Analgesia for older adults with abdominal or back pain in the emergency department

Western Journal of Emergency Medicine

Volumn 12, Issue 1, 2011, Pages 43-50

  Mills, Angela M ^a   Edwards, J Matthew ^a   Shofer, Frances S ^b   Holena, Daniel N ^c   Abbuhl, Stephanie B ^a  

^a HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

^b UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Abdominal pain; Analgesia; Back pain; Emergency department; Older adults

Indexed keywords

EID: 80051519803     PISSN: 1936900X     EISSN: 19369018     Source Type: Journal    
DOI: None     Document Type: Article

References (65)

1. Pitts SR, Niska RW, Xu J, et al. National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary. Natl Health Stat Report. Aug 6 2008(7):1-38.
2. Wilson JE, Pendleton JM. Oligoanalgesia in the emergency department.[see comment]. American Journal of Emergency Medicine. Nov 1989;7(6):620-3. (Pubitemid 19276857)
3. Rupp T, Delaney KA. Inadequate analgesia in emergency medicine. Ann Emerg Med. Apr 2004;43(4):494-503. (Pubitemid 38436539)
4. Stalnikowicz R, Mahamid R, Kaspi S, et al. Undertreatment of acute pain in the emergency department: a challenge. Int J Qual Health Care. Apr 2005;17(2):173-6. (Pubitemid 40485645)
5. Chen EH, Shofer FS, Dean AJ, et al. Gender disparity in analgesic treatment of emergency department patients with acute abdominal pain. Acad Emerg Med. May 2008;15(5):414-8.
6. Raftery KA, Smith-Coggins R, Chen AH. Gender-associated differences in emergency department pain management. Ann Emerg Med. Oct 1995;26(4):414-21.
7. Todd KH, Samaroo N, Hoffman JR. Ethnicity as a risk factor for inadequate emergency department analgesia.[see comment]. JAMA. Mar 24-31 1993;269(12):1537-9. (Pubitemid 23086415)
8. Todd KH, Deaton C, D'Adamo AP, et al. Ethnicity and analgesic practice.[see comment]. Annals of Emergency Medicine. Jan 2000;35(1):11-6. (Pubitemid 30659723)
9. Heins A, Grammas M, Heins JK, et al. Determinants of variation in analgesic and opioid prescribing practice in an emergency department. J Opioid Manag. Nov-Dec 2006;2(6):335-40.
10. Hostetler MA, Auinger P, Szilagyi PG. Parenteral analgesic and sedative use among ED patients in the United States: combined results from the National Hospital Ambulatory Medical Care Survey (NHAMCS) 1992-1997. Am J Emerg Med. May 2002;20(3):139-43. (Pubitemid 34477922)
11. Miner J, Biros MH, Trainor A, et al. Patient and physician perceptions as risk factors for oligoanalgesia: a prospective observational study of the relief of pain in the emergency department.[see comment]. Academic Emergency Medicine. Feb 2006;13(2):140-6. (Pubitemid 43155819)
12. Jones JS, Johnson K, McNinch M. Age as a risk factor for inadequate emergency department analgesia. Am J Emerg Med. Mar 1996;14(2):157-60. (Pubitemid 26090199)
13. Friedland LR, Pancioli AM, Duncan KM. Pediatric emergency department analgesic practice. Pediatr Emerg Care. Apr 1997;13(2):103-6. (Pubitemid 27174753)
14. Alexander J, Manno M. Underuse of analgesia in very young pediatric patients with isolated painful injuries. Ann Emerg Med. May 2003;41(5):617-22. (Pubitemid 36520239)
15. Etzioni S, Chodosh J, Ferrell BA, et al. Quality indicators for pain management in vulnerable elders. J Am Geriatr Soc. Oct 2007;55 Suppl 2:S403-8. (Pubitemid 47512150)
16. Sloss EM, Solomon DH, Shekelle PG, et al. Selecting target conditions for quality of care improvement in vulnerable older adults. J Am Geriatr Soc. Apr 2000;48(4):363-9. (Pubitemid 30207758)
17. Terrell KM, Hustey FM, Hwang U, et al. Quality indicators for geriatric emergency care. Acad Emerg Med. May 2009;16(5):441-9.
18. McNamara RM, Rousseau E, Sanders AB. Geriatric emergency medicine: a survey of practicing emergency physicians. Ann Emerg Med. Jul 1992;21(7):796-801.
19. Hogan TM, Losman ED, Carpenter CR, et al. Development of geriatric competencies for emergency medicine residents using an expert consensus process. Acad Emerg Med. Mar 2010;17(3):316-24.
