Predictors for opioid analgesia administration in children with abdominal pain presenting to the emergency department

Clinical Journal of Pain

Volumn 24, Issue 1, 2008, Pages 11-15

  Goldman, Ran D ^a,c   Narula, Neeraj ^b   Klein Kremer, Adi ^b   Finkelstein, Yaron ^b   Rogovik, Alex L ^b  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^b HOSPITAL FOR SICK CHILDREN   (Canada)

^c BC CHILDREN S HOSPITAL   (Canada)

Author keywords

Abdominal pain; Children; Emergency Department; Opioids

Indexed keywords

CODEINE; HYDROMORPHONE; MORPHINE; OPIATE; PETHIDINE;

ABDOMINAL PAIN; ACUTE ABDOMEN; ADOLESCENT; ANALGESIA; ARTICLE; CANADA TRIAGE AND ACUITY SCALE; CHILD; CHILD HEALTH CARE; COMPUTER PROGRAM; CONTROLLED STUDY; DRUG INDICATION; DRUG OVERDOSE; EMERGENCY HEALTH SERVICE; EMERGENCY PHYSICIAN; EMERGENCY TREATMENT; EMERGENCY WARD; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; MULTIVARIATE ANALYSIS; NURSE; PAIN ASSESSMENT; PREDICTION; PRIORITY JOURNAL; RATING SCALE; RECOMMENDED DRUG DOSE; REGRESSION ANALYSIS; RETROSPECTIVE STUDY; SCORING SYSTEM; UNIVARIATE ANALYSIS;

ABDOMINAL PAIN; ADOLESCENT; ANALGESICS, OPIOID; ANALYSIS OF VARIANCE; CHILD; CHILD, PRESCHOOL; EMERGENCY MEDICAL SERVICES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; PROGNOSIS; RETROSPECTIVE STUDIES; TRIAGE;

EID: 38049086378     PISSN: 07498047     EISSN: None     Source Type: Journal    
DOI: 10.1097/AJP.0b013e318156d921     Document Type: Article

References (26)

1. Reynolds SL, Jaffe DM. Children with abdominal pain: evaluation in the pediatric emergency department. Pediatr Emerg Care. 1990;6:8-12.
2. Goldman RD, Crum D, Bromberg R, et al. Analgesia administration for acute abdominal pain in the pediatric emergency department. Pediatr Emerg Care. 2006;22:18-21.
3. Surana R, O'Donnell B. Acute abdominal pain. In: Atwell JD, ed. Pediatric Surgery. London, United Kingdom: Oxford University Press; 1998:402-415.
4. Kim MK, Strait RT, Sato TT, et al. A randomized clinical trial of analgesia in children with acute abdominal pain. Acad Emerg Med. 2002;9:281-287.
5. Green R, Bulloch B, Kabani A, et al. Early analgesia for children with acute abdominal pain. Pediatrics. 2005;116:978-983.
6. Kokki H, Lintula H, Vanamo K, et al. Oxycodone vs placebo in children with undifferentiated abdominal pain: a randomized, double-blind clinical trial of the effect of analgesia on diagnostic accuracy. Arch Pediatr Adolesc Med. 2005;159:320-325.
7. Kowalczyk A. The 2005-2006 Drug Handbook and Formulary. 24th ed. Toronto, ON: The Hospital for Sick Children; 2005.
8. Maurice SC, O'Donnell JJ, Beattie TF. Emergency analgesia in the paediatric population. Part II Pharmacological methods of pain relief. Emerg Med J. 2002;19:101-105.
9. The Canadian Triage & Acuity Scale (CTAS) for Emergency Departments. Available at: http://www.caep.ca/template.asp?id= B795164082374289BBD9C1C2BF4B8D32. Accessed October 21, 2006.
10. Shabbir J, Ridgway PF, Lynch K, et al. Administration of analgesia for acute abdominal pain sufferers in the accident and emergency setting. Eur J Emerg Med. 2004;11:309-312.
11. Lee JS, Stiell IG, Wells GA, et al. Adverse outcomes and opioid analgesic administration in acute abdominal pain. Acad Emerg Med. 2000;7:980-987.
12. Green RS, Kabani A, Dostmohamed H, et al. Analgesic use in children with acute abdominal pain. Pediatr Emerg Care. 2004;20:725-729.
13. Rupp T, Delaney KA. Inadequate analgesia in emergency medicine. Ann Emerg Med. 2004;43:494-503.
14. Kim MK, Galustyan S, Sato TT, et al. Analgesia for children with acute abdominal pain: a survey of pediatric emergency physicians and pediatric surgeons. Pediatrics. 2003;112:1122-1126.
15. Jones JS, Johnson K, McNinch M. Age as a risk factor for inadequate emergency department analgesia. Am J Emerg Med. 1996;14:157-160.
16. Todd KH, Deaton C, D'Adamo AP, et al. Ethnicity and analgesic practice. Ann Emerg Med. 2000;35:11-16.
17. Fry M, Ryan J, Alexander N. A prospective study of nurse initiated panadeine forte: expanding pain management in the ED. Accid Emerg Nurs. 2004;12:136-140.
18. Fry M, Holdgate A. Nurse-initiated intravenous morphine in the emergency department: efficacy, rate of adverse events and impact on time to analgesia. Emerg Med (Fremantle). 2002;14:249-254.
19. Neighbor ML, Baird CH, Kohn MA. Changing opioid use for right lower quadrant abdominal pain in the emergency department. Acad Emerg Med. 2005;12:1216-1220.
20. Wolfe JM, Lein DY, Lenkoski K, et al. Analgesic administration to patients with an acute abdomen: a survey of emergency medicine physicians. Am J Emerg Med. 2000;18:250-253.
21. Ranji SR, Goldman LE, Simel DL, et al. Do opiates affect the clinical evaluation of patients with acute abdominal pain? JAMA. 2006;296:1764-1774.
22. Zoltie N, Cust MP. Analgesia in the acute abdomen. Ann R Coll Surg Engl. 1986;68:209-210.
23. Attard AR, Corlett MJ, Kidner NJ, et al. Safety of early pain relief for acute abdominal pain. BMJ. 1992;305:554-556.
24. Karpman RR, Del Mar N, Bay C. Analgesia for emergency centers' orthopedic patients: does an ethnic bias exist? Clin Orthop Relat Res. 1997;334:270-275.
25. Pace S, Burke TF. Intravenous morphine for early pain relief in patients with acute abdominal pain. Acad Emerg Med. 1996;3:1086-1092.
26. Parsons HM. What happened at Hawthorne? Science. 1974;183:922-932.