Analgesia in trauma patients in emergency department

Abstract

Objective: to assess analgesia effectiveness and agreement between the Numerical and Faces scales in trauma patients in the emergency department. Method: a cross-sectional study with 173 patients performed from February 2013 to September 2014. Pain was assessed on admission and one hour after analgesia by using the Numerical and Faces scales. To compare pain before and after analgesia, the Spearman Correlation Coefficient was used and. To analyze agreement between the scales, Kappa Index was used. Results: on admission, most patients reported moderate and severe pain. There was pain relief, but 36.0% of patients remained with mild pain and 33.7% moderate pain, requiring analgesic supplementation. Agreement between the scales was considerable before analgesia (Kappa = 0.31, p-value <0.0001) and moderate after (Kappa = 0.56, p-value <0.0001). Conclusion: the majority of patients obtained pain relief after analgesia, and there was agreement between the scales.

Keywords

• dor
• analgesia
• ferimentos e lesões
• medição da dor