Older US emergency department patients are less likely to receive pain medication than younger patients: Results from a national survey

Annals of Emergency Medicine

Volumn 60, Issue 2, 2012, Pages 199-206

  Platts Mills, Timothy F ^a   Esserman, Denise A ^a   Brown, D Levin ^a   Bortsov, Andrey V ^a   Sloane, Philip D ^a   McLean, Samuel A ^a  

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

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID; ANALGESIC AGENT; CYCLOOXYGENASE 2 INHIBITOR; NONSTEROID ANTIINFLAMMATORY AGENT; OPIATE; PARACETAMOL; TRAMADOL;

ADULT; AGE DISTRIBUTION; AGED; AGING; CONTROLLED STUDY; DISEASE SEVERITY; EMERGENCY WARD; ETHNICITY; FEMALE; HEALTH SURVEY; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; MAJOR CLINICAL STUDY; MALE; PAIN; PAIN ASSESSMENT; PATIENT CODING; PRIORITY JOURNAL; RACE; REVIEW; SEX RATIO; UNITED STATES;

EID: 84864231980     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2011.09.014     Document Type: Article

References (45)

1. G. Magni, C. Caldieron, S. Rigatti-Luchini Chronic musculoskeletal pain and depressive symptoms in the general population An analysis of the 1st National Health and Nutrition Examination Survey data Pain 43 1990 299 307
2. G. Magni, M. Marchetti, C. Moreschi Chronic musculoskeletal pain and depressive symptoms in the National Health and Nutrition Examination I. Epidemiologic follow-up study Pain 53 1993 163 168 (Pubitemid 23161578)
3. E. Poole, J. Treleaven, G. Jull The influence of neck pain on balance and gait parameters in community-dwelling elders Man Ther. 13 2008 317 324 (Pubitemid 351842773)
4. S.G. Leveille, R.N. Jones, D.K. Kiely Chronic musculoskeletal pain and the occurrence of falls in an older population JAMA 302 2009 2214 2221
5. K. Zhu, A. Devine, I.M. Dick Association of back pain frequency with mortality, coronary heart events, mobility, and quality of life in elderly women Spine (Phila Pa 1976) 32 2007 2012 2018 (Pubitemid 47301006)
6. G.R. Strange, E.H. Chen Use of emergency departments by elder patients: a five-year follow-up study Acad Emerg Med. 5 1998 1157 1162 (Pubitemid 28555370)
7. D.C. Roberts, M.P. McKay, A. Shaffer Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003 Ann Emerg Med. 51 2008 769 774
8. T. Rupp, K.A. Delaney Inadequate analgesia in emergency medicine Ann Emerg Med. 43 2004 494 503 (Pubitemid 38436539)
9. K.H. Todd, J. Ducharme, M. Choiniere Pain in the emergency department: results of the Pain and Emergency Medicine Initiative (PEMI) multicenter study J Pain. 8 2007 460 466 (Pubitemid 46843681)
10. M.J. Pletcher, S.G. Kertesz, M.A. Kohn Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments JAMA 299 2008 70 78
11. K.H. Todd, N. Samaroo, J.R. Hoffman Ethnicity as a risk factor for inadequate emergency department analgesia JAMA 269 1993 1537 1539 (Pubitemid 23086415)
12. K.H. Todd, C. Deaton, A.P. D'Adamo Ethnicity and analgesic practice Ann Emerg Med. 35 2000 11 16 (Pubitemid 30659723)
13. J.S. Jones, K. Johnson, M. McNinch Age as a risk factor for inadequate emergency department analgesia Am J Emerg Med. 14 1996 157 160 (Pubitemid 26090199)
14. K.M. Terrell, S.L. Hui, P. Castelluccio Analgesic prescribing for patients who are discharged from an emergency department Pain Med. 11 2010 1072 1077
15. U. Hwang, L.D. Richardson, B. Harris The quality of emergency department pain care for older adult patients J Am Geriatr Soc. 58 2010 2122 2128
16. A.B. O'Connor, F.L. Zwemer, D.P. Hays Outcomes after intravenous opioids in emergency patients: a prospective cohort analysis Acad Emerg Med. 16 2009 477 487
17. J.C. Brown, E.J. Klein, C.W. Lewis Emergency department analgesia for fracture pain Ann Emerg Med. 42 2003 197 205 (Pubitemid 36899786)
18. P.B. Dohrenwend, F.W. Fiesseler, D.G. Cochrane Very young and elderly patients are less likely to receive narcotic prescriptions for clavicle fractures Am J Emerg Med. 25 2007 651 653 (Pubitemid 46990702)
19. D.H. Solomon, J.A. Rassen, R.J. Glynn The comparative safety of analgesics in older adults with arthritis Arch Intern Med. 170 2010 1968 1976
20. U. Hwang, R.S. Morrison, L.D. Richardson A painful setback: misinterpretation of analgesic safety in older adults may inadvertently worsen pain care Arch Intern Med. 171 2011 1127
