Gender Disparity in Analgesic Treatment of Emergency Department Patients with Acute Abdominal Pain

摘要: Objectives:  Oligoanalgesia for acute abdominal pain historically has been attributed to the provider’s fear of masking serious underlying pathology. The authors assessed whether a gender disparity exists in administration analgesia pain. Methods:  This was prospective cohort study consecutive nonpregnant adults with nontraumatic less than 72 hours’ duration who presented an urban emergency department (ED) from April 5, 2004, January 4, 2005. main outcome measures were and time analgesic treatment. Standard comparative statistics used. Results:  Of 981 patients enrolled (mean age ± standard deviation [SD] 41 ± 17 years; 65% female), 62% received any Men women had similar mean scores, but likely receive (60% vs. 67%, difference 7%, 95% confidence interval [CI] = 1.1% 13.6%) opiates (45% 56%, 11%, CI = 4.1% 17.1%). These differences persisted when gender-specific diagnoses excluded (47% 9%, CI = 2.5% 16.2%). After controlling age, race, triage class, score, still 13% 25% men opioid analgesia. There no receipt nonopioid Women waited longer their (median 65 minutes 49 minutes, 16 minutes, CI = 3.5 33 minutes). Conclusions:  Gender bias is possible explanation oligoanalgesia present ED pain. Standardized protocols may ameliorate this discrepancy.