1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Citation List Month Backlog URL Address <a href="http://doi.org/10.1542/peds.99.5.711" target="_blank" rel="noreferrer">http://doi.org/10.1542/peds.99.5.711</a> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Pain management in the emergency department: patterns of analgesic utilization Publisher An entity responsible for making the resource available Pediatrics Date A point or period of time associated with an event in the lifecycle of the resource 1997 Subject The topic of the resource Child; Female; Humans; Male; Patient Discharge; Adult; Age Factors; Hospitals; Emergency Service; Comparative Study; Pain/drug therapy; Analgesics/administration & dosage/therapeutic use; Hospital/statistics & numerical data; Academic Medical Centers/statistics & numerical data; Community/statistics & numerical data; Drug Utilization/statistics & numerical data Creator An entity primarily responsible for making the resource Petrack EM; Christopher NC; Kriwinsky J Description An account of the resource OBJECTIVE: To compare the use of analgesia in children to adults in 3 different emergency department (ED) settings. METHODS: Forty adult and 40 pediatric ED charts were randomly selected for review at each of 3 institutions: an academic medical center with separate pediatric and adult EDs (SEP ED), a community academic medical center with a combined adult and pediatric ED (COMB ED), and a community hospital with a combined ED (COMTY ED). All patients presenting to the EDs from July 1993 to June 1994 within 12 hours of an isolated long bone fracture were eligible for inclusion. Data were collected on demographics, training of providers, analgesic use and dosing in the ED and on discharge, and time from triage to analgesic use. RESULTS: The mean pediatric and adult ages were 8.7 and 38.3 years, respectively. Overall, 152/240 (63%) patients received some form of analgesia in the ED, with the COMTY ED (41/80; 51%) offering significantly less analgesia than the COMB ED (58/80; 73%), but not the SEP ED (53/80; 66%). Pediatric patients (64/120; 53%) received significantly less analgesia in the ED than adult patients (88/120; 73%). This difference was significant at the COMB ED (pediatric 23/40; 58% vs adult 35/40; 88%) and COMTY ED (pediatric 15/40; 38% vs adult 26/40; 65%), but not at the SEP ED (pediatric 26/40; 65% vs adult 27/40; 68%). 195/240 (81%) patients received discharge pain medication. There were no differences between pediatric (93/120; 78%) and adult (102/120; 85%) discharge analgesic prescribing practices. Although there was no difference in appropriateness of analgesic doses in the ED, pediatric patients (20/74; 27%) were more likely than adult patients (3/88; 3%) to receive inadequate doses of analgesics on discharge from the ED. CONCLUSIONS: ED analgesia continues to be used less frequently in the pediatric compared with the adult population. Inadequate dosing of discharge analgesic medication in children is a significant problem. Patterns of analgesic utilization may differ in different types of ED settings. 1997 Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1542/peds.99.5.711" target="_blank" rel="noreferrer">10.1542/peds.99.5.711</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s). Type The nature or genre of the resource Journal Article 1997 Academic Medical Centers/statistics & numerical data Adult Age Factors Analgesics/administration & dosage/therapeutic use Backlog Child Christopher NC Community/statistics & numerical data Comparative Study Drug Utilization/statistics & numerical data Emergency Service Female Hospital/statistics & numerical data Hospitals Humans Journal Article Kriwinsky J Male Pain/drug Therapy Patient Discharge Pediatrics Petrack EM