21. Centers for Disease Control and Prevention NHAMCS description Centers for Disease Control and Prevention Web site http://www.cdc.gov/nchs/about/major/ ahcd/nhacmsds.htm Accessed November 26, 2010
22. E.H. Chen, F.S. Shofer, A.J. Dean Gender disparity in analgesic treatment of emergency department patients with acute abdominal pain Acad Emerg Med. 15 2008 414 418
23. B. Safdar, A. Heins, P. Homel Impact of physician and patient gender on pain management in the emergency department - a multicenter study Pain Med. 10 2009 364 372
24. NHAMCS micro-data file documentation ftp://ftp.cdc.gov/pub/Health- Statistics/NCHS/Dataset-Documentation/NHAMCS/doc08.pdf 2008 Accessed September 9, 2011
25. S. Grond, A. Sablotzki Clinical pharmacology of tramadol Clin Pharmacokinet. 43 2004 879 923 (Pubitemid 39447033)
26. R.J.A. Little, D.B. Rubin Statistical Analysis with Missing Data 2nd ed. 2002 John Wiley & Sons Hoboken, NJ
27. P. Royston Multiple imputation of missing values: update of ice Stata J. 5 2005 527 536 (Pubitemid 43708457)
28. D.L. Chau, V. Walker, L. Pai Opiates and elderly: use and side effects Clin Interv Aging. 3 2008 273 278 (Pubitemid 352037867)
29. Institute of Medicine Relieving Pain in American: A Blueprint for Transforming Prevention, Care, Education, and Research 2011 National Academies Press Washington, DC
30. M. Miller, T. Sturmer, D. Azrael Opioid analgesics and the risk of fractures in older adults with arthritis J Am Geriatr Soc. 59 2011 430 438
31. J.D. Gaudreau, P. Gagnon, M.A. Roy Opioid medications and longitudinal risk of delirium in hospitalized cancer patients Cancer 109 2007 2365 2373 (Pubitemid 46801569)
32. M.K. Pugsley The diverse molecular mechanisms responsible for the actions of opioids on the cardiovascular system Pharmacol Ther. 93 2002 51 75 (Pubitemid 34246441)
33. T. Gomes, M.M. Mamdani, I.A. Dhalla Opioid dose and drug-related mortality in patients with nonmalignant pain Arch Intern Med. 171 2011 686 691
34. F. Salvo, A. Fourrier-Reglat, F. Bazin Cardiovascular and gastrointestinal safety of NSAIDs: a systematic review of meta-analyses of randomized clinical trials Clin Pharmacol Ther. 89 2011 855 866
35. D.M. Fick, J.W. Cooper, W.E. Wade Updating the Beers criteria for potentially inappropriate medication use in older adults: results of a US consensus panel of experts Arch Intern Med. 163 2003 2716 2724 (Pubitemid 37517412)
36. R.G. Iyer Pain documentation and predictors of analgesic prescribing for elderly patients during emergency department visits J Pain Symptom Manage. 2010
37. J. Shega, L. Emanuel, L. Vargish Pain in persons with dementia: complex, common, and challenging J Pain 8 2007 373 378 (Pubitemid 46678937)
38. R.M. McNamara, E. Rousseau, A.B. Sanders Geriatric emergency medicine: a survey of practicing emergency physicians Ann Emerg Med. 21 1992 796 801
39. K.H. Todd, E.P. Sloan, C. Chen Survey of pain etiology, management practices and patient satisfaction in two urban emergency departments CJEM 4 2002 252 256
40. C.L. Wu, M. Naqibuddin, A.J. Rowlingson The effect of pain on health-related quality of life in the immediate postoperative period Anesth Analg. 97 2003 1078 1085 table of contents (Pubitemid 37158693)
41. R.S. Morrison, J. Magaziner, M.A. McLaughlin The impact of post-operative pain on outcomes following hip fracture Pain 103 2003 303 311 (Pubitemid 36638818)
42. D.J. Pavlin, C. Chen, D.A. Penaloza A survey of pain and other symptoms that affect the recovery process after discharge from an ambulatory surgery unit J Clin Anesth. 16 2004 200 206 (Pubitemid 38813269)
43. B.S. McEwen, E. Stellar Stress and the individual Mechanisms leading to disease Arch Intern Med. 153 1993 2093 2101 (Pubitemid 23286462)
44. K.L. Vangronsveld, M. Peters, M. Goossens The influence of fear of movement and pain catastrophizing on daily pain and disability in individuals with acute whiplash injury: a daily diary study Pain. 139 2008 449 457
45. R.S. Morrison, S. Flanagan, D. Fischberg A novel interdisciplinary analgesic program reduces pain and improves function in older adults after orthopedic surgery J Am Geriatr Soc. 57 2009 1 10