM et al Trends in medical use and abuse of opioid analgesics JAMA 2000 283 1710 1714