Singh, Gurjeet
(2020)
Association between assesment and missed pain
treatment among patients with headache pain
presenting to the emergency department.
Masters thesis, Univerisiti Sains Malaysia.
Abstract
Background
Pain assessment and management has been widely practiced in emergency departments all
over the world. As proper pain management is directly related to improvement in patient
satisfaction, health care officers have to be effectively dealt with pain related chief
complaints daily. A common chief complaint of patients presenting to the emergency
departments all over the world including Malaysia is headache. The aim in this study is to
analyze the assessment and management of headache pain at the emergency department in
Hospital Universiti Sains Malaysia and the factors that were influencing them.
Methods
The factors associated with missed pain assessment and treatment among patients with
headache pain presenting to the emergency department were investigated. A cross sectional
retrospective observational study was performed from December 2017 to May 2018 among
all patients with headache presenting to the emergency department of Hospital University
Sains Malaysia (HUSM). A total of 94 patients were enrolled in this study and 77 patients
met the inclusive criteria.
Results
There was a statistically significant association (p-value<0.05) between pain reassessment and also
the triage zone (x2 =6.858) and patient’s arrival time (x2 =5.773). Together with that a significant
association (p-value<0.05) between missed pain treatment and triage zone, and patient’s arrival time
was identified. The chi square value (x2) for triage zone and patient arrival were 7.428 and 4.807 each.
Whereas, there was no significant association between pain treatment and attending physician
Conclusion
Triage zone and arrival time of patients are the factors influencing miss assessment and
management of pain among patients with headache presenting to ED. A proper action and
more intervention studies are warranted in order to overcome above mentioned issues and
optimize pain management for headache pain.
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