20. Hwang U, Richardson LD, Sonuyi TO, et al. The effect of emergency department crowding on the management of pain in older adults with hip fracture. J Am Geriatr Soc. Feb 2006;54(2):270-5.
21. Roberts DC, McKay MP, Shaffer A. Increasing rates of emergency department visits for elderly patients in the United States, 1993 to , Ann Emerg Med. Jun 2008;51(6):769-74.
22. Berger E. Geriatrics and the IOM: did report forget the elderly? Ann Emerg Med. Dec 2006;48(6):723-5.
23. Aminzadeh F, Dalziel WB. Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med. Mar 2002;39(3):238-47. (Pubitemid 34219636)
24. Sanders AB. Quality in emergency medicine: an introduction. Acad Emerg Med. Nov 2002;9(11):1064-6. (Pubitemid 35291531)
25. Chin MH, Jin L, Karrison TG, et al. Older patients' health-related quality of life around an episode of emergency illness. Ann Emerg Med. Nov 1999;34(5):595-603. (Pubitemid 29510911)
26. Denman SJ, Ettinger WH, Zarkin BA, et al. Short-term outcomes of elderly patients discharged from an emergency department. J Am Geriatr Soc. Oct 1989;37(10):937-43. (Pubitemid 19253213)
27. Krumholz HM, Radford MJ, Wang Y, et al. Early beta-blocker therapy for acute myocardial infarction in elderly patients. Ann Intern Med. Nov 2 1999;131(9):648-54. (Pubitemid 29517949)
28. Magid DJ, Masoudi FA, Vinson DR, et al. Older emergency department patients with acute myocardial infarction receive lower quality of care than younger patients. Ann Emerg Med. Jul 2005;46(1):14-21. (Pubitemid 40916891)
29. Friedmann PD, Jin L, Karrison TG, et al. Early revisit, hospitalization, or death among older persons discharged from the ED. Am J Emerg Med. Mar 2001;19(2):125-9. (Pubitemid 32205272)
30. Lynch EP, Lazor MA, Gellis JE, et al. The impact of postoperative pain on the development of postoperative delirium. Anesth Analg. Apr 1998;86(4):781-5. (Pubitemid 28177731)
31. Williamson GM, Schulz R. Pain, activity restriction, and symptoms of depression among community-residing elderly adults. J Gerontol. Nov 1992;47(6):P367-72.
32. Ferrell BR, Schaffner M. Pharmacoeconomics and medical outcomes in pain management. Semin Anesth. 1997;16(2):152-9. (Pubitemid 27263862)
33. Attard AR, Corlett MJ, Kidner NJ, et al. Safety of early pain relief for acute abdominal pain. BMJ. Sep 5 1992;305(6853):554-6.
34. LoVecchio F, Oster N, Sturmann K, et al. The use of analgesics in patients with acute abdominal pain. J Emerg Med. Nov-Dec 1997;15(6):775-9. (Pubitemid 27524571)
35. Neighbor ML, Honner S, Kohn MA. Factors affecting emergency department opioid administration to severely injured patients. Acad Emerg Med. Dec 2004;11(12):1290-6. (Pubitemid 39572886)
36. Pace S, Burke TF. Intravenous morphine for early pain relief in patients with acute abdominal pain. Acad Emerg Med. Dec 1996;3(12):1086-92. (Pubitemid 26415782)
37. Ranji SR, Goldman LE, Simel DL, et al. Do opiates affect the clinical evaluation of patients with acute abdominal pain? JAMA. Oct 11 2006;296(14):1764-74. (Pubitemid 44547796)
38. Thomas SH, Silen W, Cheema F, et al. Effects of morphine analgesia on diagnostic accuracy in Emergency Department patients with abdominal pain: a prospective, randomized trial. J Am Coll Surg. Jan 2003;196(1):18-31. (Pubitemid 36070990)
39. Zoltie N, Cust MP. Analgesia in the acute abdomen. Ann R Coll Surg Engl. Jul 1986;68(4):209-10. (Pubitemid 16076791)
40. Gallagher EJ, Esses D, Lee C, et al. Randomized clinical trial of morphine in acute abdominal pain. Ann Emerg Med. Aug 2006;48(2):150-160, 160 e151-14.
41. Manterola C, Astudillo P, Losada H, et al. Analgesia in patients with acute abdominal pain. Cochrane Database Syst Rev. 2007(3):CD005660.
42. The Joint Commission: Pain management. Available at: http://www. jointcommission.org/JointCommission/Templates/GeneralInformation. aspx?NRMODE=Published&NRNODEGUID=%7bA08FCD4F-CB99- 4B32-B309- 1FF1F51CC6C6%7d&NRORIGINALURL=%2fNewsRoo m%2fhealth-care- issues%2ehtm&NRCACHEHINT=Guest#9. Accessed July 21, 2010.
43. Gloth FM, 3rd. Pain management in older adults: prevention and treatment. J Am Geriatr Soc. Feb 2001;49(2):188-99.
44. Deane G, Smith HS. Overview of pain management in older persons. Clin Geriatr Med. May 2008;24(2):185-201. (Pubitemid 351447315)
45. The management of chronic pain in older persons: AGS Panel on Chronic Pain in Older Persons. American Geriatrics Society. J Am Geriatr Soc. May 1998;46(5):635-51.
46. Lumley T, Kronmal R, Ma S. Relative Risk Regression in Medical Research: Models, Contrasts, Estimators, and Algorithms. UW Biostatistics Working Paper Series Working Paper 293. July 19 2006.
47. US Bureau of the Census. Current population survey. US Government Printing Office. Available at: http://www.census.gov/.
48. Naughton BJ, Moran MB, Kadah H, et al. Delirium and other cognitive impairment in older adults in an emergency department. Ann Emerg Med. Jun 1995;25(6):751-5.
49. Hustey FM, Meldon S, Palmer R. Prevalence and documentation of impaired mental status in elderly emergency department patients. Acad Emerg Med. Oct 2000;7(10):1166.
50. Hustey FM, Meldon SW. The prevalence and documentation of impaired mental status in elderly emergency department patients. Ann Emerg Med. Mar 2002;39(3):248-53. (Pubitemid 34219637)
51. Hustey FM, Meldon SW, Smith MD, et al. The effect of mental status screening on the care of elderly emergency department patients. Ann Emerg Med. May 2003;41(5):678-84. (Pubitemid 36520247)
52. The Joint Commission. 2006 Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2006.
53. Brockopp D, Warden S, Colclough G, et al. Elderly people's knowledge of and attitudes to pain management. Br J Nurs. May 9-22 1996;5(9):556-558, 560-52.
54. Yates P, Dewar A, Fentiman B. Pain: the views of elderly people living in long-term residential care settings. J Adv Nurs. Apr 1995;21(4):667-74.
55. Weiner DK, Rudy TE. Attitudinal barriers to effective treatment of persistent pain in nursing home residents. J Am Geriatr Soc. Dec 2002;50(12):2035-40. (Pubitemid 35462452)
56. Titler MG, Herr K, Schilling ML, et al. Acute pain treatment for older adults hospitalized with hip fracture: current nursing practices and perceived barriers. Appl Nurs Res. Nov 2003;16(4):211-27. (Pubitemid 37373649)
57. Morley-Forster PK, Clark AJ, Speechley M, et al. Attitudes toward opioid use for chronic pain: a Canadian physician survey. Pain Res Manag. 2003;8(4):189-94. (Pubitemid 43020581)
58. Schumacher JG, Deimling GT, Meldon S, et al. Older adults in the Emergency Department: predicting physicians' burden levels. J Emerg Med. May 2006;30(4):455-60. (Pubitemid 43782805)
59. Herr K, Titler MG, Schilling ML, et al. Evidence-based assessment of acute pain in older adults: current nursing practices and perceived barriers. Clin J Pain. Sep-Oct 2004;20(5):331-40. (Pubitemid 39108846)
60. Hurley AC, Volicer BJ, Hanrahan PA, et al. Assessment of discomfort in advanced Alzheimer patients. Res Nurs Health. Oct 1992;15(5):369-77.
61. Pautex S, Herrmann F, Le Lous P, et al. Feasibility and reliability of four pain self-assessment scales and correlation with an observational rating scale in hospitalized elderly demented patients. J Gerontol A Biol Sci Med Sci. Apr 2005;60(4):524-9. (Pubitemid 40712874)
62. Pautex S, Herrmann FR, Le Lous P, et al. Improving pain management in elderly patients with dementia: validation of the Doloshort observational pain assessment scale. Age Ageing. Nov 2009;38(6):754-7.
63. Pesonen A, Kauppila T, Tarkkila P, et al. Evaluation of easily applicable pain measurement tools for the assessment of pain in demented patients. Acta Anaesthesiol Scand. May 2009;53(5):657-64.
64. New Frontiers in Geriatrics Research: Geriatric Emergency Medicine. Available at: http://newfrontiers.americangeriatrics.org/chapters/pdf/ rasp-16.pdf. Accessed July 21, 2010.
65. Beers MH. Explicit criteria for determining potentially inappropriate medication use by the elderly. An update. Arch Intern Med. Jul 28 1997;157(14):1531-6. (Pubitemid 27305197)